The answer is, you massage in clockwise direction on a client's abdomen, in most cases. Licensed massage therapists should always perform a health intake process with each individual client to ensure that their unique needs are met. An example of when you might massage in counterclockwise direction on the abdomen might be when you have a client diagnosed with situs inversus.
A tummy massage therapy routine example could consist of standing on the left hand side of the table next to the client's tummy. The massage would start at the left side of the abdomen at the ascending colon, then massage from left to right across the transcending colon, then massage inferiorly on the right lateral side of the navel or tummy, working downwards on the descending colon. This is different from manual lymphatic drainage or some other bodywork hands-on skills and techniques.
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