Therapeutic Massage the manipulation of the soft tissue of the body through stroking, rubbing, kneading, or tapping, to increase circulation, to improve muscle tone, and to relax the patient. The procedure is performed either with the bare hands or through some mechanical means, such as a vibrator. The most common sites for massage are the back, knees, elbows, and heels. Care is taken not to massage inflamed areas, particularly of the extremities, because of the danger of loosening blood clots. Open wounds and areas of rash, tumor, or excessive sensitivity are avoided. Even if the extremities (legs) are not inflamed, they should not be massaged if the client has been immobilized for an extended period of time. The procedure is performed with the patient prone or on the side, comfortably positioned, with an emollient lotion or cream applied to the area to be massaged. The therapist hands are warm, and excessive pressure is avoided to prevent pain or injury. Kinds of massage are cardiac massage, effleurage, flagellation, friction, frôlement, pétrissage, tapotement,and vibration.