MYOFASCIAL RELEASE

Definition
 Myofascial release is the application of the

gentle manual application of sustained pressure to release fascial restriction.
The word "myofascial" is derived from the

Greek word "myo", which means "muscle," and the word fascial

Fascia .

 When muscle fibers are injured. the fibers and the fascia which surrounds it become short and tight.  In scaring and adhesion the ground substance .Myofascial Restriction  Fascia covers every muscle and every fiber within each muscle. of fascia is converted from gel state to solid state. they heal by forming adhesions.

. Because the fascial system is interconnected. this stress can be transmitted through the fascia to other parts of the body.Scarring or injury to this network of connective tissue is a major cause of pain and limitation 0f motion. causing symptoms may appear in areas of the body that unrelated to the actual restricted area. This impose uneven stress.

.How Myofascial Release Work?  The gentle and sustained myofascial release is believed to supply mechanical and thermal energy which converts the ground substance into gel state again which allow facilitation of sliding movement of collagen and elastin fibers.

myofascial release is also said to improve circulation and nervous system transmission. By freeing up fascia that may cause compression on blood vessels or nerves.The gentle and sustained pressure and stretch of myofascial release is believed to free these adhesions and soften and lengthen the fascia. .

Effect of Myofascial Release Relieve pain Restore function Increase range of motion Improve motor performance Restore body equilibrium .

thoracic pain. chronic back pain. Carpal tunnel syndrome Chronic cervical pain . low back pain.Myofascial Release is highly effective in treating patients with the following diagnoses:Back strain.

Indications Dizziness and vertigo . tender points. Fibromyalgia. . Trigger points. Myofascial pain dysfunction. Headache.

phlebitis.Precautions and Contraindications  In case of recent surgery or an injury or pregnancy. inflammation. infection. jaundice. Avoid myofascial release if the patient has a high fever. some movements or stretches may not be appropriate. thrombosis. . or an infectious skin condition.

 The process is repeated until the area is fully relaxed.  Then.  A sustained pressure over time is applied to the tight area. the next area is treated.  The physical therapist waits for the tissue to relax and then increases the stretch. .Technique of Application  Each Myofascial Release technique contains the same components.  The physical therapist finds the area of tightness.

 At this point.  Wait for release to occur and follow along the direction of ease of tissue. slowly apply gentle pressure and slowly open your hands to slowly stretch out elastic component of fascia until reach a barrier ( your hands will come to stop). usually longer (approximately 3-5 minutes).Cross hand release  With relaxed hands. barrier after barrier. . maintain sufficient pressure to hold the stretch at the barrier and wait a minimum of 2 minutes. using cross hand technique.

." deeper layers.  Then By palpation of neck. or "palpates. or other areas will be felt  The skin is palpated and stretched or moved in all direction to feel for areas of tightness. stand. knuckles. the therapist then feels. pelvis. walk.Procedures  The therapist will first ask about the patient’s complaints  The therapist closely examine patient first by inspection of posture as you sit. back. chest. heel of the hand. and lie.  Using the fingertips. or arm.

. the tissues Procedures are stretched gently by applying low load gentle pressure along the direction of the muscle fibers until a resistance to further stretch is felt. The stretch is guided by feedback the therapist feels from the patient's body. This feedback tells the therapist how much force to use. the direction of the stretch and how long to stretch.When a restricted area is found.

The release indicates that the muscle is relaxing. and sometimes for up to five minutes. or the fascia has been realigned to its proper orientation. . fascial adhesions are slowly breaking down. before "release" is felt (creep).The stretch may be held for one to two minutes.

The process is then repeated until the tissues are fully elongated. . Sessions typically last 30 minutes to an hour and may be given one to three times a week depending on your condition. The patient should feel less pain and move more easily than you did before.

Cervical muscles release .

Para-spinal muscles release .

Neck muscles release .

Release of whole limb .

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