Cyriax Method — Deep Transverse Friction (DTF)
Diagnostic and therapeutic system developed by James Cyriax using a systematic clinical examination of contractile and inert structures, and deep transverse friction massage to treat tendinopathies and bursitis.
Presentation
James Cyriax (1904–1985), British orthopedic physician, developed a complete system of medical orthopedics including a standardized clinical examination and manual treatment techniques. His masterwork, 'Textbook of Orthopaedic Medicine' (1947), laid the foundations of modern musculoskeletal examination. Deep transverse friction (DTF or Cyriax friction) is his main therapeutic contribution: applying friction perpendicular to tendon or ligament fibers to stimulate healing and prevent adhesions.
Creator: Dr. James Cyriax (1904–1985), British orthopedic physician
Main Indications
- Chronic tendinopathies (rotator cuff, Achilles, patellar, elbow)
- Lateral epicondylitis (tennis elbow)
- Tenosynovitis
- Ligament sprains in subacute phase
- Plantar fasciitis
- IT band syndrome
- Subacute or chronic bursitis
Contraindications
- Acute inflammatory phase (< 72h post-trauma)
- Tendon calcifications
- Complete tendon ruptures (post-surgery)
- Local infections
- Osteoporosis (spinal ligaments)
Medical Disclaimer
The information presented in this article is provided for educational and informational purposes only. It does not constitute medical advice, diagnosis, or treatment prescription. If in doubt, always consult your physician or a qualified healthcare professional. The techniques described do not replace conventional medical treatment.