Cyriax is a technique used to maintain the mobility within the soft tissue structures.


The goal of Cyriax is to keep soft tissue structures like ligaments, tendons, and muscles mobile and prevent adherent scars from developing. As the name implies, the massage is deep and must be done transversely to the specific tissue affected, as opposed to superficial massage given in a longitudinal orientation parallel to the vessels, which improves circulation and fluid return. The correct structure must be found through adequate evaluation techniques before DFM may be executed successfully. Contractile structures like the muscle belly, musculotendinous junction, tendon, and tendon-periosteal junction must be distinguished from non-contractile structures such the joint capsule, bursae, fascia, and ligament.

Cyriax's effects

Pain Relief : it include pain alleviation and analgesia, which can last up to 24 hours according to the gate control theory.

Stimulation of fibre orientation in regenerating connective tissue : When applied early in the repair cycle, transverse friction promotes remodelling and thus longitudinal reorientation of collagen fibres.

Adhesion prevention : Because friction massage promotes a transverse movement of the collagen fibres, it aids in adhesion prevention. In circumstances when adhesions have already established, more friction can assist in breaking them. Friction is utilised to mobilise scar tissue and disrupt crosslinks between connective tissues and surrounding structures in such circumstances.

Traumatic hyperaemia : Because it is a vigorous and deep action, vasodilation effectively increases blood flow to the immediate area of application. This helps to remove chemical irritants and allows endogenous opiates to be transported, resulting in pain alleviation.


The use of Cyriax in the treatment of tendonopathies is well documented. The intervention's efficacy is proved when utilised in conjunction with other types of therapy, according to the research.


  • Ossification and calcification of soft tissues
  • Rheumatoid tendinous lesions
  • Ulcers, blisters or psoriasis
  • Bacterial infections
  • Large haematomas in the area
  • Bursitis
  • Local sepsis
  • Any local skin diseases
  • Fragile or friable skin

Other Related Treatments: