Myofascial Release - A solution for Chronic Pain

myofascial release

What’s Myofascial Release

Myofascial Release has increasingly gained in popularity for the past couple of decades and it’s positioned itself as one of the most effective tools available to dealing with musculoskeletal pain and clinical presentations.

 

Myofascial Release is a specialised manual therapy technique that targets the fascia (myofascial system); the focus being releasing tension and restrictions in this system in order to either reduce pain, improve range of motion or improve overall functionality.

 

(In our Brighton & Hove based clinic we treat a wide range of clinical conditions, click here if you’re looking for information about a particular conditions)

What’s the fascia you might be wondering?

The fascia is a connective tissue, meaning that it connects, in this case muscles, bones, and organs in a continuous three-dimensional spider web-like mesh throughout the entire body.

 

Far from being an inert tissue with the unique function of holding things in place the fascia is much more than that; with more nerve endings than the skin itself the fascia is a fascinating ever changing and complex system that both affect and is affected by pretty much everything that goes on in our body… and mind!

 

When healthy, it moves without restriction. However, trauma/surgery, inflammation, postural patterns, repetitive strain or stress can cause the fascia to become tight, restricted, inflamed and dehydrated, leading to pain, dysfunction and changes in range of motion.

Myofascial Tissue and Tensegrity

Important things to know about the fascia:

 

  • Continuous three-dimensional spider web-like mesh: This means that it’s a single piece of fabric, it doesn’t divide. This is key in understanding pain, postural patterns and movement dynamics. The fact that it doesn’t divide means that restrictions in one area of our body can show consequences in a completely different area. It’s the job of the skilful therapist figuring out where the issue might be. This involves a whole body approach treatment approach where usually several structures must be addressed.

 

  • Contains nerve endings/It’s the largest sensory organ in the body: More nerve endings than the skin! This makes the fascia incredibly sensitive and responsive, in constant communication with the brain/nervous system. These nerve endings or receptors have different functions, some respond to pressure changes (like posture), some to chemical changes (like hormones) some are there for proprioceptive or interoceptive feedback (communicating to our brain how we feel internally). This means that there’s a two way communication system, brain-to-fascia (body) and fascia-to-brain (mind). For this reason, the unhappier the fascia is the harder our life is both physically and mentally, the unhappier our mind is the unhappier the facia is (perpetuating the cycle). This is how we explain scientifically how stress directly impacts the body and how (the other way around) myofascial tension can also perpetuate the cycle of stress.

 

  • It adapts to pressure changes/habits, it’s an ever changing plastic organ: The fascia can change its structure based on how we use our body. Repetitive movements, habitual postures, and injury patterns can create lasting restrictions most of which go unnoticed for a lifetime. Take a walk by Brighton & Hove seafront and watch people walk or run! You’ll notice all sorts of twists and funny habits developed by their bodies in an attempt of adapting so that they can carry on walking or running! These movement habits are necessary adaptations of their myofascial system but they show dysfunction, exposing the system to injury, increased wear and tear and pain. Good news are, same way the fascia adapted to these bad habits it can adapt to good ones as well; these postural and movement patterns can be corrected with the appropriate treatment and training.

 

  • It likes to be looked after: It requires time and dedication as well as good healthy habits, good diet/hydration, good sleep, good grounding, good mental health etc.

 

  • It’s highly responsive to manual therapy: The fascia responds remarkably well to treatment. Different receptors respond to different kinds of touch. Some to steady and gentle sustained pressure, others to a feather-like touch. This is why myofascial release therapy is so effective – the therapist locates restrictions, communicate with the fascial tissue through appropriate technique and the fascia releases.

 

 

  • Fascia can store and release elastic energy: Like a spring, healthy fascia can capture mechanical energy during movement, this stored energy is then released during the movement return phase adding extra power and efficiency without requiring additional muscular effort, a much more effective way of movement. This is a mine gold for athletes looking to increase their performance but also for everyone else! Everyone would choose feeling incredible and light over feeling heavy and constantly tired because the fascia is sleeping in the laurels. A functional body functioning on elastic energy is way less prone to injury! Studies show that the fascial system’s ability to store and return elastic energy reduces the metabolic cost of movement and decreases stress on muscles and joints. When this system functions properly, forces are distributed more evenly throughout the body, reducing localised strain that can lead to injury.

 

If you read through the previous 6 points you can probably imagine the huge benefits associated with Myofascial Release

Benefits of myofascial Release

  1. Pain Relief: Myofascial Release effectively reduces chronic pain and clinical conditions by releasing fascial restrictions and tension. Releasing myofascial tension has a positive direct impact in our mental health and general wellbeing.
  2. Improves Range of Motion: Releasing the myofascial system frees up the joints to move how they’re supposed to. Do this exercise right now as you read this! grab your t-shirt or jumper bellow shoulder level and pull down hard, hold it there while you try to lift your arm up above your head. Can you feel the resistance against the movement? The fascia has the same effect!
  3. Enhanced Posture and Movement Patterns: Treatment addresses compensatory patterns and postural imbalances, helping the body return to more natural, efficient movement mechanics.
  4. Stress and Anxiety Reduction: The fascia’s direct connection to the nervous system means releasing fascial tension impacts stress levels, promotes relaxation, break the cycle of tension between mind and body and encourages parasympathetic activity.
  5. Injury Prevention: By improving fascial health and restoring proper movement patterns, Myofascial Release reduces strain on muscles and joints, lowering the risk of future injuries.
  6. Improved Athletic Performance: Healthy fascia optimises the body’s ability to store and release elastic energy, leading to more efficient movement, reduced metabolic cost, and enhanced performance.
  7. Better Body Awareness: Treatment enhances proprioception and interoception, helping you become more attuned to your body’s signals and movement patterns.
  8. Whole-Body Approach: Because the fascia is continuous throughout the body, Myofascial Release addresses the root cause of dysfunction rather than just treating symptoms in isolated areas.

myofascial release is for everyone

Who is it for?

Myofascial Release therapy is beneficial for a wide range of people, including:

 

  • People with chronic pain conditions: Those suffering from persistent musculoskeletal pain or tension that doesn’t seem to clear on its own, hasn’t responded well to other types of therapy and doesn’t seem to have an explainable origin.

 

  • People with specific pain presentations: Including hip pain, sciatica, TMJ dysfunction, headaches, neck pain, shoulder pain, upper back pain, lower back pain, knee pain, pain radiating down the arm, pain radiating down the leg, pelvic/groin pain, carpal tunnel syndrome, frozen shoulder, thoracic outlet syndrome, whiplash, etc.

 

  • Athletes and sporty people: Those looking to enhance performance, prevent injuries, improve movement efficiency, and recover from sports-related injuries or repetitive strain.

 

  • Post-surgery or post-trauma patients: People recovering from surgery or injury.

 

  • People with postural imbalances: Those experiencing discomfort due to poor posture, repetitive work patterns, or sedentary lifestyles. Most of us develop compensatory patterns and patterns of tension within our body, myofascial release is a great in releasing restrictions and returning the body to a more balanced state where movement and life itself can happen more effortlessly.

 

  • People experiencing stress and anxiety: Individuals looking to break the mind-body tension cycle and take control of their wellbeing.

 

  • Anyone seeking improved body awareness: People interested in better understanding their body’s movement patterns and enhancing proprioceptive feedback.

 

  • Those with movement dysfunction: Individuals experiencing restricted range of motion, compensatory movement patterns, or winged scapula.

 

We’re based in Brighton & Hove, if you are experiencing any of these conditions or simply want to optimise your fascial health and movement patterns, Myofascial Release therapy could be what you’re looking for.

What to expect during the first session

Every therapist works differently, this applies to our clinic:

 

Our sessions are 60 minutes although we might run over especially during the first visit. It’s a good habit to book your treatment session at a time when you’re not having to rush off, when possible!

 

Usually our first sessions goes like this!

 

Consultation: We’ll quickly cover medical history, previous injuries/accidents/surgeries, current symptoms, pain patterns, lifestyle and what you hope to achieve through treatment. This conversation helps us understand not just where you’re experiencing discomfort, but also the broader context of your body’s compensation patterns and fascial restrictions. Remember the fascia is a result of absolutely everything you do or don’t do! The more we can create that picture the better we’ll be able to choose how to approach the treatment.

 

Postural/orthopaedic assessment: We’ll stare at you 🙂 You’ll be asked to perform simple movements while we observe your body’s natural patterns and might do with some resisted movements. This helps identify postural imbalances, compensatory mechanisms, and areas of fascial restriction that may be contributing to your symptoms. Remember, because the fascia is a continuous web throughout the body, the source of your pain may be in a completely different area than where you feel it.

 

Palpation: we might poke around to assess the quality of your fascial tissue! – identifying areas of restriction, tension, dehydration, and inflammation. This hands-on evaluation reveals patterns that aren’t always visible from the outside. This happens mainly during treatment but we occasionally also do beforehand.

 

Treatment Plan: Based on our findings, we’ll create a plan in our head! we’ll explain in a simple way what we’ve discovered about your fascial system and the presenting complain and how we’re planning to sort it out!

 

Hands-On Treatment: The remainder of your first session will involve actual Myofascial Release therapy. Myofascial release is usually quite different to other treatment approaches. We use different myofascial release techniques, some feel like steady firm but gentle pressure, some might feel very subtle. They all have a place and they all work! The treatment is deeply relaxing and healing and usually really effective.

 

Post-Treatment Guidance: After treatment, we’ll discuss what you might experience in the hours and days following your session. Some people feel immediate relief, while others may experience temporary soreness. Both are equally ok! We might give you some aftercare recommendations.

 

Even if you experience relief/improvement or your symptoms fully stop most people benefit from a series of regular treatments that can cause a deeper impact in the whole body.

Personal Reflection

Myofascial release therapy is a fascinating tool that actually works, it’s non-invasive and has no negative side effects. We see the results produced by this type of therapy on a regular basis in our clinic yet it never stops surprising me. It requires skill and feel, yet it’s so simply done, with just the therapist needed and a bit of massage wax. The benefits though, can be life changing for many. That’s what’s so fascinating about it. When you get a case when someone has suffered pain for so many years before they found the clinic and once they do and they get out of pain pretty quickly, it blows my mind, it makes me reflect on the funny ways in which life works.

 

So many people out there don’t know this type of therapy is available to them in their doorstep, many of which could really benefit from it. I’m grateful to be able to bring such a helpful tool to my local community.

About the author

Rocio Santiago

MA in Nursing, Dip. Soft Tissue Therapy

Ro initially began her career as a nurse. Following this and after a difficult time in her life that resulted in a career change, Ro went on to train at one of the leading soft tissue therapy schools in Europe, completing a 3 year degree level course and specialising in effective soft tissue manipulation for the treatment of musculoskeletal pain.

The treatment method Ro uses consists of a combined approach using different specialised techniques, myofascial release and trigger point work among others, with the intention and focus on providing effective results in the least possible amount of time.

Combining her training, science background and life experience, her treatment method is based in science and built using a whole body approach, where mind and body are addressed as one.

Ro has been seeing clients as a soft tissue therapist for 8 years, successfully treating a wide range of conditions.

Discover more from Clinical Massage Brighton Inside

Subscribe now to keep reading and get access to the full archive.

Continue reading