Myofascial release is the application of the
gentle manual application of sustained
pressure to release fascial restriction.
The word "myofascial" is derived from the
Greek word "myo", which means "muscle,"
and the word fascial
Fascia covers every muscle and every fiber
within each muscle.
When muscle fibers are injured, they heal by
forming adhesions, the fibers and the fascia
which surrounds it become short and tight.
In scaring and adhesion the ground substance
of fascia is converted from gel state to solid
Scarring or injury to this network of
connective tissue is a major cause of pain
and limitation 0f motion.
This impose uneven stress, Because the
fascial system is interconnected, this
stress can be transmitted through the
fascia to other parts of the body, causing
symptoms may appear in areas of the
body that unrelated to the actual
How Myofascial Release Work?
The gentle and sustained myofascial
release is believed to supply
mechanical and thermal energy which
converts the ground substance into
gel state again which allow facilitation
of sliding movement of collagen and
The gentle and sustained pressure and
stretch of myofascial release is believed to
free these adhesions and soften and
lengthen the fascia.
By freeing up fascia that may cause
compression on blood vessels or nerves,
myofascial release is also said to improve
circulation and nervous system
Effect of Myofascial Release
Increase range of motion
Improve motor performance
Restore body equilibrium
Myofascial Release is highly effective
in treating patients with the following
Back strain, chronic back pain, low
back pain, thoracic pain.
Carpal tunnel syndrome
Chronic cervical pain
Dizziness and vertigo .
Myofascial pain dysfunction.
Trigger points, tender points.
In case of recent surgery or an injury
or pregnancy, some movements or
stretches may not be appropriate.
Avoid myofascial release if the
patient has a high fever,
inflammation, infection, phlebitis,
thrombosis, jaundice, or an infectious
Technique of Application
Each Myofascial Release technique contains
the same components.
The physical therapist finds the area of
A sustained pressure over time is applied to
the tight area.
The physical therapist waits for the tissue to
relax and then increases the stretch.
The process is repeated until the area is fully
Then, the next area is treated.
Cross hand release
With relaxed hands, using cross hand technique,
slowly apply gentle pressure and slowly open
your hands to slowly stretch out elastic
component of fascia until reach a barrier ( your
hands will come to stop).
At this point, maintain sufficient pressure to
hold the stretch at the barrier and wait a
minimum of 2 minutes, usually longer
(approximately 3-5 minutes).
Wait for release to occur and follow along the
direction of ease of tissue, barrier after barrier.
The therapist will first ask about the patient’s
The therapist closely examine patient first by
inspection of posture as you sit, stand, walk, and
Then By palpation of neck, chest, pelvis, back, or
other areas will be felt
The skin is palpated and stretched or moved in
all direction to feel for areas of tightness.
Using the fingertips, knuckles, heel of the hand,
or arm, the therapist then feels, or "palpates,"
When a restricted area is found, the tissues
are stretched gently by applying low load
gentle pressure along the direction of the
muscle fibers until a resistance to further
stretch is felt.
The stretch is guided by feedback the
therapist feels from the patient's body.
This feedback tells the therapist how much
force to use, the direction of the stretch
and how long to stretch.
The stretch may be held for one to two
minutes, and sometimes for up to five
minutes, before "release" is felt (creep).
The release indicates that the muscle is
relaxing, fascial adhesions are slowly
breaking down, or the fascia has been
realigned to its proper orientation.
The process is then repeated until the
tissues are fully elongated.
The patient should feel less pain and
move more easily than you did
Sessions typically last 30 minutes to
an hour and may be given one to
three times a week depending on
Cervical muscles release
Para-spinal muscles release
Neck muscles release
Release of whole limb