A few rapid upward strokings with some force complete the treatment of the part, and the ankle is next dealt with.

The joint is moved in every possible direction, slowly but firmly, the crevices between the articulating bones sought out and kneaded with the finger-tips, and the foot and ankle are then carefully covered.

After the same rapid stroking upward of the leg with which it began has been repeated for the sake of the slight stimulation of the skin-vessels and nerves, the muscles of the leg are treated, first by friction of the more superficially placed masses, then by careful deep kneading (_petrissage_) of the large muscles of the calf, twisting, pressing, and rolling them about the bone with one hand while the other supports the limb.

In fat or heavily-muscled subjects it may be necessary to use both hands to get sufficient grasp of the muscles.

The tibialis anticus and muscles of the outer side of the leg are operated upon by rolling them under the finger-tips and by pressing with the thumb while firmly pushing upward from the ankle to the knee.