Fabulous article about MFR

Just thought I would share this fabulous article about myofascial release and chronic pain. Its from and is really worth a read. 
Myofascial Release for Chronic Pain Chronic pain is pain that lasts longer than three months or that continues well beyond the time when healing would be expected to be complete. It is one of the most difficult conditions for medical practitioners to diagnose and treat. The most common type of chronic pain is lower back pain. 
Three factors complicate the treatment of chronic pain. First, chronic pain is not always associated with a specific injury or disease. Second, chronic pain is rarely constant; it often comes and goes for no obvious reason. Third, pain intensity is subjective and depends on a description by the patient. Because alternative practitioners tend to treat the whole body rather than one particular system, they often find success in relieving nonspecific chronic pain. Myofascial release is one alternative therapy used to treat chronic pain. 
How Does Myofascial Release Help with Chronic Pain? Chronic pain can be caused by many conditions that create uneven stress on the fascia, or the thin, strong connective tissue that covers muscles and bones and surrounds internal organs such as the heart, lungs, and intestines. 
These conditions include: 

  • Back strain or injury
  • Fibromyalgia
  • Whiplash
  • Injury to joints
  • Repetitive Stress Injuries (RSI)
  • Carpal Tunnel Syndrome (CTS)
  • Strains and sprains from falls
  • Plantar fasciitis
  • Physical stress
  • Psychological stress
  • Chronic Fatigue Syndrome (CFS)
  • Arthritis
  • Psychological stress
  • Poor posture
As the myofascial release practitioner performs gentle stretching and compression of the fascia and the muscles, the body relaxes and uneven tension on the fascia begins to self-correct. This release of tension affects the entire body because all fascia is interconnected. Some patients find that strong emotions are released along with physical tension. This emotional release can be especially helpful to patients whose stress and chronic pain has a psychological component. 
There are no scientific studies that exactly explain how Myofascial Release works. Nevertheless, practitioners believe that correcting uneven strain on the fascia releases tension. This increases free movement of the fascia, helps muscles to move more easily, and relieves chronic pain throughout the body. 
What is Myofascial Release? Myofascial Release is a type of bodywork that helps release uneven stress in the fascia and restores equal muscle tension by increasing flexibility of the fascia. Normal, healthy fascia is flexible and provides a seamless, interconnected web that supports body structures. 
Sprains, strains, scarring from surgery or injury, inflammation, disease, trauma from falls, repetitive stress, and even poor posture create uneven stress on the fascia. When the fascia is stressed, it loses its flexibility and no longer moves normally when the body moves. This creates unequal tension on muscles and causes them to lock or alter the way they move. This tension can result in chronic pain. Myofascial Release uses soft tissue massage techniques to restore the flexibility of the fascia and release tension from muscles. Occasionally Myofascial Release is referred to as 
connective tissue massageWhat Happens During a Myofascial Release Session? Myofascial Release sessions usually last about one hour and can occur from one to three times a week. During the initial session, the practitioner and the client will discuss the client’s pain, treatment goals, and how Myofascial Release will help achieve those goals. The practitioner will also do a visual evaluation of the client’s posture and movement to help pinpoint potential sources of the pain. There is no standard protocol for a Myofascial Release session. Therapy is individualized based on the client’s pain and the feedback the practitioner gets from working with the client’s body. 
The client usually wears a bathing suit or sports bra and pants to provide the practitioner maximum access to the body. No lubricant is used. The practitioner will use light pressure, compression, and traction to stretch the affected fascia. The process is slow and generally comfortable for the client. The process increases blood flow to the site and encourages the fascia to relax, unwind, and correct itself. 
The practitioner also uses gentle pressure to find any painful trigger points and determines which part of the body needs work based on the feedback obtained from touch. Often only one or two parts of the body are worked on in a single session. Nevertheless, because all fascia is connected, working on one area will benefit the entire body. Normally the client will not feel stiff or sore on the day following treatment. Occasionally deeper, more intense pressure is needed if the fascia is tightly bound, and this may result in some brief soreness. 
Although the client may begin to feel better after a single session, it generally takes three or more sessions before seeing relief of specific symptoms. Clients should check with their insurance company about coverage for payment. If Myofascial Release therapy is prescribed by a physician or administered by a licensed physical or occupational therapist, a specific number of sessions may be covered by insurance. 
Who Does Myofascial Release? In the United States, there is no national body that certifies practitioners of Myofascial Release. Although some form of Myofascial Release has been done since the 1940s, John T. Barnes, a physical therapist, popularized the technique in the 1990s. Many people trained in Myofascial Release are physical or occupational therapists, osteopathic physicians, or chiropractors who have taken special classes, often taught by Barnes, to learn the technique. Other practitioners of Myofascial Release have training in additional bodywork techniques such as Rolfing, Swedish massage, and deep-tissue massage. 

sports massage students

This weekend was very busy, had a full day at the clinic on Saturday then I was helping to teach on a Sports massage course on the Sunday. Really lovely to see some inspired new therapists eager to learn and full of energy. I can honestly say they were all brilliant and a pleasure to teach. 

Sports and remedial massage is moving at such a pace, techniques are constantly being improved to treat people in a kinder and more effective way. It really is important to work with the body and to re-educate the way it is, rather than telling it where a muscle should be. 

A slower approach works so much better, letting the fascia and the deep muscles release and relax. 

Sports massage is unique in the UK, its a term that Pat Cash invented, in the USA and Europe it all comes under the heading of remedial massage.

Well done - Brighton Marathon

Well done to all my clients that completed the Brighton Marathon. Everyone made it across the finishing line and all saying that they are going to do it all again next year. 

So hopefully everyone is going to take it easy for a few days, gentle stretching but nothing more vigorous. Its fantastic if you can have a massage straight after a long run, but it’s also a good idea to have a massage booked for about 48 hours afterwards. 

Looking forward to seeing you all in training for the Brighton Marathon 2011.

brighton marathon 2010

Its been really busy since getting back from the States, everybody is giving great feedback from the MFR work that they have been getting. 

Im seeing so many runners at the moment, everyone is gearing up for the Brighton marathon next month. So seeing a full range of injuries, shin splints, tight hamstrings and sore hips and feet. Ice is my friend at the moment, if you can get ice on to an injury quickly you can really speed up the amount of time something can take to heal. Don't worry if you don't have any ice in your fridge, a bag of frozen peas wrapped up in a tea towel can really help. If you have pulled something just get the ice on it as quickly as you can and it really will help with keeping the swelling down. Remember though its always best to see a expert if you injure yourself.

Myofascial Release Unwinding

That was a pretty intensive few days. One of the big things about myofascial release is working on yourself as a therapist. Its simple really, if you cant feel yourself how can we expect to be able to treat clients. So these past few days have all been about working on our sleves. Its been incredibly hard work, long days and non stop, I feel exhausted, raw and happy. Some of it is about leaving our egos outside the treatment room, though its meant witht he best will in the world we as therapists can often walk into a treatment room thinking, right Im going to make this client better, but really we can only facilitate someone elses journey, its down to ourselves as clients to get better. 

Myofascial Realease 1

Just finished the first 4 days of the course, amazingly brilliant course. John is an incredible teacher and manages to keep everyone engaged. Its a really good mix of hands on work and theory. Loads of slides of fascia under the skin and seeing how this form of bodywork really works on stuck conditions. Its interesting to be studying with a lot of Americans, they seem to be impressed with our level of knowledge. People have travelled from Canada, all parts of the US and Italy to attend this course. 

Sedona is stunning, after working all days its lovely to get out into the mountains to clear the head and work on our own restrictions.


Myofascial release in the USA

Heading out to Sedona in Arizona tomorrow. Its a long journey but I am very excited, Im going to train with John Barnes, I cant beleive how lucky I am to be training with him. Its a 2 week course in myofascial release, Ive already studied it here but training with John is a bit like learning the guitar from one of the Beatles. Myofascial work is realing at the forefront of treating long term pain conditions. It realy works with the body using a number of techniques to reduce restrictions in the body.
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