Posts tagged ‘myofascial release’

Freeing up the shoulder and opening up the rib cage!

Treated a client today who came in barely able to internally rotate her right shoulder girdle and had given up doing even light exercise due to stiffness all the way down the back as well pain next to the shoulder blade which onsets when reaching her arm up.

We worked on the major shoulder girdle muscles, in particular worked on Teres Minor which was very tense and tender at both attachment points (i.e. outside edge of shoulder blade half way down and top of the arm – to use non technical anatomical descriptions) . Also did fascial release work on serratus anterior muscle on the side of the rib cage. Client was feeling slight burning or crackling sensations as the taught and dehydrated connective tissue (fascia) began to yield and begin to give us back some flexibility to allow movement to happen more freely. We ended up with greatly improved range of movement afterwards.

Wondered and asked client if she suffered with asthma as the intercostal muscles in-between the outside surface of the ribs seemed very restricted from what I was able to palpate (feel) during the time that we were working on serratus anterior, she confirmed that she did have asthma. I explained that there is a set of techniques I can perform on her during a series of future sessions in order to free up the currently restricted muscles and soft tissues of the rib cage which will help ease the asthma and help free up the breathing making it become less shallow.


3 May, 2010 at 22:32 1 comment

Fascia physically connects everything to everything else in your body

Myofascial and fascia released related work is a very subtle yet deeply penetrating style of soft tissue manipulation therapy, it unravels those physical knots that standard deep tissue massage is not able to effectively deal with as well as sometimes also having the effect of releasing deeply held emotional pain that can also get locked into the cell memory of the associated body tissues.  It’s a form of alternative therapy work that is rarely practiced here in the UK due to the small numbers of trained practitioners, but is a tool I find to be the most effective in such a wide variety of chronic scenarios and along with trigger point therapy I would find hard to get as effective a treatment outcome as I’m able to with my clients.

So what exactly is myofascial release?  Myo means muscle, and fascia is a commonly occurring type of connective tissue that envelops and pervades all structures within the body starting from just below the surface of skin.  Myofascia is therefore the fascia that surrounds and permeates the individual fibres of a muscle’s structure.  Fascia can be found just about everywhere under the surface of the skin, it not only envelops muscles but also nerves, blood vessels, organs, ligaments, tendons and other soft tissues in the body.  If you took away everything else in the body and just left the fascia behind you would see a 3 dimensional mesh like sculpture showing you the shape of the body complete from outside to deep within.

Due to the very much interconnected nature of fascia within your body, you may be able to appreciate how fascia related tension or restrictions in one area of the body can affect the mobility of fascia in another part of the body which might be very far apart e.g. neck and hip.  Severe restriction and bunching up of the fascia in any part of the body can result in pain or movement restriction locally in that part of the body or possibly somewhere else.  Fortunately there are maps of the main fascia connection routes that run the length of the body which have been drawn up and backed up by cadaver dissections to prove their physical correlations which help us tremendously during therapy sessions.  These myofascial train lines as they are called interestingly correlate very well with the meridian lines which have been used for thousands of years in traditional Chinese acupuncture.

I attended 2 post graduate courses for qualified bodywork therapists recently collectively spanning an entire week for practitioners who have existing hands on experience of working with fascia.  The first course focused on specific myofascial techniques for pelvis, sacroiliac spine, rib cage and neck areas.  The second course looked at techniques for helping release constricted fascia surrounding the organs in the abdominal cavity, which in practice isn’t as invasive as it might sound as we were just making light (but sometimes deep yet non pain causing) contact with the surface fascia and suspensory ligaments of an organ to help free it up.  The idea being that working on the surface in turn contacts and pulls at the interconnected deeper fascia within, think of a big dust sheet or beach towel laid out flat and how pulling on one section causes a disturbance elsewhere, not forgeting that this work in all 3 dimensions so allowing movements to penetrate deep downwards too as well as side to side.

Fascia is fixotropic in nature which means that it can interchange between a solid state and a flowing liquid state according to prevailing conditions, press too hard against it and it gets tougher, but work with just the right amount of pressure against it (not too light either) and it begins to flow like a viscous fluid.  Try mixing cornflower starch and water together in a big bowl, this gives you a fixotropic substance to play around with, try and stab your fingers straight in very fast to get below the surface of the mixture as if you were trying to poke at a fast moving small object just below the surface, and then as a contrast try sinking you finger(s) in very slowly as if you were putting your fingers into a still pond trying not to make any ripples appear on the surface of that still pond.  This explanation should hopefully inform you of how specific one needs to be in order to get the fascia to unlock and release, too much or too little pressure either way and the fascia remains rigid in its pre-existing shape, but just right and the fascia begins to stretch and flow by more than just subtle amounts which both practitioner and client can detect.

Myofascial and fascial work is often the missing link when it comes to easing chronic muscular pain or soft tissue constrictions including scar tissue.  In fact, early release of scar tissue helps in preventing the severity of long term scaring as the connective tissue that was laid down during the initial scaring was done as a time is of the essence emergency slap dash way by the body, but once that emergency is over fascia release breaks down the scar tissue bit by bit and allows the body to do the repair again, this time with much more precision and craft as we are now in a non emergency repair situation.   The teachers I’ve trained with who also concurrently run their own therapy practices have been successfully using these techniques for over 9 years.  I have also had success in the time that I have been working with these techniques with clients who have completed enough sessions for their bodies to be re-educated and for the physical adaptations to be gradually taken on piecemeal as each session goes by.

As a closing thought to play us out of this particular topic, here is a video from one of the foremost proponents of fascia based bodywork therapy Tom Myers.  Tom trained with among others Dr Ida Rolf, the originator of rolfing, a deep tissue style of bodywork that re-aligns a person’s entire body posture over a series of 10 session starting from the feet and working gradually upwards with each successive session.  In this video Tom explains the concept of tensegrity and how torsioning in the myofascia of the body causes seemingly unrelated or unresolved soft tissue related pain often not diagnoseable by conventional x-ray or MRI means:

23 February, 2010 at 00:48 6 comments

Henry Tang – Therapeutic & Advanced Clinical Massage Practitioner (Crows Nest, Sydney, Australia)

Click image above to visit Spaces of Possibilities Wellness Centre, Crows Nest, Sydney, Australia.

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