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 loribethp @loribethp

@jfnearprescottaz
Do you know if it helps with fibromyalgia?

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@loribethp I don't have fibromyalgia, but if some of it has to do with the body not clearing waste products, myofascial release may help that. There is microcirculation of fluids in the body and throughout the fascia because it is surrounding the cells of the organs. If the facia is tight, it is holding waste products and is drier. Fluid is supposed to move through it and drain back into the lymphatic fluid system. The waste is eventually cleared by the liver and kidneys. One of my doctors advised soaking in epsom salt baths because it helps pull waste products through the skin, and you will absorb magnesium which is needed for waste metabolism. Most of us are a bit deficient in magnesium according to the doctor. Fascia also conducts electricity and aids in the nerve muscle connection for muscle function.

There is a provider search at https://mfrtherapists.com/

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@loribethp I don't have fibromyalgia, but if some of it has to do with the body not clearing waste products, myofascial release may help that. There is microcirculation of fluids in the body and throughout the fascia because it is surrounding the cells of the organs. If the facia is tight, it is holding waste products and is drier. Fluid is supposed to move through it and drain back into the lymphatic fluid system. The waste is eventually cleared by the liver and kidneys. One of my doctors advised soaking in epsom salt baths because it helps pull waste products through the skin, and you will absorb magnesium which is needed for waste metabolism. Most of us are a bit deficient in magnesium according to the doctor. Fascia also conducts electricity and aids in the nerve muscle connection for muscle function.

There is a provider search at https://mfrtherapists.com/

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@jenniferhunter
Thank you so much for the information. I really appreciate it.

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@loribethp I don't have fibromyalgia, but if some of it has to do with the body not clearing waste products, myofascial release may help that. There is microcirculation of fluids in the body and throughout the fascia because it is surrounding the cells of the organs. If the facia is tight, it is holding waste products and is drier. Fluid is supposed to move through it and drain back into the lymphatic fluid system. The waste is eventually cleared by the liver and kidneys. One of my doctors advised soaking in epsom salt baths because it helps pull waste products through the skin, and you will absorb magnesium which is needed for waste metabolism. Most of us are a bit deficient in magnesium according to the doctor. Fascia also conducts electricity and aids in the nerve muscle connection for muscle function.

There is a provider search at https://mfrtherapists.com/

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Myofascial Release Therapy helped cure my back pain nine years ago when I had physical therapy for lower back pain. I just started it again for Neuropathy of my lower legs after back surgery a year ago. It seems to be helping to release the tightness. I've only had two sessions with an excellent practitioner. Physical therapy and acupuncture haven't helped at all so far. I have more sessions scheduled and am hopeful that it will work to relieve the burning, tingling pain in my lower legs. I'll keep in contact on Mayo Connect.

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Profile picture for lesx @lesx

Myofascial Release Therapy helped cure my back pain nine years ago when I had physical therapy for lower back pain. I just started it again for Neuropathy of my lower legs after back surgery a year ago. It seems to be helping to release the tightness. I've only had two sessions with an excellent practitioner. Physical therapy and acupuncture haven't helped at all so far. I have more sessions scheduled and am hopeful that it will work to relieve the burning, tingling pain in my lower legs. I'll keep in contact on Mayo Connect.

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@lesx That sounds wonderful! I think you will find a lot of healing from myofascial release. It has helped me a lot. Other patients have also reported some success with MFR for neuropathy. I look forward to your progress!

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@lesx That sounds wonderful! I think you will find a lot of healing from myofascial release. It has helped me a lot. Other patients have also reported some success with MFR for neuropathy. I look forward to your progress!

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@jenniferhunter glad it is helpful to some, I had numerous visits to an MFR specialist which cost $$$ for chronic neck pain, it was not at all successful just a waste of time and money.

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Profile picture for helennicola @helennicola

@jenniferhunter glad it is helpful to some, I had numerous visits to an MFR specialist which cost $$$ for chronic neck pain, it was not at all successful just a waste of time and money.

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@helennicola I’m sorry it didn’t help you. It may depend on the source of your neck pain. If it is a structural problem of compression from something like a herniated disc or bone growth compressing a nerve, MFR wouldn’t change that. What MFR helps is tight tissue restrictions that are strong enough to cause misalignment or restrict body movements. If your body can’t move properly it can generate pain or uneven wear and tear on joints. One session of MFR isn’t enough. It’s like peeling an onion as you get deeper through layers of tight tissue restrictions. It took the body years to develop that pattern and it won’t be solved quickly. There is a lot you can do yourself to aid the work of the therapist. Many yoga type stretches holding a sustained pose will release fascia. The key is to not be aggressive, just hold it at the barrier and wait. It may take 5 minutes to start to move as the tissue changes state and unwinds itself. It has to be a shearing stretch. Too much force can tear fascia, increase pain and create scar tissue that makes it worse. The training of the therapist matters and the best ones have certification from John Barnes clinics. My insurance has paid for my MFR sessions when the therapist codes it as manual therapy in conjunction with other exercises.

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@helennicola I’m sorry it didn’t help you. It may depend on the source of your neck pain. If it is a structural problem of compression from something like a herniated disc or bone growth compressing a nerve, MFR wouldn’t change that. What MFR helps is tight tissue restrictions that are strong enough to cause misalignment or restrict body movements. If your body can’t move properly it can generate pain or uneven wear and tear on joints. One session of MFR isn’t enough. It’s like peeling an onion as you get deeper through layers of tight tissue restrictions. It took the body years to develop that pattern and it won’t be solved quickly. There is a lot you can do yourself to aid the work of the therapist. Many yoga type stretches holding a sustained pose will release fascia. The key is to not be aggressive, just hold it at the barrier and wait. It may take 5 minutes to start to move as the tissue changes state and unwinds itself. It has to be a shearing stretch. Too much force can tear fascia, increase pain and create scar tissue that makes it worse. The training of the therapist matters and the best ones have certification from John Barnes clinics. My insurance has paid for my MFR sessions when the therapist codes it as manual therapy in conjunction with other exercises.

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@jenniferhunter thank you Jennifer but I am aware of all possible treatments. I also have stiff muscles and of course the MFR specialist felt I would benefit from his treatment. I am a thorough researcher and have improved my SFN greatly in the past 8 years without any help from my neurologist. I have learned you have to be your own advocate and do your own research unfortunately as our health care industry is motivated by $. (Including of course the drug co.’s) I’m not a pessimist but have learned this from my experiences as well as many others and valid published info.

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Thanks for the information about Myofascial Release therapy. My therapist hasn't been trained in the John Barnes Method. She's developed her own method which seems very effective. It's much like the MRT that I had in the past but perhaps even better! I also have a very good Physical Therapist giving me stretches that I hold for at least 20 seconds. I think they're helping relieve the tightness in my feet, ankles, and calves. I'm afraid to take the Alpha-Lipoic Acid and Benfotiamine that's been suggested on Mayo Clinic Connect even though my PCP okayed it. Need to be careful of side effects over benefits! I've read that it helps so many but I haven't opened either bottle yet.

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@helennicola I’m sorry it didn’t help you. It may depend on the source of your neck pain. If it is a structural problem of compression from something like a herniated disc or bone growth compressing a nerve, MFR wouldn’t change that. What MFR helps is tight tissue restrictions that are strong enough to cause misalignment or restrict body movements. If your body can’t move properly it can generate pain or uneven wear and tear on joints. One session of MFR isn’t enough. It’s like peeling an onion as you get deeper through layers of tight tissue restrictions. It took the body years to develop that pattern and it won’t be solved quickly. There is a lot you can do yourself to aid the work of the therapist. Many yoga type stretches holding a sustained pose will release fascia. The key is to not be aggressive, just hold it at the barrier and wait. It may take 5 minutes to start to move as the tissue changes state and unwinds itself. It has to be a shearing stretch. Too much force can tear fascia, increase pain and create scar tissue that makes it worse. The training of the therapist matters and the best ones have certification from John Barnes clinics. My insurance has paid for my MFR sessions when the therapist codes it as manual therapy in conjunction with other exercises.

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Jennifer, I hope you saw my comment about MFR Therapy. It's good to know that it's helped you. Very few people have heard of it. It's difficult to describe what it is but you did a good job. Are there any particular stretches that have helped you? Can you give me an example of a "shearing stretch"? My Physical Therapist has taught me to do calf stretches and balance exercises on a foam roller. Also, stretches with my feet over a chair. Last, a clam stretch to strengthen the muscle that weakens when you have sciatica. The laminectomy surgery for spinal stenosis that caused the painful sciatica is what caused my neuropathy to develop. I went for 4 months of acupuncture which didn't help at all!

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Profile picture for lesx @lesx

Jennifer, I hope you saw my comment about MFR Therapy. It's good to know that it's helped you. Very few people have heard of it. It's difficult to describe what it is but you did a good job. Are there any particular stretches that have helped you? Can you give me an example of a "shearing stretch"? My Physical Therapist has taught me to do calf stretches and balance exercises on a foam roller. Also, stretches with my feet over a chair. Last, a clam stretch to strengthen the muscle that weakens when you have sciatica. The laminectomy surgery for spinal stenosis that caused the painful sciatica is what caused my neuropathy to develop. I went for 4 months of acupuncture which didn't help at all!

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@lesx A shearing stretch is to push the skin sideways. Think about kneading bread dough and how you would push it to develop elasticity. With your hand or a tool, sink into the skin and push like you are kneading bread until it stops. That is when you have reached the “barrier”. Just hold it there and wait. When fascia starts to slide, it can feel tingly or get warm. After I do this, I will have red patches on my skin because the circulation was restored to an area that may have been dried out. You may not have body awareness to feel the slide in the beginning, and that comes in time as you work more with it. If you go to the discussion I started on myofascial release, there is a video at the beginning that shows John Barnes demonstrating and explaining this. He is an older man with a beard. My therapist would tell me to work on areas that were hot, hard or tender by laying on small firm balls. You can do stretches that you already know, but hold them and see if after 5 minutes you still feel the same or did the tension release. If it released, you would have loosened the fascia and muscle. The key is gentle stretching that isn’t increasing pain. Don’t bounce, just hold the stretch. If it’s too much, you can back off.

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