Compression massage. Contraindications and indications for pressotherapy. What does lymph mean for the body


Pressotherapy is a kind of hardware lymphatic drainage massage using compressed air. The basis of the therapeutic effect is the acceleration of lymph and blood flow. This is explained by the fact that air compression mimics muscle contractions and increases blood flow by 50%. As a result, there is a decrease in swelling, an improvement in the tone of blood vessels and metabolic processes in tissues.

It should be noted that despite the pronounced positive effect that pressotherapy gives, there are contraindications for this procedure.

Hardware lymphatic drainage massage - technique and effect on the body

The idea of ​​creating an apparatus for carrying out this physiotherapy procedure belongs to the Dutch scientist Van Der Molen. He found that successive stimulation of the muscles by their rhythmic compression restores the flow of lymph in the body and increases blood circulation.

Approximate price for a pressotherapy session

In beauty salons and clinics, the cost of one 30-minute procedure costs an average of 1000 rubles. A subscription for 10 sessions will cost about 7,500 rubles. The price includes a consultation with a professional cosmetologist who will check your general health and draw up an individual program.

This method is great for those who lead a sedentary lifestyle, eat irregularly, undergo rehabilitation after an injury or surgery. According to research, one pressotherapy treatment can replace two sessions in a fitness club or several sessions of a classic, manual massage.

Pressotherapy (or hardware lymphatic drainage massage, compression massage, pneumomassage) is a painless procedure that eliminates lymph stagnation in certain areas of the human lymphatic system. Lymphatic drainage (pressotherapy) consists in successive compression of various parts of the human body (mainly limbs) with the help of specially designed cuffs into which compressed air is supplied. Cuffs consist of sequentially arranged compartments. The sequence of pumping the compartments with air and the amount of air pressure in them, and therefore the degree of compression of the object, determines the nature of the procedure - pressure massage or lymphatic drainage. As a result of such an impact, some parallel, very useful processes occur - cleaning and nourishing the skin layer with lymph, improving blood circulation in the capillary vessels of the skin, as well as soft tissues in close proximity to them.

This effective method of physiotherapy with the use of special hardware is a reliable method of mechanical influence on the subcutaneous tissues. As a result of applying this method, excess interstitial fluid is displaced (lymphatic drainage occurs).

Pressotherapy (hardware lymphatic drainage massage, pneumomassage) actively affects the lymphatic system of the body, removes excess fluid and accumulated toxins, and contributes to the intensification of nutrition and tissue cleansing processes. Thus, pressotherapy has a profound healing effect on the body, based on two main mechanisms: physiological tissue drainage and the healing effect of massage. Pressotherapy relieves the patient of existing edema of various origins, significantly reduces the volume of his body. With its help, you can effectively deal with all manifestations of cellulite and various stages of obesity. This method eliminates the existing flabbiness of the skin, and processes are launched in the body to make it smooth and elastic.

The lymphatic system not only nourishes and protects our body, but also cleanses it. Pressotherapy, removing excess fluid and harmful substances from the body, restores the water balance, which is explained by the normalization of the circulation of lymph and intercellular fluid. It also improves venous circulation, activates metabolic processes in skin cells and fat cells. Pressotherapy, used in cosmetology, allows you to get rid of edema of various origins, significantly reduce body volume, effectively fight cellulite and obesity, and eliminate skin flabbiness, making it supple and smooth.

In medicine, pressotherapy (pulse barotherapy), having an antispasmodic and vasodilating effect, is used in the complex treatment of persistent muscle tension and the prevention of varicose veins, relieving heaviness in the legs and toning the walls of blood vessels. Pressotherapy helps to actively fight post-traumatic and postoperative edema. There are special programs for the use of pressotherapy in rehabilitation after liposuction.

Pressotherapy procedure

The pressotherapy procedure (hardware lymphatic drainage, compression massage, pressure massage) consists in the fact that with the help of a compressor, air is pumped into special cuffs that are worn on the legs, arms, waist or hips. In this case, a wave-like compression of the patient's soft tissues occurs, as a result of which blood circulation is activated. The equipment with which pressure therapy is done is designed specifically to generate certain rhythmic fluctuations by the pressure created, thus performing lymphatic drainage massage. Such a cyclic effect of pressure on certain parts of the human body contributes to the removal of not only excess fluid from tissues, but also stagnant metabolic products from the intercellular space.

The pressotherapy procedure (hardware lymphatic drainage, compression massage, pressure massage) consists in the fact that with the help of a compressor, air is pumped into special cuffs that are worn on the legs, arms, waist or hips. In this case, a wave-like compression of the patient's soft tissues occurs, as a result of which blood circulation is activated. The equipment with which pressure therapy is done is designed specifically to generate certain rhythmic fluctuations by the pressure created, thus performing lymphatic drainage massage. Such a cyclic effect of pressure on certain parts of the human body contributes to the removal of not only excess fluid from tissues, but also stagnant metabolic products from the intercellular space. As a result, there is a removal of edema and toning of the walls of blood vessels. When the pressure in the cuffs is reduced, vasodilation occurs, which significantly increases blood flow. As a result of the lymphatic drainage procedure (pressotherapy, pneumomassage), the lymphatic system is activated, the entire body is actively cleansed of toxins and toxins. There is an accelerated breakdown of fats and the removal of decay products, all metabolic processes in tissues at the cellular level are activated.

Pressotherapy, having a gentle mode of exposure, is especially suitable for those who are prohibited from lymphatic drainage by electrical stimulation of muscle tissue, exposure to ultrasound, electrophoresis or manual massage.

Pressotherapy can be carried out daily. The duration of the session is up to 45 minutes. To draw up a detailed program of pressure therapy taking into account your individual characteristics, determine the strength of the impact that is best suited for your particular case, and also to make sure that there are no contraindications, please consult a doctor.

After the pressotherapy procedure, which also has a relaxing effect, a woman feels rested, alert, and protected from minor adversities, which is helped by a feeling of lightness in the legs and throughout the body, and often immediately observed effect of pressotherapy.

Results of pressotherapy

  • Complete elimination of manifestations
    cellulite, a significant increase in firmness and elasticity of the skin.
    Lymphatic drainage massage with compressed air intensively affects the skin,
    subcutaneous fatty tissue, normalizes the circulation of lymph and intercellular
    liquids.
  • Significant reduction in terms
    rehabilitation after surgeries and injuries. Rhythmic pauses and
    pressure intensifies blood flow and metabolic processes, due to this
    nutrition of all tissues and organs improves, deep recovery occurs
    and restoration of bodily functions.
  • Pressotherapy allows
    eliminate edema of various origins and significantly reduce the volume
    body. Massage with compressed air normalizes water balance, removes excess
    fluids and rids the body of toxins.
  • Pressotherapy – effective
    method of treatment (at an early stage) and prevention of varicose veins
    veins, due to the pronounced antispasmodic and vasodilating
    action.
  • As a result of the sessions, an increase
    immunity and stress resistance, mood improves, the body receives
    charge of vivacity and positive energy.
  • The massage has a deep
    relaxing effect, at the end of the session, relaxation is felt and
    lightness throughout the body.
  • Positive results
    noticeable already after the first pressotherapy procedure and persist for
    long time after the end of the course.
  • Compressed air massage
    combine with other cosmetic procedures aimed at correcting
    figures and elimination of imperfections, for example, wraps.
If you have any medical
diseases, before using the system, please consult with
doctor. You can find a list of common contraindications

The lymphatic system is a kind of "sewerage" of the body. It is through it that slags and toxins that are not processed by cells, as well as split fats, are removed. Disruption of work, or a slowdown in the speed of the lymph flow, leads to the fact that "waste" (slags, toxins, fat cells) begin to accumulate in the region of the lymph nodes. Such accumulations develop into cellulite deposits over time. The slowdown of the lymphatic flow affects the general state of human health: the skin loses its natural color, its elasticity and elasticity decrease, the functionality of internal organs is disturbed.

Pressotherapy accelerates the process of removing toxins from the body, restores the water balance of cells, allows for any of its development, as well as other consequences of a sedentary lifestyle. Pressotherapy allows you to massage eight parts of the body at the same time. One pressotherapy procedure replaces 10-20 manual massage sessions.

Indications and contraindications

Indications:

  • Cellulite.
  • The appearance of edema on the skin.
  • Violation of cellular metabolism.
  • The appearance of the first signs of skin aging and the prevention of their occurrence
  • Obesity.
  • The need for rehabilitation after undergoing surgical operations, including plastic ones.
  • Decreased immunity.
  • Chronic leg fatigue.
  • Rehabilitation after mastectomy.
  • Chronic Fatigue Syndrome.
  • Edema during pregnancy.
  • Rheumatoid arthritis.
  • Prevention of thrombosis and thromboembolism.
  • Vegetovascular dystonia.

Contraindications:

  • Violation of the integrity of the skin (pustular formations at the site of the procedure)
  • Diseases of the internal organs in the area of ​​​​pressotherapy
  • Diabetes
  • Impaired kidney function
  • The presence of blood clots in the blood and vessels or a tendency to form them
  • Stage III cardiovascular disease
  • Period of the menstrual cycle
  • Unhealed fractures
  • Pregnancy and lactation (breastfeeding)
  • The presence of malignant or benign tumors prone to growth
  • Tuberculosis

Pressotherapy is allowed for people who have contraindications to procedures such as electrophoresis, ultrasound, or manual massage.

The main stages of the procedure

Before starting the procedure, it is necessary to undergo an examination by a specialist who will determine the degree of a particular disease, and also develop an individual 8-step pressotherapy program.

For pressotherapy, a special apparatus with compressors is used, through which air is supplied. For this, special tubes are used that connect the apparatus and cuffs. Depending on the area to be treated, inflatable pants, pressure therapy boots, cuffs, gloves, corset or belt are used.

Before starting the procedure, the patient is located on the couch and put on one or more of these cuffs. With the help of pressotherapy, 8 areas of the body can be massaged simultaneously, including the buttocks.

After the patient has been dressed in a pressure therapy suit, an automatic program is launched that regulates the alternate injection and suction of compressed air from the nozzles, thereby providing the effect of a “squeezing massage”.

In the process of air injection, the lymph nodes are compressed, and its suction is accompanied by their expansion. Thus, during the session, the excess intercellular fluid is expelled from the body and removed naturally through the human renal system.

Thanks to the eight-step program, pressotherapy provides a wave-like contraction of blood vessels, which stimulates the lymphatic system and restores the body's water balance. The automatic program controls the level and force of pressure on the patient's skin in certain areas of the body.

The alternation interval between vacuum and compression states is from 30 s to 2 minutes. Reducing pressure on the skin triggers the expansion of blood vessels, increasing blood flow to the skin, muscles and subcutaneous tissue. During pressotherapy, the patient experiences increased sweating, rhythmic vibrations of the pads create the effect of lymphatic drainage massage.

Pressotherapy refers to painless types of procedures. After its completion, the patient feels lightness, warmth throughout the body and a surge of strength. The total duration of the procedure is no more than 20 minutes.

After the procedure

Pressotherapy results:

  • Disappearance of edema of the skin.
  • Improving cell nutrition, oxygen saturation of tissues.
  • The disappearance of signs of cellulite.
  • Weight loss.
  • Correction of the contours of the figure.
  • The skin takes on a natural tone.
  • Increasing the body's defense mechanisms (resistance to disease).
  • The disappearance of the effect of chronic fatigue.
  • Mood improvement.
  • Normalization of the work of internal organs.
  • Improvement of firmness and elasticity of the skin.
  • Slowing down the aging process of the skin.
  • Eliminates heaviness in the legs.
  • Increased tone of the walls of blood vessels.
  • Promotes rapid recovery of the body after trauma or surgery.
  • General detoxification of the body is carried out.
  • Prevention of blood clots.

Combination with other types of procedures

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Save so as not to lose!

In an effort to achieve ideal forms, women adhere to different diets, visit fitness centers, and even resort to plastic surgery.

For body shaping, cosmetic anti-cellulite creams and specialized massage are used.

Anti-cellulite massage helps not only to get rid of cellulite deposits, but also to restore the efficiency and vitality of the whole organism.

The formation of cellulite is explained by the changeable hormonal background of a woman. The situation worsens with a sedentary lifestyle and a violation of the diet. Without bringing these two points back to normal, it is simply pointless to start anti-cellulite massage.

The purpose of the massage is to restore blood flow and lymph circulation in the subcutaneous tissues.

Thus, anti-cellulite massage is wellness. As a result, gas exchange begins to flow more actively in skin cells, excess water and toxins are removed, and regeneration is accelerated.

The skin becomes more elastic and toned, puffiness subsides.

By area of ​​application

According to the area of ​​​​impact, anti-cellulite massage is classified into:

  1. general superficial (for minor correction and prevention);
  2. local (work separately with each problem area);
  3. local therapeutic (combines the elimination of toxins).

By way of doing

According to the method of implementation, they are divided into the following types:

  • using essential oils and honey;
  • vacuum massage with a silicone jar;
  • dry rubbing with a brush, massage mitt, towel.

hardware:

  • hydromassage (using pressurized water);
  • pneumomassage (variable air pressure);
  • vibration massage.
Variations of manual massage can be carried out independently at home, the main thing is to follow the correct technique. Hardware types of massage are prescribed in specialized salons and are carried out by qualified specialists.

What is pressotherapy?

Pressotherapy is a relatively new and increasingly popular procedure for getting rid of cellulite, which is one of the varieties of pneumomassage.

The essence of the method is the impact on the lymphatic system with compressed air. Hence the second name of the procedure - lymphatic drainage massage.

The pressotherapy apparatus, invented by a Dutch scientist, is based on the stimulating effect of intermittent air pressure on the removal of excess lymphatic fluid.

During this absolutely painless procedure, toxins and slags are removed along with the liquid, the breakdown of fats is activated, and blood circulation and cell metabolism are improved in parallel.

Pressotherapy is also used in medical complexes for the initial stages of varicose veins and tissue swelling. This appointment is determined by the ability of compressed air to relieve spasms and dilate blood vessels.

Observations and testing of the device note the ability of the technique not only to break down fat conglomerates under the skin, but also to directly deal with excess weight. During the sessions, there is an intensive displacement of fluid, and with it, excess weight also goes away.

How is pressure therapy done?

Pressotherapy is carried out exclusively in a specially equipped salon room under the supervision of a trained specialist. Although now they produce devices for domestic use, they must be treated with caution.

The patient puts on a sealed suit with compressed air valves, which is a voluminous rubber "boots" elongated either to the waist or to the chest.

The design and external performance of the suit depend on the manufacturer, but in general, despite the apparent bulkiness, it is quite comfortable to wear.

The session takes place in a lying or reclining position on a special chair, so you can completely relax and unwind.

A visual aid on how the pressotherapy procedure is carried out in a beauty salon.

After turning on the device, compressed air begins to flow through the cuffs into the valves and the suit gradually inflates. There is no pain or discomfort noted.

Air pressure alternately changes from high to low with a given rhythm. The interval between pressure drops can vary from 2 to 0.5 minutes: the shorter the interval, the more intense the rhythm.

Thus, parts of the body are not compressed by air (as in the cuff of a tonometer), but begin to be massaged by different flows.

The duration of the procedure is determined individually and ranges from 20 to 45 minutes. The course may include up to 10-15 procedures every six months. After each procedure, a break of 2-3 days is determined. The effectiveness of the course depends on the individual characteristics of the body and the degree of obesity.

The most popular pressotherapy of the legs and abdomen. After the procedure, the patient notices weightlessness in the legs and lack of stiffness.

Despite the fact that pressotherapy refers to the hardware type of massage, the technique of its implementation and the nature of the action are very close to manual massage. In parallel with the solution of the problem of cellulite, there is a massage effect on the muscles, reducing tension and relaxing. As a result, efficiency increases and muscle tone normalizes.

Pressotherapy can be successfully combined with anti-cellulite creams and wraps, which increases its effectiveness.

Advantages of this type of massage

Under the action of compressed air, blood circulation improves, blood cells are actively saturated with oxygen, saving tissues from oxygen starvation.

The impact on the lymphatic system is accompanied by cleansing the body of toxins and decay products. As a result, the skin becomes elastic and acquires a healthy color.

Improved blood supply

Without having a direct effect, pressotherapy indirectly contributes to the normalization of digestion, restoring metabolism.

The restoration of lymph flow has a positive effect on the general well-being and the immune system of the body.

Normalization of muscle tone

Strengthening muscles and normalizing their tone, relieving spasms - all this is reflected in performance and recovery after exercise.

The effect of relaxation, which is noted by each patient, helps to relieve emotional tension and stress.

Getting rid of cellulite

After a full course, the complete disappearance of cellulite is noted. The skin becomes elastic and elastic. The restorative and healing effect is reflected in the mood and well-being.

Restorative effect

Pressotherapy is used to recover from injuries and surgeries. In the first months of pregnancy, the procedure is prescribed to relieve swelling in the legs.

The effect of the procedure can be seen after the first session. After a full course, the achieved result is stored for a long time, allowing you to forget about problems with the figure.

Pressotherapy differs from other types of anti-cellulite massage in its complex effect on the body, affecting important cleansing systems and the absence of side effects.

Indications and contraindications

The main purpose of pressotherapy is the fight against cellulite and excess weight. However, it is also prescribed in other cases. As already noted, this is an effective way to relieve swelling and prevent varicose veins.

Very often, pressotherapy is used to restore tissue after liposuction.

The vasoconstrictive effect and stimulation of blood circulation make it possible to use this method in general therapy in the treatment of venous insufficiency. In addition, this type of massage is prescribed for athletes to restore muscles after high loads and overwork.

The pressotherapy technique is gentle, and its gentle action is an alternative to other methods with a similar effect.

Pressotherapy can be included in the treatment complex for arthrosis, arthritis, gout, osteochondrosis, disorders of the nervous system and insomnia, intestinal motility disorders.

Pressotherapy also has a number of contraindications, which arise from the nature of the device. Thus, the procedure is prohibited for hypertensive patients, cancer patients, suffering from cardiovascular, renal and hepatic insufficiency.

You can not prescribe pressotherapy for bleeding (including during menstruation), inflammatory processes, fractures, bruises and dislocations, skin diseases and purulent wounds, elevated body temperature.

Pressotherapy is contraindicated for people who have had a heart attack or stroke, as well as those suffering from aneurysms and deep thrombosis. The procedure should also be refrained from in the last stages of varicose veins and angiopathy in patients with diabetes mellitus. The presence of vascular atherosclerosis can also be a reason for refusing the procedure.

The ban on pressotherapy also applies to pregnant women from the age of 4 months, as well as to carriers of electronic implants.

It is not recommended to fully focus on the presented list of contraindications - in any case, you will need to consult your doctor.

It is possible that additional examinations and tests will be required. That is why the use of pressotherapy at home should be alarming.

Pressotherapy is still a new direction in the fight against cellulite, but it is of considerable interest to women.

Some reviews are filled with delight from the procedure and admiration for the result, while others, on the contrary, evoke doubts and a negative attitude.

In any case, this is the experience of one particular person, his feelings, understanding and opinion. How effective massage becomes clear only after application. Of course, you should not expect a slender, toned figure after the first visit to the salon.

In addition, once again I would like to note that the procedure is used as a corrective after the normalization of weight by diets and sports.

The effect obtained from the course will quickly disappear if you do not follow the diet and do not lead an active lifestyle.

You can also maintain the skin in good condition with the help of manual anti-cellulite massage with honey or cosmetics, so the result of pressure therapy will last longer.

For those who like to experiment, it is worth paying attention to all contraindications and listening to the recommendations of specialists.

If there is even the slightest risk, it is better to abandon the experiment or reschedule it for another time when health problems are eliminated.

Pressotherapy can also be used as a general strengthening procedure to keep the body in good shape and cleanse the body of toxins. In this case, it can be carried out during unloading diets.

Conclusion

In conclusion, we note that pressotherapy is an innovative method of dealing with cellulite, which has managed to prove itself from the best side. The results of such a procedure can exceed any expectations.

But you can not abuse the courses - it is advisable to follow the recommendations and take them no more than six months later. Beauty is in health, so the most important thing is not to harm it!

Modern medicine successfully uses pressotherapy - hardware massage, which is called compression or pneumatic. For its implementation, special hollow cuffs are put on the legs, arms, waist or hips of the patient. Massage in a specialized room. It is done by a qualified, trained specialist in this procedure. The patient puts on a pressure suit.

The cuffs are put on a pressure suit, which is filled with air. When alternating high and low pressure in the cuffs, the pressure suit creates waves that massage the muscles of a person, his venous and lymphatic vessels. This massage is 15 times more effective than usual. Like all anti-aging procedures, pressotherapy also has contraindications, but first things first.

Action of pressotherapy

Its action causes vasodilation and activation of blood and lymph circulation in the patient's body. As a result, fluid stagnation in the body, including lymph, stops. Thanks to the latter, the massage is also called lymphatic drainage. But pressotherapy also has contraindications. Let's talk about the indications and contraindications of compression massage.

What does lymph mean for the body?

Lymph is a very important substance, which is a type of connective tissue in liquid form containing many lymphocytes. The lymphatic system is responsible for removing toxins from the body. It removes metabolic products and excess fluid from tissues, removes toxins from the body.

Scope of compression massage

Pressotherapy is used for medical purposes and in cosmetology. Lymphatic drainage massage promotes the outflow of lymph from the central areas to the periphery. Proper outflow of lymph cleanses the blood in the veins, removes oxygen hunger, and relieves muscle tension.

Malfunctions in the lymphatic system lead to poisoning of the body with external and internal toxins, infection with viruses and microbes. The patient's performance decreases, he feels tired, headaches. There is an increase in excess weight, immunity decreases, edema appears.

Only a qualified specialist can prescribe pressotherapy, having familiarized himself with the client’s medical history and his personal predispositions. The procedure has side effects and contraindications.

When is pressotherapy indicated?

Consider how pressotherapy works, contraindications and indications. For cosmetic purposes, compression massage is prescribed for cellulite and excess weight. After the procedure, the skin acquires elasticity and firmness. Excess fluid goes away, weight is reduced. The patient's mood improves. The procedure is often prescribed after liposuction, as it has a restorative effect on the tissues.

Pneumatic massage is prescribed for pregnant women in the early stages to relieve swelling of the legs. It shows the effect after the first session and retains its positions for a long time. Pressotherapy has shown itself well during the rehabilitation period after injuries or surgical interventions.

If the patient will regularly observe the prescribed lifestyle - eat right and engage in physiotherapy exercises - a second course will not be required.

Massage is indicated for edema and as a prophylaxis for varicose veins. In case of venous insufficiency, the vascular strengthening effect of the procedure and the stimulation of blood circulation are used.

Pneumatic massage is prescribed for people who feel heaviness and fatigue in the legs, as well as for workers whose nature of work makes them lead a sedentary lifestyle. You can also resort to the alpha capsule with its indications and contraindications.

In diabetic angiopathy, when there is an uncompensated amount of sugar in the blood, and the vessels are narrowed by cholesterol plaques and have lost their elasticity, activation of blood circulation with the help of compression massage helps to correct the situation. After all, the danger is not so much the presence of excess glucose in the blood, but the slowdown in blood flow due to lipid metabolism disorders. A massage will speed up the flow of blood through the vessels.

For the same reason, the described procedure is indicated for thrombosis. During this disease, platelets form clots in the blood that interfere with blood flow. Usually thrombosis is observed in the lower extremities, and causes discomfort to the patient. But there are more dangerous cases when a blood clot completely blocks the vessel, stopping blood flow. This situation can be fatal. Until this happens, compression massage will help speed up blood flow and rid the patient of excess platelets.

Pneumatic massage is prescribed at the first sign of gout. The disease is a deposition of uric acid in the joints. Pressotherapy contributes to the timely removal of excess uric acid from the body.

The procedure helps with arthritis, which speaks in favor of the version that it is caused by a metabolic disorder, and compression massage stimulates it.

Pressotherapy helps with constipation and intestinal metabolism disorders. Since pneumatic massage relieves muscle tension, it is prescribed for stress accompanied by insomnia.

conclusions

Thus, pressotherapy is prescribed for:

  • cellulite;
  • obesity
  • swelling of the legs;
  • with varicose veins;
  • with heaviness in the legs;
  • with a sedentary lifestyle;
  • to strengthen blood vessels;
  • with diabetes;
  • thrombosis;
  • gout and arthritis;
  • disorders of intestinal metabolism;
  • with stress.

Lymphatic drainage massage is prescribed in the amount of 15 procedures several times a week. The duration of the procedure is up to 45 minutes. If massage is carried out for preventive purposes, doctors recommend doing it 1 procedure every 2 weeks. Although pressure therapy is popular, not everyone is allowed to use it.

Contraindications

Contraindications are based on the fact that this procedure removes excess fluid from the space between the cells. And this is done by squeezing parts of the body with compressed air. The list of contraindications looks like this:


These are the main contraindications for compression massage. If you have at least one of the reasons listed above to refuse pressotherapy, it is better to do it.