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Myofascial release

What is myofascial release (MFR)?

·         Myo = muscle

·         Fascia = the main connective tissue in the body

·         Release = to let go, ease pressure

Fascia is the main connective tissue in the body. Fascia surrounds every cell, muscle, bone, nerve, blood vessel in the body, creating a three-dimensional web which spreads from head to toe.

Structurally fascia consists of protein fibres, collagen for strength and elastin for flexibility, and a fluid ‘packing material’ which is found in all body tissues.  In its normal state fascia is fluid and pliable, allowing full, pain-free movement.

However, fascia is vulnerable to trauma from accident, infection, injury, surgery or repetitive movement. Such trauma causes fascia to tighten, solidify and develop restrictions.  Over time these myofascial restrictions can lead to poor biomechanics, altered structural alignment, compromised blood supply and pain.

Myofascial restrictions do not show up on standard tests such as x-rays or MRI scans, which means they are rarely diagnosed as the cause of chronic pain conditions. Many people with fascial restrictions are prescribed medication such as anti-inflammatories, muscle relaxants or even anti-epileptics.  In some cases, surgery might be offered as a last resort. Myofascial release can be an effective alternative to these.

How does myofascial release work?

Myofascial release is a non-invasive, gentle hands-on soft tissue technique that works on fascia to release restrictions.  The technique involves applying a gentle stretch to the restricted fascia until resistance is felt.  Sustained pressure is then applied for 90-120 seconds, or more until the therapist senses the fascia releasing. These releases are sometimes accompanied by heat and reddening of the skin as blood flow is restored. As releases occur the therapist can follow the trail of further restrictions until the tissue becomes softer and more pliable.  This takes the pressure off pain sensitive structures such as blood vessels and nerves. It restores alignment and mobility to joints and muscles, and relieves pain.

What does myofascial release feel like?

Myofascial release feels like a gentle, long, slow massage. Myofascial release is slow because fascia takes longer than muscle to release, and until the fascia releases the muscles cannot release fully (this is why the benefits of myofascial release tend to last longer than a traditional massage). Myofascial release can be very relaxing as it takes the pressure off the over-worked nervous system.

Amanda Oswald www.paincareclinic.co.uk    

 
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