Patients often present challenging symptoms with chronic pain, which may not show typical dermatomal or myotomal patterns. The symptoms may be remote from the apparent area of injury, including referred pain, stiffness, muscle weakness and abnormal sensations. Many of these clients are experiencing myofascial dysfunction. Myofascial restrictions do not appear on standard x-rays, MRIs, or examinations. It is best diagnosed by the skill of a manual therapy practitioner, using motion testing and posture analysis.
Myofascial restrictions can influence functional movement patterns. Myofascial dysfunction may become symptomatic from months to years post-injury. It may occur at the point when the body has maximized its adaptive potential and loses the ability to compensate for abnormal tissue tension. Standard treatment protocols using medication, exercise and modalities may fail to address the problem effectively. Manual release of these abnormal tension barriers is essential to manage painful restrictions and to restore motion.
Learn how to differentiate between myofascial conditions such as myofascial pain syndrome and fibromyalgia, identify motion restrictions through hands on motion testing and palpation and how to apply MFR to improve tissue mobility, circulation, and posture, and decrease painful restrictions. Make an impact to achieve improved functional outcomes across the lifespan.
1. Describe the anatomy and function of the fascial system.
2. Perform a myofascial evaluation with motion testing of the skin and muscles to identify motion barriers.
3. Discuss indications and contraindications for myofascial release.
4. Define myofascial pain syndrome and fibromyalgia and discuss the differences between them.
5. Apply myofascial skin glide, skin rolling, crosshand releases, laminar releases, muscle play, circular friction, z-friction, elbowing, knuckling, distraction, respiratory diaphragm release, and psoas release to improve functional mobility.
6. Discuss the evidence-based research regarding the impact of the fascial system and efficacy of myofascial release.