Half-round bolsters help support the neck.

Bolstering Basics

Most massage therapists use these basic bolstering techniques in the following positions:

• Prone

  The most common bolstering method for the prone position is a full massage bolster under the ankles, one under the pelvis, and, for some clients, under the upper chest area at the sternal notch.

• Supine

  The most common bolstering method for the supine position includes a thin neck bolster, a bolster under the knees, and sometimes a pillow under the entire lower leg from knee to foot.

  If your client has trouble breathing in the supine position, elevate the head and shoulders more to allow for easier breathing. Likewise, if your client is experiencing congestion, he or she may appreciate an extra boost in elevation.

• Side

  Bolstering is especially important in the side-lying position to support the client’s head and neck and to cushion the top leg and top arm. Most clients are comfortable with the top leg resting on a bolster and the top arm supported by a soft pillow they can hug to their chest. A bolster along the back can also provide extra support in the side-lying position and can be removed as needed for better access to the client’s back.

Ask for Feedback

Before bolstering, ask the client if there’s any need for extra bolstering, such as for an injury, sore spot, or painful area that might be irritated or eased through bolstering. After bolstering according to the client’s requests or your normal method, ask if the client is comfortable and adjust the bolsters as needed.

Give Yourself Options

Keep a variety of bolsters (round and half round), pillows, and rolled towels at hand to cover any bolstering needs you may come across. Each client is different, and what works for one client may not work for another.

Learn how to bolster your partner for a relaxing massage at home.

Using bolsters for massage at home can enhance the effectiveness of massage. Bolster pillows not only provide extra comfort for the partner on the table, but they also position the body in a natural alignment, which allows the muscles to fully relax.

Since the body doesn’t naturally lie flat, a massage table alone doesn’t provide proper support. Bolster cushions support the natural curvature of the body and encourage deeper relaxation. The muscles can tighten up without proper support. Invite the muscles to “let go” by aligning and supporting the body in a neutral position. The more relaxed your partner is, the more beneficial the massage will be. Using bolster pillows gives the home therapist easier access to deeper, thicker muscle tissue.

Here are some tips for using bolster pillows in the face up (supine), face down (prone), and side-lying positions.

Face Up:
Place a full round massage bolster under the knees. Then slide a half round bolster underneath the curve of the neck when your partner is lying face up. Instead of a half bolster, you can also remove the Velcro face cradle pad to use as a neck bolster. Elevating the head and neck is helpful for clients with asthma, allergies, or congestion in the chest or sinuses. Use a thicker bolster to lift the head higher if needed. Ask your partner if he or she is more comfortable with the massage bolsters or without. Adjust the bolsters as needed.

Face Down:
In the prone (face down) position, slide a full bolster pillow under the ankles. You can also slide a bolster under the hips or just above the chest area with the arms resting on the forward arm shelf. Each person may differ slightly in how they like to be positioned. Find a position that works for both partners.

Side:
With your partner lying on one side, slightly bend the top leg at the knee and rest it on top of a full massage bolster. Keep the bottom leg fairly straight in a relaxed position and aligned with the rest of the body. Give your partner a pillow to hug for arm support, and slide a pillow or bolster under the neck.

How you use your massage bolster pillows ultimately depends on the comfort of the partner on the table. Ask for feedback when positioning your partner, and use your own judgment to maximize the comfort of the massage.

Bolster pillows are more than just a decorative, cylindrical-shaped throw pillow. Using a bolster pillow during massage is an easy way to enhance your client’s experience. There are three purposes to the use of a bolster pillow: comfort, safety, and to aid in body positioning for increased accessibility by the massage therapist.

Bolster pillows can be used for comfort mainly by relieving pressure on one part of the body. For instance, when a client is in the supine position (lying on their back), placing a bolster under the knees will relieve pressure on the lower back. A bolster pillow can also be placed under the ankles to avoid cramps in the calves.

Safety comes into play when certain medical conditions are present. Two examples are pregnancy and asthma. When a pregnant woman is in the supine position, it is important to keep her in a semi-reclining position. This can be achieved by using bolster pillows to cushion her back. Some clients that are asthmatic cannot lie totally flat. Bolstering is one way of helping them find a comfortable position while they are being massaged.

There are some muscles that are hard to access without the use of a bolster pillow. The posterior deltoids are a very good example of this. If a bolster is placed under the upper arm when the client is in the prone position, this will relax those muscles. This will also help with compression techniques and will make it easier to lift the arm.

The only problem is that every client is not the same. This means that using a bolster for one person may not be right for another, or that a differently shaped bolster pillow would be more appropriate for one client than another. Each client must be individually evaluated first to determine what will be the most effective use of a bolster pillow, if any. For this reason it is a good idea to have several bolsters on hand to aid in any situation that may present itself to you.