Here’s a clear, step-by-step write-up on how to massage the tear duct (also known as or nasolacrimal duct massage ). This technique is commonly used to help relieve blocked tear ducts in infants, but it can also be helpful for adults with mild duct obstruction.

There are two primary approaches to the massage stroke: vertical and horizontal. The most effective method involves placing the tip of the index finger or the pad of the little finger on the medial canthus. The motion should be a firm, downward stroke. One should press inward against the bone of the nose and slide the finger downward toward the nostril. This action compresses the lacrimal sac against the bone, generating pressure that pushes accumulated fluid downward toward the obstruction. A common recommendation is to perform this motion ten to twenty times, two to four times a day.

The most common scenario for tear duct massage is in pediatric care, specifically for infants with congenital nasolacrimal duct obstruction. This condition affects approximately 6% of newborns and usually resolves spontaneously. However, healthcare providers often prescribe a specific technique known as the Crigler Method to expedite this process. In adults, massage is utilized to manage chronic dacryocystitis (inflammation of the lacrimal sac) or to express fluid during diagnostic procedures.