Use the thumb to press the diseased tendon heavily at a direction perpendicular to the course of the tendons. Or fix the thumb up and use the other four fingers to knead and poke the diseased tendon one way or to and fro at a direction perpendicular to the course of the muscle bundle, muscle tendons and ligaments. The strength of the manipulation may be mild or heavy, and the frequency high or low. The method has the actions of stopping pain, relieving spasm, activating tendon and easing adhesion. It is suitable for spasm and adhesion due to chronic tendon injury.