Myofascial Release Therapy (MFR) for treating compression and pain

What is Myofascial Release (MFR therapy)? How can it relieve pain? Let's discuss how MFR has improved our health and reduced pain and share articles about how MFR works. MFR helps so many different conditions that have compressed tissues, and entrapped blood vessels and nerves. The time to avoid MFR treatment would be if a person has cancer, because in releasing tight tissues, cancer cells could be released and able to migrate through the body.

Myofascial release is a way to stretch the fascial layers that holds our body together. The fascia is connective tissue that forms a web matrix that interconnects everything in the body. It has recently been described as the "Interstitium" or a new organ in the body.

Fascia can be too tight from injuries or surgical scar tissue, and hold the body in poor ergonomics which can lead to nerve compression. Fascia can be stretched or "released" and it will remodel itself by changing from a semi solid to liquid form which brings circulation to an area of compressed tissue which then expands the tissue and circulation, and it enables removal of metabolic waste products. Using their hands, the trained therapist will find the path of fascial restriction in the patient's body and push against it gently in a shearing motion, and wait for the tissue to start to slide. The patient can feel the movement and become body aware. This path of fascial movement can reach the full length of the body and cross over between sides. This path changes as it unravels, and often there is a vasomotor response that can be seen on the skin temporarily as a reddish area where circulation has been restored which is shown on the photo below near the therapist's hands. Treatment must be slow and gentle to prevent the body from guarding in a protective response. This is why aggressive methods to stretch fascia often fail and can cause injuries by tearing the fascia and forming scar tissue that just adds to the problem of fascial tightness.

Fascia also holds tissue memory, and in releasing it, sometimes there is a release of emotions tied to an injury that was a cause of the problem. Stress and injury can cause guarding behavior and tissue tightness that become permanent over time, and MFR and working on emotional health helps a person recover from the physical and emotional effects of stress and trauma on the body.

MFR is helpful to so many conditions that have an underlying physical cause. The physical therapist who developed this treatment method forty years ago is John Barnes. He has developed courses and MFR certifications for physical therapists. There is a lot of information about MFR at myofascialrelease.com as well as directory of therapists treating with MFR. A person may also contact Therapy on the Rocks in Sedona, AZ, and ask for recommendations of therapists who have been trained in the John Barnes Methods. MFR therapy is becoming better known and accepted healing therapy, although there are some doctors who are unaware of the benefits.

I wanted to create this discussion to help organize this information and I thought the Neuropathy group would be a good place to start because someone in pain might look here, but we could have this discussion in many discussion groups. Animals such as dogs, cats and horses have also benefited from this therapy. Hopefully as we collect information here, this discussion can be referenced and shared in the many other discussions on Mayo Clinic Connect.

Here is an incomplete list of conditions that can be helped with MFR treatment.

You may find this list and further information at https://www.myofascialrelease.com/about/problems-mfr-helps.aspx

Back pain
Bladder Problems (Urgency, Frequency, Incontinence, Overactive Bladder, leakage
Birth Injuries
Bulging Disc
Bursitis
Carpal Tunnel Syndrome
Cerebral Palsy
Cervical and Lumbar spine injuries
Chronic Fatigue Syndrome
Chronic Pain
Degenerative Disc Disease
Endometriosis
Emotional Trauma
Fibromyalgia
Frozen Shoulder (Adhesive Capsulitis)
Herniated Disc
Headaches or Migraines
Infertility
Interstitial Cystitis
Menstrual Problems
Myofascial Pain Syndrome
Neck Pain
Osteoarthritis
Pelvic Pain
Plantar Fascitis
Pudental Nerve Entrapment
Scars (hypertrophic, hypersensitive, painful, burn scars, mastectomy scars)
Sciatica
Scoliosis
Shin Splints
Tennis Elbow
Thoracic Outlet Syndrome
Tinnitus (ringing in the ears)
TMJ syndrome
Trigeminal Neuralgia
Vulvodynia
Whiplash

Interested in more discussions like this? Go to the Neuropathy Support Group.

@lagnew

I live in Ontario , Canada and have had a Total Knee Repalcement but old and new scar tissue is causing issues so I am hoping I find a therapist experienced in MRT. and it doesn't cost too much money.

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@lagnew I don't know how Canadian Healthcare works. Sometimes it is worth it to pay out of pocket for enough sessions to learn what to do, and then do home care stretching every day. Sometimes with knee replacements, doctors will do some maneuvers to stretch scar tissue. If you look at some discussions on knee replacement, you'll find patients talking about it. I do think MFR is worth trying, and it may take awhile before you become aware of feeling how it works in your body. You may have to work through a lot of layers of tightness before you can really feel it and understand how it is working.

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@jenniferhunter

@lagnew I don't know how Canadian Healthcare works. Sometimes it is worth it to pay out of pocket for enough sessions to learn what to do, and then do home care stretching every day. Sometimes with knee replacements, doctors will do some maneuvers to stretch scar tissue. If you look at some discussions on knee replacement, you'll find patients talking about it. I do think MFR is worth trying, and it may take awhile before you become aware of feeling how it works in your body. You may have to work through a lot of layers of tightness before you can really feel it and understand how it is working.

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thank you i appreciate you taking the time to answer

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@jenniferhunter

@loriesco I'm an artist too, and I also ride my horse and carry the heavy saddle which is really good for my core strength. If I over do with heavy lifting, it will cause spasms in my neck and I need to do my stretching and MFR stretches at home. Ask your physical therapist to show you how to treat at home between your visits. You can't do everything because you can't always get your hands in places where your PT can. There are various things I use as tools to aid my home stretches such as balls, a Davinci tool, a Cranio Cradle, foam roller, and some various massage type things I have found at discount stores. What matters is that you can create a shearing motion and push and hold at the barrier. I do this by feel and I can feel when it releases. When you learn enough from your PT, you can start inventing new ways to stretch. I do this to maintain and not loose ground. If you keep your muscles loose and supple, it helps to avoid the stiffness that people associate with aging. Your body has a pattern based on your habits and past injuries, and you PT can make suggestions based on that.

It's all about releasing the pressure and tension. I work on my leg because of a past serious ankle fracture and because of that injury, some parts of the lower leg are weaker and in compensating, some muscles get too tight, and there is the surgical scar tissue. I have figured out that by doing MFR to release any tension, I can get the ankle tendons to stop hurting. Yesterday, I could hardly walk on my ankle, it felt like a bad sprain because of walking in unstable sand. I worked on my leg, an I walk without pain today. I do have to keep tweaking this, and I hope in time, I will build enough muscle strength that it will become more normal. I also pay attention. If my knee hurts, I check my pelvic alignment, then do what my PT tells me, and MFR on anything that is tight or hard or tender. This is how you prevent further injury and reduce wear and tear on your body. p.s. I don't think of 67 as old, and we are close in age. Good for you for painting! I will be painting at a plein air event in a few weeks. I do have to stretch because of whet I do with painting. It is hard to support the weight of your arm outstretched and do it all day. Also ask your PT about stretching surgical scar tissue. that can make a huge difference, and it tends to re tighten itself.

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Hey Jennifer!!! Thank you for all the helpful advice. I LOVE IT that we are friends on FB! (Lori A. Escalera). do you think that maybe my cervical spine surgery BIG SCAR C3 - T2 down the center of my neck back could possibly need some attention at this time? (its been 1 year since surgery and you mentioned scar tissue). Last fall I had no problem (when nerves in back were numbe) doing my pavement art in the street but this spring I was in major pain! this spring the nerves were angry and trying to find their way. I fell a couple weeks ago and got whiplash, vbut that big ole rod in my neck saved my life. All the neck muscles are rock-hard - Its my 4th whiplash. I feel like even when the MFR guy gets them soft, and then I go to rehab, they get hard again. I do self acupressure on occasion but I haven't done any self MFR.
I have a question for you - about working. I am coming to terms with a partial retirement (been an artist since I was 12 - starting on the commercial side, then graphics, then murals and now fine art)... but don't know what I can realistically expect. All of these accumulated postural bad habits have taken their toll. Do you limit your time at work? did you have a time where your body kind of turned on you and you just had to adopt artmaking change? I waited all my life to paint "freely" of intrusions, but my bad body is intruding on my time. I am limited to a half a day of painting and try to respect my intuition. Have fun at the plein air festival!

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@loriesco

Hey Jennifer!!! Thank you for all the helpful advice. I LOVE IT that we are friends on FB! (Lori A. Escalera). do you think that maybe my cervical spine surgery BIG SCAR C3 - T2 down the center of my neck back could possibly need some attention at this time? (its been 1 year since surgery and you mentioned scar tissue). Last fall I had no problem (when nerves in back were numbe) doing my pavement art in the street but this spring I was in major pain! this spring the nerves were angry and trying to find their way. I fell a couple weeks ago and got whiplash, vbut that big ole rod in my neck saved my life. All the neck muscles are rock-hard - Its my 4th whiplash. I feel like even when the MFR guy gets them soft, and then I go to rehab, they get hard again. I do self acupressure on occasion but I haven't done any self MFR.
I have a question for you - about working. I am coming to terms with a partial retirement (been an artist since I was 12 - starting on the commercial side, then graphics, then murals and now fine art)... but don't know what I can realistically expect. All of these accumulated postural bad habits have taken their toll. Do you limit your time at work? did you have a time where your body kind of turned on you and you just had to adopt artmaking change? I waited all my life to paint "freely" of intrusions, but my bad body is intruding on my time. I am limited to a half a day of painting and try to respect my intuition. Have fun at the plein air festival!

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@loriesco Thanks for letting me know about our friend connection. I don't limit my painting time. If I get tired and need a break, I take one. I don't paint all the time every day. When I ride my horse, I actually do a lot of "physical therapy" with that and it makes my posture so much better and stronger, unless I do something or my horse trips badly. That did happen recently and my neck and shoulders have been hurting a bit because I dropped the reins and had both hands on the saddle. My neck movement is pretty much the same as it was before surgery, and my fusion was C5/C6 done with no hardware and only a bone graft. I imagine having rods C3 to T2 is going to limit your movement significantly and wear you out while you are painting. Anything where you have to look down (like the sidewalk art) is probably exhausting. It would be for me. The best way to paint with less fatigue is to use good ergonomic posture and try to keep your neck straight. I would think that working on smaller pieces is probably a lot easier, and you'd get more done before fatigue sets in.

One year after a big neck surgery is not a lot of recovery time. At one year, I still had fatigue. I wore a neck brace for 3 months, so my neck was weak and that was exhausting. I think you are right to listen to your body, but don't believe that is your maximum recovery. It may be too early to tell. You need to find a balance between rehab exertion and stretching out the tight muscles. If rehab is making your muscles rock hard, maybe that is too much. I can cause neck pain and spasms easily because I have thoracic outlet syndrome, and my neck is tighter on one side. That is something I'm always stretching, and mostly on my own because getting PT on Medicare is very limited unless it's for something that is textbook mainstream rehab.

Having a whiplash when your C1-C3 is doing the whip movement isn't good because that top end of the spine is so vulnerable. If you get muscle spasms affecting those levels and how your skull sits on your spine, it can cause issues like vertigo, and you don't need extra pressure there that may lead to future disc problems. Do everything you can to protect that and keep it functional. I do think MFR on your surgical scar can help, and also to loosen up all the tight shoulder and neck muscles. Your rehab PT may need to lower the expectations. At some point, you'll stop going for that, and you'll be left with the hard muscles and spasms.

I periodically stretch my surgical scar on the front of my neck and it pulls down in to my chest and ribs. If that gets tight, it can limit my lung function. I still have some deeper rock hard muscles in my neck, but generally, it is more supple and looser than before my surgery. You don't know how much surgical scar tissue tightness is affecting you until you get it loosened and take the pressure off. You might be able to work on the back neck scar tissue by leaning up against a block on a wall or doorway and trying to stretch by pushing against it. Laying on a foam roller with airplane arms may help. Ask your MFR therapist for suggestions. Don't put direct pressure on your neck, but have the block along your back if that helps.

I'm glad you're painting. That is good healing therapy for your mind and body!

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