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.

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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@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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Hello Jennifer
You mention MFR therapy often. I participate in other discussions as a member with neck and head pain for over a year.
I would like to try MFR but there is no Barnes trained therapist near. There are a couple of therapists who list MFR as one they do among others. The PT I’ve used for occipital release does not do MFR. I live 90 minutes from Atlanta in a small town.
Thank you for any thoughts you have.

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@josgen

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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I followed up with Therapy on the Rocks about receiving MFR therapy if one has cancer. I spoke with Rob who is the director I believe. He said that theory is no longer considered valid and does not see a problem if one has cancer and receives MFR.

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@josgen

I followed up with Therapy on the Rocks about receiving MFR therapy if one has cancer. I spoke with Rob who is the director I believe. He said that theory is no longer considered valid and does not see a problem if one has cancer and receives MFR.

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@josgen Thank you for sharing this information. I will pass that on to my therapist so she can confirm that for her practice. Good for you for being proactive and making the call and sharing it with everyone! For everyone else, Therapy on the Rocks is the practice of John Barnes in Arizona where the therapists work and also have training seminars for myofascial release. They have intensive treatment sessions where patients are treated everyday to make faster progress. There is also another location in Pennsylvania that operates in a similar fashion.

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@docb99

Hello Jennifer
You mention MFR therapy often. I participate in other discussions as a member with neck and head pain for over a year.
I would like to try MFR but there is no Barnes trained therapist near. There are a couple of therapists who list MFR as one they do among others. The PT I’ve used for occipital release does not do MFR. I live 90 minutes from Atlanta in a small town.
Thank you for any thoughts you have.

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@docb99 If you call Therapy on the Rocks, they may be able to give you names of therapists in your area who trained there. The http://www.mfrtherapists.com is a paid listing, and not all therapists pay to be listed. You could also travel there and do an intensive session, but you really need an evaluation as to what they could treat as there would be expense involved with treatment and travel.

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@jenniferhunter

@docb99 If you call Therapy on the Rocks, they may be able to give you names of therapists in your area who trained there. The http://www.mfrtherapists.com is a paid listing, and not all therapists pay to be listed. You could also travel there and do an intensive session, but you really need an evaluation as to what they could treat as there would be expense involved with treatment and travel.

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Thank you for the information.

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Hi Jennifer, I hope you are well.

Going on 7 months post op and have completed 177 out of 180 four-hour daily bone growth stimulator sessions.

Have gone from wheelchair to Walker to Cane to just walking on my own. Pain free but still have PN in my hands and fingers. PT and OT in home five months and now twice a week outpatient. Working on strength and balance.

Considerable spasticity in shoulder area. Trying to avoid Tizanidine. Will ask about myofascial treatment next session.

I have Kailo and acti-patch on order. Wonder if they will do anything.

I am so glad I had the surgery. Recovery has been a long and difficult struggle but it is so worth the effort.

Thank you for all of your help.

Robert

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@hodinator

Hi Jennifer, I hope you are well.

Going on 7 months post op and have completed 177 out of 180 four-hour daily bone growth stimulator sessions.

Have gone from wheelchair to Walker to Cane to just walking on my own. Pain free but still have PN in my hands and fingers. PT and OT in home five months and now twice a week outpatient. Working on strength and balance.

Considerable spasticity in shoulder area. Trying to avoid Tizanidine. Will ask about myofascial treatment next session.

I have Kailo and acti-patch on order. Wonder if they will do anything.

I am so glad I had the surgery. Recovery has been a long and difficult struggle but it is so worth the effort.

Thank you for all of your help.

Robert

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@hodinator Robert, that is fantastic news! You said you were going to walk again and you have! Of all the spine patients that I connect with here, I think your improvement is really the most remarkable and it changed your life. Congratulations! I know that was a lot of hard work in recovery and you should be very proud of your accomplishments. Thank you so much for your update. Going forward, I'm sure you will do what you need to do to maintain your strength.

I started back for some myofascial release again. My shoulders and neck get tight and I need to get it unstuck, but all in all, I'm doing well and riding my horse and painting. I also have thoracic outlet syndrome which causes this and it tends to turn my cervical vertebrae and affect my breathing because it is tighter on one side of my neck. I do a lot of the myofascial work at home if I can figure out how to stretch. It helps a lot, and it helps to break up tight surgical scar tissue. I periodically stretch out the incision scar in my neck and I have worked on the scars from my ankle fracture. I had some issues with my ankle fatiguing and collapsing, and that seems to be tied to scar tissue that creates tightness through the joint. Since I've worked on it, this doesn't happen so much anymore, and it allows the weaker side to get stronger because I am on it more when I don't need to sit down. My doctor gave me some Tizanidine, but I'd rather go to physical therapy and work out the kinks.

Keep on smiling...
Jennifer

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