Lubricants

Lubricants decrease friction between the hands and the patient's skin. The result is increased patient comfort and smoother movements. Skin can develop sensitivities over time to lotions, oils and creams, so some providers may need to be selective or discontinue use of lubricants due to allergic reactions

Types of Lubricants

Type

Example

Advantages

Disadvantages

Powder

Unscented baby powder, talc

Allows for deep tissue manipulation with minimal hand slipping

Facilitates movement over skin, but allows hand and skin to move together to reach deeper tissues

Messy

If it gets on the floor of treatment area, the floor may be slippery

May become a lung irritant to therapist/patient if inhaled

Creams

Moisturizing cream (i.e., Lubriderm, Lanolin)

Allows hands to glide comfortably over skin

Can be absorbed by the skin, changing the amount of lubrication during the session

Oils

High quality natural (plant-based), such as almond, olive, sesame

Small amounts can be distributed evenly

Preferred for dry and low nutrition areas (e.g., scar)

Messy, can stain patient's clothing and items used for draping

Does not allow for enough friction for targeting deeper structures; difficult to grip soft tissue