When performing deep effleurage on the extremities, in what direction should it be done?

Deep effleurage on the extremities should be performed in a distal to proximal direction. This technique is vital because it assists in promoting venous return, which is the process of blood being transported back to the heart. By stroking toward the heart, you help to enhance circulation and facilitate lymphatic drainage, which can be particularly beneficial in reducing edema and improving overall fluid movement in the limbs.

Performing effleurage from distal to proximal aligns with physiological principles regarding blood flow and lymphatic drainage. Starting at the hands or feet and working toward the trunk aids in pushing venous blood upward against the effects of gravity, thereby supporting healthier circulation throughout the massage session.

This method is commonly taught in Swedish massage as it fosters relaxation while also being effective in preparing the body for deeper techniques. By contrast, other techniques such as lateral movements or circular motions do not directly support venous flow back toward the heart in the same way, and therefore do not align with the intended benefits of effleurage.