Myosoma™ - Myofascial Release
Myosoma™ - Myofascial Release
is a group of manual massage techniques (usually clothed using no oil) for releasing bonds between
fascia
and integument, muscles, tendons, ligaments and bones, in order to
reduce pain and increase mobility, fluidity and range of motion.
Light to strong force may be used with various techniques, frequently
beginning distally of where symptoms are prevalent,
since problems may be elsewhere from the pain and stiffness. Methods may
include sustained or effleuraging shear, tension (pulling),
compression, skin rolling, and barefoot deep tissue, sometimes coupled
with active or passive joint motion, with or without stretching.
Restricted fascia is a common contributing cause of seemingly tight and
painful muscles, restricted joint mobility and a host of other problems
due to tension or pressure on organs, nerves and vessels.
Because adhesions and stress in fascia are not obvious on x-rays, CAT
scans, MRI's nor with electromyography, physicians have difficulty
diagnosing fascial restrictions.
The goal of myofascial release is to release fascial restrictions and
allow the layers to move freely, thus allowing the muscles to shorten as
well as to lengthen, as they should in a healthy human body.
Myofascial release is now used by many massage and physical therapists,
and exists in many different forms.
Most clinical therapists use direct pressure methods, such as
Rolfing®.
Lighter or slower techniques, such as Bowen Technique, use more time to release the layers.
Paul, with a background in sports massage and Trigger Point Therapy, trained under
John Harris,
David Dallmeyer, P.T.
and
Lamar Bush,
and employs various techniques depending on the specifics of the client.
Surprisingly, a muscle may appear tight due to the opposing muscle being
restricted from shortening by fascial adhesions, such as a restricted
psoas mimicking tight gluteal muscles.
Although massage that affects muscles also affects fascia, the effects of myofascial massage specifically may be more potent.
[4]
The nervous system's response to physical manipulation of the surface or
underlying tissues of the body and decrease in restrictions also causes
reflexive and other effects including:
-
increased blood and lymph flow
-
slowed heart rate
-
slowed respiration
-
increased immune response
-
muscle tonus reduced
-
pain reduction
-
stress reduction
-
general relaxation
Fascia are sheaths or bands of fibrous tissue that bind muscles and other organs.
The main factors that induce fascial abnormalities are trauma, chronic strain, and immobility of fascial tissues.
[1]
Injuries, stress, overuse, dehydration,
overbreathing,
poor nutrition and poor posture contribute to restrictions in the layers
due to bonding of fascia. In response to physical stress, fascia may
reorganize itself and thicken and shorten along lines of tension.
[2]
This affects motion of the neck, back, arms, legs, feet and elsewhere.
Fascia can become more fibrotic when traumatized or overused, and it tends to web after periods of immobility,
causing collagen molecules to tether together, leading to fibrosis.
When muscle tissue, fascia and other tissues are damaged, the body tends
to quickly patch the area with scar tissue which does not necessarily
match the original composition; it becomes less elastic, less
vascularized, less innervated, less oriented and thus poorer in
performance, and possibly numb or painful.
When a muscle is stretched, its fascia is also lengthened.
If the muscle's fascia is stuck to other layers of fascia, soft tissue,
bone or other organs, tightness may be felt locally and in other areas,
limiting muscle elongation, when muscle tightness may not be the actual
problem.
Myofascial stretching or release in one area of the body may be felt in,
and may affect, other body areas.
When one considers the many layers of broad tissue that the back has, it
becomes clearer why myofascial issues can contribute to back trouble
even when people do not feel overworked.
Fascia
covers all organs, including muscles, of the body, and has two types.
Superficial fascia
is fibroareolar tissue
and is found immediately beneath the integument over almost the entire
surface of the body. It contains fat, and connects the skin with the
deep fascia.
Deep fascia
is a dense, inelastic, parallel fibrous membrane, forming sheaths for
individual muscles (epimysium) and internal organs and structures, and
in some cases, such as intermuscular septa and tendons, affording them
broad surfaces for attachment to aponeuroses or periosteum (bone).
Examples are Tensor fasciæ latæ and Glutæus maximus in the thigh,
Palmaris longus in the hand and Biceps bracchii and Biceps femoris.
Targets of myofascial release include adhesions of superficial and deep
fascia, integument, tendons, ligaments, retinacula, aponeuroses, bursae,
bone, muscle and other organs.
Myofascial Release separates the layers of fascia from one another and from muscle and periosteum,
and it also increases the distance between the collagen fibers, allowing
for increased hydration, nutrition and a decrease in capillary
compression.
Many people believe that lack of mobility is prima facie evidence of
tight muscle strands. Trisoma believes that the muscle stretch reflex
has an effect on the release of fascia. After myofascial release, many
people, even highly mobile and flexible athletes, find that mobility may
be improved by release of the fascia layers that can limit the
extension and contraction of various muscles.
As with
muscle contraction theories
and
muscles stretch theories,
the exact mechanism for myofascial release is still disputed.
Some theorize that there is a water bond or collagen bond between fascia
layers. Some state that vibrational resonance or emotional unwinding
affects consciousness and allows healing.
[3]
Paul analogizes Myofascial Release with pulling apart a chicken carcass,
or pulling the body out of a shrimp tail. If one pulls with the proper
force and technique for the situation, fascia and muscles
(meat)
will be separated; if one pulls fast or hard, unknown results can
occur; if one pulls slowly, it might happen... or you might go hungry.
This modality is sometimes confused with
Myofascial Pain Syndrome and Myofascial Trigger Point Therapy,
which is a completely different modality. However most myofascial pain
and dysfunction can be attributed to fascial restrictions and/ or
trigger points, thus the two modalities of Myofascial Release and
Trigger Point Therapy
are usually effective, non-invasive options for relief of various types
of myofascial pain, including fibromyositis, fibrositis and other
conditions which are sometimes labeled
idiopathic fibromyalgia syndrome
due to inadequate or erroneous diagnoses.
Other modalities by Trisoma, such as Deep Tissue and Proprioceptive Neuromuscular Facilitation (PNF) also help release fascia.
Self-help
is possible with one's own hands, or tools such as Body Stick or foam rollers.