At brief intervals the manipulator seizes the limb in both hands and lightly runs the grasp upward, so as to favor the flow of the venous blood-currents, and then returns to the kneading of the muscles,--and each part is finished by light yet firm upward stroking, the hand returning downward more lightly, yet without breaking its contact with the skin.
Care must be taken as the different groups of muscles are treated that the leg is placed in the position which will most completely relax the ones to be operated upon.

Any tension of muscles wholly defeats the effort of the masseur.
After completing the process upon both legs, the arm is next treated in the same manner, the hand receiving somewhat more detailed attention than the foot.

Pains must be taken to reach the several groups of the forearm by operating from both sides of the arm.

The ordinary manipulation of the shoulder can be accomplished with the patient lying down; but if special conditions, such as articular stiffening, call for unusual care or unusual force, it will be found best to treat the shoulder with the patient seated.

The treatment of the arms is concluded with upward stroking (_effleurage_), as with the leg.
In the order usually pursued, the back is the next region treated.