Five more Do and Don’t Precautions for Massage Therapists

One precaution is that when we do need to use the thumb or fingers, it is a good guideline to always try to contact the client with the pad of the thumb or fingers, instead of the tips of the fingers. In other words, do not lead with the fingertips.

Permission Joseph E. Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2013).

Deep Pressure Massage to the Low Back – Choosing the Treatment Contact

When working the low back, a good strategy is to begin with a smaller treatment contact such as thumb or finger pads to assess and begin treatment of the lumbar region, and then switch to a larger contact such as the palm or elbow to deliver deeper pressure.