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 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
 Myofascial Restriction

 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
 restricted area.
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
 elastin fibers.
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

 Relieve pain
 Restore function
 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.
         Precautions and
 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
 skin condition.
 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,"
  deeper layers.
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
 your condition.
Cervical muscles release
Para-spinal muscles release
Neck muscles release
Release of whole limb

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