The therapist grabs the patient’s left hand joint placing his thumb on the dorsal side, oriented toward the forearm (the other fingers will support the joint on its anterior side). Then, he massages with the thumbs through pressure and pulling towards fingers. Then he energetically flexes and extends the joint five time.
This description presents the manner in which the procedure is performed on the left side of the patient. Similarly, the same steps are followed on the right side. In the standard version, the procedure is first performed on the left side and then on the right side.
