By Eliza Mendoza


Myofascial release (MFR) is a soft tissue therapy for treatment of muscle pain and immobility. Fascia can be defined as thin tissue overlying all body organs for the purpose of support. The major focus of this therapy is to reduce the tension within tissues so as to improve the blood and lymphatic circulation, stimulate stretch in muscles and cause relaxation in contracted muscles. These and more are the basic facts about myofascial release charlotte nc residents may find productive.

The need for the procedure is brought about by increased tension in a muscle compartment which is almost always associated with an increase in the volume of contents in this compartment. Since the limits are fixed, there will be a subsequent increase in pressure that is exerted on the fascia. Examples of conditions associated with increased intra-compartment tension include bleeding, presence of tissue fluid or a tumorous growth.

Two types of this procedure exist; direct and indirect. The direct type is done using a fixed force to cause stretch. The knuckles, elbow or other special tools can be used in directing the force. Deeper tissues are reached through slow movement into layers of fascia. Eventually enough room for the tissues is created.

The indirect type uses light force to free the fascia. Tissues with dysfunction are directed through a course of minimal resistance until free mobility is attained. This technique is based on the assumptions that fascia overlies all organs and therefore cannot be separated. Forceful release of fascia can affect other unintended body organs through a stretch of the entire fascial system.

MFR should only be used when all other techniques have failed. The primary method that has been used traditionally is physical therapy. This treatment has the advantage of being less labour intensive. Release of the fascia is effective for treatment of many soft tissue disorders including plantar fasciitis, carpal tunnel syndrome, fibrositis, chronic back pain and many others.

Prior to MFR, relevant history of the patient has to be taken. The therapist can focus on matters related to the pain such as the site, duration, aggravating factors and relieving factors among other important aspects. This is followed by physically examining movement of joints and general posture of the patient. Pressure is applied to various parts of the body to elicit the painful sites. Sometimes patients are unable to recognise tender spots probably because they have adapted to them and it is up to the physician to identify them.

Myofascial release is meant to be a relaxing form of treatment. Most patients end up falling asleep during treatment. However, soreness of tissues may be observed after treatment. Patients are encouraged to take large amounts of water to minimise soreness. Progress of the patient is usually determined by a reduction in pain and improvement in posture.

One of the other important roles of MFR is to update the central nervous system on any changes in movement patterns. This is achieved with the help of occupational and physiological therapists. If this adjustment does not take place, one will remain in pain and some parts of the body will not function optimally. These are but a few of the facts on myofascial release Charlotte NC residents should know.




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