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.

Just had my 3rd myofascial session yesterday afternoon. I did not have to wake up during the night to use the restroom. That hasn’t happened in a long time due to my IC. Could also be because of the magnesium supplement I just started taking 2 days ago to help with sleep. The therapist asked me to give it 5 sessions to see if it offers any relief from my sciatica so I’m going by that plan. It is a pleasurable feeling having it done and she shares many of John Barnes insights before we begin the session and some tidbits during.

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@bustrbrwn22 Wonderful news for you! Feeling something pleasurable to your body, when there is typically pain or discomfort, is a breath of fresh air.

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Excellent news! My first MFR appointment is this coming Wednesday, and I am looking forward to the experience. I am also hoping for relief from sciatica. Good news about your sleep, too.

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@jellycats

Excellent news! My first MFR appointment is this coming Wednesday, and I am looking forward to the experience. I am also hoping for relief from sciatica. Good news about your sleep, too.

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@jellycats Great! You will enjoy it. Good luck!!

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@jellycats

Excellent news! My first MFR appointment is this coming Wednesday, and I am looking forward to the experience. I am also hoping for relief from sciatica. Good news about your sleep, too.

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Please give it a couple sessions. My understanding is this is not like a deep tissue massage but a more gradual shift of tissue

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That's my understanding, too. It will be interesting to see what my therapist might suggest as a number of sessions to complete before making a decision about success or not. Last year, after my first knee replacement, I saw a massage therapist who did deep tissue massage and that was a delightful experience. The Barnes method/MFR definitely sounds different, and I'm hoping we both get good outcomes. My physiatrist, though supportive of my plan to do this instead of what I think of as traditional PT, is not convinced I can experience enough relief to avoid surgery. But as he said--better to try than to not try, and sometimes our bodies surprise us.

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@bustrbrwn22

Just had my 3rd myofascial session yesterday afternoon. I did not have to wake up during the night to use the restroom. That hasn’t happened in a long time due to my IC. Could also be because of the magnesium supplement I just started taking 2 days ago to help with sleep. The therapist asked me to give it 5 sessions to see if it offers any relief from my sciatica so I’m going by that plan. It is a pleasurable feeling having it done and she shares many of John Barnes insights before we begin the session and some tidbits during.

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Hi busterbrwn, I was wondering if your insurance covers the MFR sessions, as you had mentioned previously the high cost of steroid injections which are usually covered. When I located a MFR specialist in my area he charged $175/hr. and insurance did not cover it. My husband did not end up going as he ended up having surgery. If my P/T performs MFR (not a specialist) it would be covered. I am curious as to the difference between a specialist performing this as opposed to a general P/T. Helen

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@helennicola

Hi busterbrwn, I was wondering if your insurance covers the MFR sessions, as you had mentioned previously the high cost of steroid injections which are usually covered. When I located a MFR specialist in my area he charged $175/hr. and insurance did not cover it. My husband did not end up going as he ended up having surgery. If my P/T performs MFR (not a specialist) it would be covered. I am curious as to the difference between a specialist performing this as opposed to a general P/T. Helen

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@helennicola my dr said insurance doesn’t cover myofascial as it is considered a massage type which is not covered. Everything I’ve read said to make sure the therapist is trained by the Barnes guy but if your PT knows the technique and then insurance would cover it it might be worth a shot. I do feel better today yesterday was my 3rd session. I haven’t had to use my TENS yet just icing down. And slightly less urge to pee every 30 min or so.

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@bustrbrwn22

@helennicola my dr said insurance doesn’t cover myofascial as it is considered a massage type which is not covered. Everything I’ve read said to make sure the therapist is trained by the Barnes guy but if your PT knows the technique and then insurance would cover it it might be worth a shot. I do feel better today yesterday was my 3rd session. I haven’t had to use my TENS yet just icing down. And slightly less urge to pee every 30 min or so.

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My P/T was not Barnes trained and he sort of pooh-poohed it which led me to believe he was not adept. If I get to the point of needing MFR I will pay the $175/hr. ! My one and only specialist in the area has a 2 month waiting list and it may be longer now. Helen

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@helennicola

My P/T was not Barnes trained and he sort of pooh-poohed it which led me to believe he was not adept. If I get to the point of needing MFR I will pay the $175/hr. ! My one and only specialist in the area has a 2 month waiting list and it may be longer now. Helen

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Hi @helennicola. If you are home bound, have you considered home health? With an acceptable health insurance, the home health agency can send a PT out to you (your home) at no cost to you. An order from your physician will be needed for the admittance along with the diagnoses for the PT to treat. I believe no special equipment will be needed to get treatment with MFR. Make sure you choose an agency that can provide MFR. Remember it is your decision for the agency and not the doctor’s The doctor can certainly make a recommendation. Good luck. Wish you the best with finding MFR treatment! Toni

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