What Is Myofascial Release

myofascial release

Myofascial release, a term that was alien to most people 15-20 years ago is slowly but surely claiming its position as a solid treatment option for a great number of musculoskeletal clinical and chronic pain conditions, as well as gaining weight between athletes and amateur sports people.

 

Many casual runners and recreational athletes now incorporate myofascial release techniques into their training and recovery routines to enhance performance and prevent injuries.

 

In our Brighton and Hove based clinic, we’ve observed how Myofascial release becomes progressively more known within our community.

 

When a treatment method proves as effective as myofascial release and especially when it fills a gap in a medical system that lacks manual therapy to address musculoskeletal conditions, its popularity naturally grows.

 

We know that it works, but what is it? What is Myofascial Release?

 

This is one of the most common questions I get asked… and I’m not surprised!

The myofascial tissue is such a complex system it’s really easy to over complicate the answer and leave people even more confused!

 

I’ll try and explain what Myofascial release is in an accessible way but with a touch of nerdy content for those who want to dive just a little deeper into it.

myofascial release popular

What is Myofascial Release

Myofascial release is a specialised manual therapy technique that focuses on addressing the fascia, simple as that.

 

The fascia (this is where it gets complicated!) is the fibrous soft tissue component of the connective tissue system, a whole body continuous three-dimensional web that supports muscles, bones, organs and nerve fibres throughout the body, including the brain.

 

I know! If you’re like me you left the room somewhere halfway through that sentence.

 

Let’s break that definition down,

 

Fibrous soft tissue component of the connective tissue; even though all fascia is connective tissue, not all connective tissue is fascia.

 

Blood, for example, is also a connective tissue and is not fascia. So fascia is the fibrous soft tissue component of connective tissue in our body and it’s responsible for providing structural support (between other functions).

 

Another example is adipose (fat) tissue, while being a type of connective tissue, is not considered fascia.

 

What makes them all connective tissues is that they have the same “ingredients” (cells, fibres and ground substance); but the recipe is different… and their function is different as well, of course.

 

For example, Adipose (fat) tissue would have mostly cells (adipocytes), while Tendons (considered to be fascia) would have way more fibres than cells. Adipose tissue’s function is to store energy and tendon’s have a structural function within the fascia web.

 

It’s a whole body continuous three-dimensional web; meaning it’s a single “piece of fabric”, it doesn’t divide, it’s one! Like a spider web. An easy way to understand fascia would be imagining that if we could magically remove everything else but fascia from a person’s body, we would be left with a super detailed 3D representation of that body.

 

When we understand this, we can understand how strain in one part of the system may cause pain, restricted range of motion, or another dysfunction elsewhere in a domino-like effect.

 

Supports

Today we see the fascia system as a biotensegrity structure that plays a crucial role in providing structural integrity and support throughout the body.

 

A system that achieves balance through the tensional – compressional forces of its elements all the way down to the cellular level.

 

Our traditional view of the human skeleton sees the human body as a hard structure (imagine a wall of bricks) where bones stack on top of each other and where cables (muscles) that pass over a joint cause a movement. The fascia just fills in the gap, without a major role and when the bricks get misaligned they can be pushed back into place with a quick intervention.

 

Dr Stephen Levin though, came up with a new updated version of the human skeleton that leaves little room for discussion.

 

In Levin’s model, the body behaves as a tensegrity structure.

 

A tensegrity structure is an architectural and engineering concept where the structural integrity is maintained through a balance of tension and compression forces. Imagine a structure held together by a continuous network of tensioned cables with rigid elements that don’t touch each other but are suspended within this network.

 

Think of it like a spider web with floating sticks – the web’s tension holds everything in perfect balance. In our body, the myofascial tissue acts like these tensioned cables, while our bones float within this tensional network, never actually directly pressing against each other.

 

Levin argues that without the tension of the connective tissue (myofascial tissue) the skeleton (unable to stand up for itself) would be a pile of bones on the floor.

 

In this model the myofascial system plays a huge structural role in the body and it is easy to understand how a stressors in one area of the system would affect the whole balance.

 

Muscles, bones, organs and nerve fibres throughout the body, including the brain. Ligaments, tendons, the wrapping around the brain (meninges), nerves (epineurium), bones (periosteum), muscle fibres (endomysium) and bundles of muscles (myofasciae) can all be considered to be fascia.

Why is Myofascial release so popular

myofascial release and body as tensegrity structure

The rising popularity of myofascial release can be attributed to several factors.

 

  1. Its effectiveness in treating various musculoskeletal conditions has been consistently demonstrated through positive patient outcomes.

 

The long lasting results in treating chronic pain conditions with no negative side effects make it a reliable go-to for those experiencing musculoskeletal pain.

 

It is evident that our NHS lacks within its system a profession that can effectively treat musculoskeletal clinical conditions and Myofascial release fills that gap perfectly.

 

Conditions that often get passed around within the system find their perfect spot at the table of an experienced Myofascial release therapist (these are very common conditions like TMJ, Carpal Tunnel Syndrome, Thoracic Outlet Syndrome, Tennis/Golfers elbow, Neck and Shoulder pain, Migraines, Sciatica, and a long etc.)

 

 

2. An increase interest in alternative medicine, as more people become aware of preventative self-care and seek non-invasive and drug-free treatment options, myofascial release presents itself as an effective natural solution that deeply positively impacts general health and feeling of wellbeing.

 

3. Advances in science in the last two decades have resulted into an increasing awareness of the fascial system’s importance in overall body function which in turn has led to healthcare providers to recognise the value of this therapeutic approach.

 

4. As a result of these advances in science, athletes, recreational runners and amateur sports people in general have started using myofascial release as a way of enhancing performance and reducing recovery time.

 

5. Far from having exclusively structural properties, the fascia is a fascinating system. With more nerve endings than the skin itself, the fascia is extremely sensitive, deeply connected with the nervous system and the brain(mind) itself. This makes the fascia a powerful entryway into the nervous system and the mind. Myofascial release can be deeply healing at that level as well. This increases the benefits of a treatment session.

 

6. It feels great. The fascia responds positively to slow steady pressure or pressure sustained overtime. It likes strong steady gentle pressure vs fast and painful pressure. This makes Myofascial Release extremely relaxing. Some nerve endings and receptors present in the fascia also responds to very gentle touch. In general, the therapist works with the client’s body and not against it (like it’s the case in “no pain-no gain” kind of practices).

What can you expect during a Myofascial Release treatment session

specialised trigger point treatment

The session begins with a thorough consultation that includes:

 

  • Postural assessment
  • Assessment of your specific goals
  • Evaluation of pain patterns
  • Range of motion testing
  • Review of medical history
  • Discussion of lifestyle factors

 

The hands-on treatment involves:

 

  • A combination of specialised myofascial release techniques. At INSIDE, our clinic, we like to approach treatment with a fusion of different treatment disciplines within the same session aiming to increase the effectiveness of the treatment, including trigger point work, sports massage, and eastern-based techniques like acupressure.

 

  • We follow a goal oriented approach always aiming for measurable results.

 

  • Our treatments are deeply relaxing and healing (In some instances, depending on the goal set during the consultation, the focus will be more on the nervous system and in some other instances the focus might be more local or tissue specific)

 

  • The treatment can feel painful or uncomfortable at times but it’s always “good pain”. You will never feel like tensing up agains the therapist or jumping up and leave. We work with your body, not against it.

 

  • Our job is to take your body to a place where it can heal itself, that’s all, we are catalysts.

 

 

After your session, you may experience:

 

  • Immediate pain relief and increased range of motion (in some cases)
  • Spaced out
  • A 2-3 day settling period where the tissue may feel irritated
  • Might feel emotional or vulnerable
  • Improved overall feeling of wellbeing and mood

 

On the day of treatment, we recommend to:

 

  • Avoid alcohol
  • Drink plenty of water. We like to recommend some good pure coconut water.
  • Maintain a healthy, clean diet
  • Avoid exercise. We’ve done some work to taking your body into restoration mode, allow some time for this to happen.

 

General recommendations:

  • Stay consistent with treatment sessions to achieve optimal results
  • Have an open mind and trust that your therapist probably knows more than you in this area
  • Maintain proper hydration and nutrition to support tissue health
  • Get adequate rest between treatment sessions
  • Listen to your body and communicate with your therapist during the treatment
  • Take on board therapist’s advise and follow through with the recommended exercises, even if you think they are nothing special.
  • It sounds cliché but truly every person is different so be patient, trust the process and try keeping a positive mindset

 

In terms of frequency of treatment:

 

For chronic conditions or clinical conditions, a few weekly sessions may be needed, with most people experiencing full relief of symptoms within 3-4 sessions. We expect to see results in every case within 6 weekly sessions even for the most complex cases, and if that’s not the case we will refer you to another specialist when possible.

References:

 

Fairweather, R. and Mari, M.S. (2015). Massage fusion : the Jing method for the treatment of chronic pain. Edinburgh: Handspring Publishing.

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.

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