Quadrivas Therapy is a unique form of manual therapy that supports tissue health and circulation by enhancing blood flow at both the micro- and macrovascular levels. Using deep, targeted massage techniques, it works to reduce stagnation, restore blood flow, and improve the function of surrounding tissues.
This approach may be beneficial for individuals with conditions such as lipedema, lymphedema, restless legs, scar tissue, diabetes-related symptoms, and other circulation-related concerns.
Each treatment plan begins with a comprehensive initial consultation, during which the therapist assesses the client’s symptoms, lifestyle, nutrition, and stress levels. This is followed by an initial hands-on session to evaluate tissue condition and responsiveness.
The treatment can feel intense or cause discomfort—particularly in affected areas—but is often described as a ‘good pain’, and seen as a sign that the therapy is actively stimulating the tissue to help restore the body’s balance. With ongoing treatment, this typically eases.
Sessions are approximately 90 minutes and involve deep, hands-on massage techniques applied across the body. The therapist works within your comfort range and adjusts intensity based on your response.
In the early stages, treatments are generally recommended once or twice per week. For more persistent or severe symptoms, or where excess weight is a contributing factor, sessions may be scheduled up to three times per week. As the body improves, session frequency is gradually reduced.
Yes, some discomfort is common at the beginning, particularly in areas with poor blood flow, significant congestion, or fibrotic tissue. This is due to the stimulation of affected tissues. The therapist always works within your comfort level and alternates treatment areas to support recovery. Most people report that the discomfort decreases over time and that treatments eventually feel relaxing.
Many clients report noticeable changes after just a few treatments, including reduced pain, increased mobility and a lighter sensation in the legs. For those with long-standing complaints or carrying excess weight, improvements may be more gradual. In the early stages, it’s normal to experience temporary muscle soreness, fatigue or tenderness. These are typical responses, indicating your body is adapting and beginning its recovery.
While this therapy is not a “quick fix,” it addresses the root causes and provides long-term benefits.
The required number of treatments varies between individuals and is influenced by factors such as tissue condition, duration and severity of symptoms, age and lifestyle. For conditions such as lipedema, 20 to 40 treatments may be required on average. Milder presentations may respond within 6 treatments. To support lasting results, a maintenance schedule of several treatments per year is generally recommended.
Quadrivas Therapy has demonstrated positive outcomes in managing conditions associated with impaired circulation. Successful results depend on consistent engagement and cooperation between the client and therapist. For conditions such as lipedema and localized adipose tissue, clients may experience both functional improvements and aesthetic benefits.
The fees for an initial consultation and/or treatment vary between practitioners.
Coverage varies depending on the therapist and differs between countries. When provided by a therapist registered with a professional association, Quadrivas Therapy is generally considered a complementary or naturopathic treatment. Partial reimbursement may be available through certain health insurance providers. It is recommended to check your individual policy details with your provider.
Quadrivas Therapy is versatile and effective for a range of conditions, including:
● Lipedema
● Fibromyalgia
● Secondary lymphedema
● Restless legs syndrome
● Diabetes
● Long COVID
● Muscle pain, fatigue and heavy legs
● Poor circulation
Most people can benefit from Quadrivas Therapy; however, there are some contraindications and important factors to consider before starting treatment. These may vary between therapists. Examples include:
● History of spontaneous thrombosis or clotting disorders (unless well managed)
● Fever or flu-like symptoms
● Treatment suitability may be influenced by body weight and will be assessed individually by the therapist
Supporting your body’s recovery requires active participation. You can aid the healing process by:
● Exercise: Engage in regular activities such as walking, swimming, cycling, yoga, or Pilates. Avoid heavy strength training during the treatment period; this can usually be resumed after therapy is completed.
● Nutrition: Many clients benefit from a diet lower in carbohydrates and sugars. Some choose to avoid dairy or meat products. Consider consulting a nutritionist for personalized advice.
● Relaxation and Rest: Stress can negatively impact recovery. Ensure you get adequate sleep, relaxation and maintain a balanced lifestyle.
No, you can book an appointment without a referral.
Unfortunately, no. An assessment of how Quadrivas Therapy may benefit you is made only after a comprehensive intake and the first treatment.
This varies between clinics. Please check availability via “Find Your Therapist.”