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.

Profile picture for ken82 @ken82

Pain in the neck.. I am 86.. I developed a very sore neck, the muscles from base of skull to shoulder are hard preventing 90 degree head rotation.. I had epidural at local hospital..saw spine surgeon there to.. went to Mayo MN talked with neurologist and surgeon.. surgery is no longer considered.. high (radio) frequency ablation (nerve trimming) was considered.. now 1st step of Myofascial release treatment is scheduled at Mayo.. What has been results from that kind of treatment for others?

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@ken82 Ken, I looked him up and found his profile. He is in Spine Care and Physical Medicine & Rehab Departments.
https://www.mayoclinic.org/biographies/hardesty-kevin-g-d-c/bio-20534834
With myofascial release, it is a hands on with your therapist who will find your patterns of tension, press into them and push up against the barrier. It is like kneading bread dough, but they stop and hold pressure against the tension and just wait for it to unwind. That may take several minutes and longer in your first ever session. I know I feel the fascia start to slide in a couple minutes. The fascia is actually reorganizing because it changes from a semi solid to a somewhat liquid consistency and moves like stretching a spider web. When fascia is stuck and dehydrated, it is holding onto waste products that get flushed out with movement.

Thank you for the information.

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Profile picture for ken82 @ken82

Pain in the neck.. I am 86.. I developed a very sore neck, the muscles from base of skull to shoulder are hard preventing 90 degree head rotation.. I had epidural at local hospital..saw spine surgeon there to.. went to Mayo MN talked with neurologist and surgeon.. surgery is no longer considered.. high (radio) frequency ablation (nerve trimming) was considered.. now 1st step of Myofascial release treatment is scheduled at Mayo.. What has been results from that kind of treatment for others?

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@ken82, was there something that triggered your injuries, or is it just something that happened over time?

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Profile picture for ken82 @ken82

Pain in the neck.. I am 86.. I developed a very sore neck, the muscles from base of skull to shoulder are hard preventing 90 degree head rotation.. I had epidural at local hospital..saw spine surgeon there to.. went to Mayo MN talked with neurologist and surgeon.. surgery is no longer considered.. high (radio) frequency ablation (nerve trimming) was considered.. now 1st step of Myofascial release treatment is scheduled at Mayo.. What has been results from that kind of treatment for others?

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@JustinMcClanahan @Jennifer hunter
My cervical spine area has given me problems since 2002 or so.. my spine surgeon in Oklahoma City prescribed the use of a cervical traction device which I used 3days a week for 20 minutes or so. But now in 2023 the traction device didn't give the usual relief .. during my search for relief of tingling down limbs. . I took physical therapy, had an epidural ... had MRIs, x-rays, nerve tests that noted the problem area at C6.. talked to local spine surgeon .. then went to Mayo MN Spine Center.. so here I am seeking relief...

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@bude Do you have the radiology report that goes with your MRI? That may give details about what can be seen. Degeneration could be something like arthritic bone growth that can close down spaces where nerves exit the spinal cord or it could be something compressing the spinal cord if a disc is collapsing. You need the details on the report to understand what conditions may be present. Sometimes pinched nerves do cause major muscle spasms. Because I get muscle tightness through my chest, I sometimes have a rib start to twist if it gets bad. Myofascial release does fix that by stretching everything, and a shifted rib is very painful. I also have a condition called thoracic outlet syndrome which makes one side of my chest and neck too tight. MFR and stretching helps that and tends to equalize both sides of my neck. Nerves exiting the spinal cord can be seen on MRIs. You could also have a pinched nerve somewhere else in the body. Neurologists do testing to find these pinched nerves because it slows down the speed of electric transmission in the nerve. They send a shock and measure how fast it goes between 2 points. Often a spine specialist sends patients to a neurologist that they like to work with for testing, so if you want to consult a spine specialist, you may want to see them first. If you are having nerve blocks, they must know something about which nerve is compressed and where it is. I always read my medical records so I understand. Often you can do that on a patient portal.

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I have read all of my medical records but may need to do so again. I was told the nerve/nerves exiting the spinal cord are large enough to be seen but the very small nerves are not easily seen. I think you are saying to see the spine specialist first? And I assume I would need a referral for that. I believe they were targeting the nerve blocks to where I was experiencing the pain along with the info from the x-rays & MRI.

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Profile picture for ken82 @ken82

@JustinMcClanahan @Jennifer hunter
My cervical spine area has given me problems since 2002 or so.. my spine surgeon in Oklahoma City prescribed the use of a cervical traction device which I used 3days a week for 20 minutes or so. But now in 2023 the traction device didn't give the usual relief .. during my search for relief of tingling down limbs. . I took physical therapy, had an epidural ... had MRIs, x-rays, nerve tests that noted the problem area at C6.. talked to local spine surgeon .. then went to Mayo MN Spine Center.. so here I am seeking relief...

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@ken82, I'd like to invite a few more members to share their experience with myofascial release therapy: @kjs1964, @irishlady1974 and @jenatsky to share their results from this treatment.

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Jennifer, thanks for mentoring this discussion but sadly "Boo" on not recommending MFR if one has cancer. Is this John Barnes recommendation? I have a prostate cancer lesion and need MFR desparately for my post TKR scar tissue. Oh well, I can't find a MFR practitioner anyway in my neck of the rural desert!

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Profile picture for josgen @josgen

Jennifer, thanks for mentoring this discussion but sadly "Boo" on not recommending MFR if one has cancer. Is this John Barnes recommendation? I have a prostate cancer lesion and need MFR desparately for my post TKR scar tissue. Oh well, I can't find a MFR practitioner anyway in my neck of the rural desert!

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@josgen I think that recommendation comes from John Barnes. I think the concern may be that if you stretch and move tissue that mobilizes the fascia, it could cause cancer cells to be freed if they are present in the area being treated. Since cancer can metastasize and move around the body, it may be a risk. You wouldn't want to help cancer cells move and spread. It would be a good question to ask your cancer specialist if that could present a risk to you in your situation depending on the locations. I think the fear is that you don't know if cancer is spreading and may be present in other areas so they are cautious about it. That information came from my physical therapist and it may be a general recommendation. My dad had prostate cancer that was treated with an implanted radioactive seed and it never spread. MFR does help get the body moving and functioning better.

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Thank you, Jennifer. It does make some sense. I am getting a PSMA Pet scan in a few weeks and it will be interesting to see what it picks up elsewhere in the body.

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Wow - does anyone know of any MFR Therapists who work in the Raleigh Area of NC? Thank you!
Sheila

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Profile picture for sma2day @sma2day

Wow - does anyone know of any MFR Therapists who work in the Raleigh Area of NC? Thank you!
Sheila

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@sma2day Sheila, If you go to https://www.mfrtherapists.com/ and search for North Carolina, it will bring up a listing and a map. There is someone listed near Raleigh.

Jennifer

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