Every EZR is supplied with detailed information to help you with self-assesment and treatment techniques.

Patients can quickly learn to assess specific muscle groups and identify problem areas by applying gentle pressure with the EZR’s central protuberance. Muscles that demonstrate abnormal tension will be painful and/or feel thick, ‘bandy’ or tight when pressure is applied. They should be treated using one or more of the following techniques before function is compromised and injuries or pain develops.

1. Deep ischemic pressures (acupressure):
Using the central protuberance, static pressure is applied to a localised area of muscle for between 30 seconds and three minutes - until the abnormal tension subsides and the muscle releases. The pressure applied to any point of abnormal tension should be such that discomfort experienced is only slight (>3/10 pain).

Deep ischemic pressure to the
gluteal and hip rotator muscles to
improve hip flexibility and relieve
hip, groin, back and leg pain (eg
sciatica). Feature used: central

Deep ischemic pressure to the quadratus lumborum, for lower back pain relief. Feature used: central

Relief from neck related headache
using deep ischemic pressures to the suboccipital muscles. Feature used: central protuberance.


2. Cross friction massage:
With downward pressure applied, the EZR is moved transversely across the muscle fibres but does not move over the skin.

Cross friction massage and pressure to the plantar fascia for the treatment of plantar fasciitis. Feature used: central and/or base protuberance. Follow with effleurage to the arch of the foot by sliding the foot over the central protuberance.

Cross friction massage to the origin
of the forearm extensors for the
treatment of tennis elbow. Feature
used: base protuberance. Follow with effleurage to the forearm
muscle belly using the central
protuberance or lateral concavity.


3. Effleurage (deep and superficial):

Sweeping longitudinal strokes are applied along (up and down) the muscle with the aid of a lubricant. Central and base protuberances are used for deeper massage. The lateral concavity is used for more superficial massage over a larger area.

Releasing the iliotibial band for the treatment of knee and hip pain using both digital ischemic pressure and effleurage. Features used: central protuberance and lateral concavity.

4. Joint mobilisation:
Using the spinous process accommodating dimple and central protuberance various joints can be mobilised. Deeper, more localised and precise treatment is now possible. These should not be attempted without instruction from your therapist.


Mobilise vertebrae and ribs using features such as the spinous process accommodating dimple and central protuberance. Only for therapists or those patients instructed by their therapist.


Should pain or dysfunction persist, consultation with a qualified practitioner is advised so a thorough assessment and proper diagnosis can be made. Treatment may need to be guided by further investigation and include, for example, the prescription of exercise therapy.

The EZR should not be used to apply pressure over broken skin, bruises, contusions or fractures. People with conditions such as osteoporosis should seek advice from their therapist as to its use as should those wishing to use the EZR for joint mobilisation techniques.