Active Release & Myofascial Therapy

Myofascial release (MFR) therapy focuses on releasing muscular shortness and tightness. There are a number of conditions and symptoms that myofascial release therapy addresses.

Many patients seek myofascial treatment after losing flexibility or function following an injury or if experiencing ongoing back, shoulder, neck, hip or virtually pain in any area containing soft tissue.

Other conditions treated by myofascial release therapy include Temporo-Mandibular Joint (TMJ) disorder, carpal tunnel syndrome, or possibly fibromyalgia or migraine headaches. Patient symptoms usually include:

• Tightness of the tissues that restricts motion or pulls the body out of alignment, causing individuals to favor and overuse one hip or shoulder, for example.
• A sense of excessive pressure on muscles or joints that produces pain.
• Pain in any part or parts of the body, including headache or back pain.

Causes of Myofascial Pain

Myofascial pain can have two sources. Pain can be generated from the skeletal muscle or connective tissues that are ‘bound down’ by tight fascia. In addition, pain can also be generated from damaged myofascial tissue itself, sometimes at a ‘trigger point’ where a contraction of muscle fibers has occurred. In either case, the restriction or contraction inhibits blood flow to the affected structures, thus accentuating the contraction process further unless the area is treated.

Therapy sessions follow a pattern similar to physical therapy for post-operative rehabilitation. An initial appointment will be devoted to locating the areas of the fascia that appear to be restricted, and measuring the level of loss of motion or loss of symmetry in the body. Subsequent treatment sessions may:

• Last at least 30 but optimally 50 minutes or more per session.
• Be conducted daily or every few days.
• Take place over a few weeks or months, depending on the nature and intensity of disability.

Additional Treatments with Myofascial Release Therapy

Myofascial therapy can be a precursor and complement to other treatments. Patients who engage in myofascial therapy also may benefit from other forms of nonsurgical care that aim to control pain and keep muscles and joints warm and loose. These include:

• Using non-prescription pain relievers such as acetaminophen or non-steroidal anti-inflammatories.
• Applying heat to soothe constricted muscles or using ice to calm inflamed areas.
• Performing self-stretching exercises to maintain flexibility and increase range of motion or aerobic exercise to increase blood flow to the affected areas.