Now one may ask, what is Myofascial release (MFR)? Myofascial release is a manual therapy utilized to alleviate pain and improve range of motion by releasing tension in the fascia. Fascia is a three-fold layer of connective tissue made up primarily of collagen fiber that covers, attaches, and separates body structures which functions to provide support, protection, stabilization, and attachment for tissues, organs, & muscles. Due to the interconnectedness of fascia, tension and immobility in one area can lead to widespread conditions that decrease overall movement and cause chronic pain. These fascia restrictions can be caused by injuries, accidents, repetitive strain movements, natural posture, surgery, and mental stress.

There are many advanced myofascial release techniques used by practitioners and patients which can effectively address chronic pain and decreased functionality. These include

• Direct Myofascial Release: This is sustained pressure applied directly to the fascia to elongate and soften it which allows free movement of the fascia. This deep tissue applications works in conjunction with locating and releasing trigger points (taut bands located within the skeletal muscle fascia that cause specific pain in a different part of the body).
• General Myofascial Release: This involves gentle massage which allows the fascia to release on its own and increase relaxation.
• Active Release: This combines manual therapy with active movement from the patient to remove adhesions and tension that can cause muscular weakness, aching, tingling and burning.
• Instrument Assisted Soft Tissue Mobilization: This consists of using special tools that vary in shape, size, and material to apply friction transversely to the tissue involved which breaks up adhesions in fascia and maintains mobility.
• Self-Recovery MFR: Patients can utilize foam rollers and massage balls daily to maintain the fascia between treatment sessions.

Consequentially, MFR allows clients to receive many immediate benefits. These benefits include improved tissue elasticity, pain management, physical & mental relaxation, improved circulation, and improved range of motion. When combined with physical therapy & strength and conditioning, MFR enables patients to return to optimal health.

In addition, MFR treats and manages a wide range of conditions including but not limited to the following:

• Fibromyalgia: This is characterized by widespread musculoskeletal pain and fatigue.
• Lower Back pain: Strain in back muscles and tendons decrease ROM in spine.
• Chronic migraines
• Inflammatory conditions, for example, bursitis and osteoarthritis
• Overuse and repetitive strain injuries
• Scarring from injuries and surgery
• Carpal Tunnel Syndrome: This leads to pain, numbness, and weakness in the hands and wrists.

In addition, MFR treatment sessions usually follow the sequence below:

• Assessment: Practitioners begin by identifying areas of tension & tightness within the fascia through palpation and observation.
• Application: Practitioners then use hands, elbows or special tools to apply slow, progressive pressure to the restricted fascia until the tissue releases.
• Stretching: Practitioners may then gently stretch the fascia to maximize the benefits.

However, even though MFR is very beneficial, there are a few contraindications (specific situations in which a procedure should not be used because it could be harmful to the client). These contraindications include fractures, deep vein thrombosis, burns, open wounds, or fragile bones. In the case of contraindications, patients should consult with a licensed health care practitioner to determine whether the treatment is appropriate.

Overall, MFR is an effective type of manual therapy which addresses pain and improves mobility. Through early intervention and working in conjunction with a licensed practitioner, many persons can effectively prevent, treat, and manage many conditions which positively contributes to their quality of life.