The patient lies in dorsal decubitus, with the left leg flexed from the knee and the hip in abduction (with the maximum extension of the adductor muscles). The therapist sits so that he can hold the flexed leg of the patient between his knees. Based on the patient’s elasticity, his knee is or is not supported. Then the therapist massages with the thumbs the inguinal area in 3-5 points (starting from the upper iliac crest down to pubis). There are two repetitions. The massage must be gentle, with slight vertical pressure (optionally followed by pulling within the limit of tissue elasticity), avoiding to traumatise the area. The massage area is that of the inguinal ligament.
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.
