Massage Therapy and Fascial Release

I wanted to discuss my Fascial Release treatment today as one of the most important modalities that I use. It is quite a deep subject and I could go on for hours about it but just the basics I think will do and how it ties in with my treatment philosophies and how it is helpful for my patients is what I will focus on. Fascial, essentially, is what helps to create the structures in our body (bones, tendons, muscles, nerves, organs ect.) but it also helps to hold these structures together and is the reason for the shape that we are.

I thought that Wikipedia had a good definition so I hope they don’t mind if I borrow from them.

Fascia (făsh’ē-ə), pl. fas·ci·ae (făsh’ē-ē), adj. fascial (făsh’ē-əl) (from latin: a band) is the soft tissue component of the connective tissue system that permeates the human body. It interpenetrates and surrounds musclesbones,organsnervesblood vessels and other structures. Fascia is an uninterrupted, three-dimensional web of tissue that extends from head to toe, from front to back, from interior to exterior. It is responsible for maintaining structural integrity; for providing support and protection; and acts as a shock absorber. Fascia has an essential role inhemodynamic and biochemical processes, and provides the medium that allows for intercellular communication. Fascia functions as the body’s second line of defense against pathogenic agents and infections after theskin. After injury, it is the fascia that creates an environment for tissue repair. So a fascial adhesion which occurs post injury, can affect the repair of that same tissue.

Where I come in to all of this is that if there is a discontinuity or change to the function of the fascia, it can effect the body in many ways, including the functions stated above. I concentrate more on structural fascial and myofascial (fascia that surrounds the muscle) in the way that they affect movement and posture and balance, which is what I see come into the clinic quite often.

Another groups of conditions that has begun to trickle into the clinic are conditions arising from disfunction to the fascia surrounding the organs. The organs that I traditionally deal with are the liver, gall bladder, stomach, lungs, large and small intestines, bladder, prostate, uterus. This form of treatment is very non-invasive (for those of you who saw the bladder/prostate and cringed). The bladder/prostate work can be accessed in the lower abdomen area just below the belly button. With their respective attachments, each organ has a movement is must be allowed to do during both it’s functions and during general body movements. Clients have come in with complaints attached to digestion such as reflux, gas, constipation, diarrhea, dry stool which can all be attributed to adhesions somewhere along the course of the digestive system. Constipation, for example can be a spasm causing the valve between the small and large intestine.  It’s a newer approach to adhesions causing trouble with the functions of organs.

As example as what can happen with tight abdominal fascia, think what would happen if you had some of those full body pajamas on and you’re sitting in a chair. You spill some sticky glue on your front but you stay there for a while, until the glue hardens. When you go to sit up, the now inelastic fibers of the front of your pajamas  will make it difficult to stand up straight because they won’t stretch. It also affects the way that the rest of the pajamas pull to compensate. This is an extreme example, but shows how restricted fascia can affect a local area and also affects the chain of fascia around the rest of the body.

Again, I could go on for a long time about different effects of dysfunctional/adhered fascia, but in a nutshell, Fascial adhesions don’t let things happen that need to happen and puts the body into a state of imbalance and dysfunction. My job is to locate the adhesions and release them so that the normal function and movement occurs and allows the body’s natural balanced position occur easier. It is an interesting process as often the best approach is a much more gentle approach. I hold the pressure to release the adhesion and often it won’t move for at least a minute, then slowly, the adhesion begins to unwind, producing a significant release allowing movement of the structures surrounding it. Often I combine other modalities with fascial release including trigger point release, muscle energy techniques, joint play to name a few. With fascial release, toxins are always released so I always flush out the area to return the venous circulation to the heart to be expelled.

Breast Cancer and Bra Straps

I found some interesting information regarding the connection to tighter bra straps, reduction of movement of lymph and cancer. Have a look at this write up. Please google as much as you can to gather more information but I think it it is something that is worthy of your time. Movement of lymph from the breast tissues is very important.

About my Treatment Philosophies

I wanted to spend the next little while discussing some of the types of treatments that I use. As every client is different with what they come in with, it is important to have as many types of treatment modalities as possible in your tool box. You can have patients that come in that are under a lot of stress that may need to just bring themselves down again with relaxation in mind, to athletes in the off-season/during season training/pre-post competition to client that are suffering acute or longer term chronic injury. With therapy, I want the client to understand exactly what it happening with them so 1)they understand how what they are doing can be contributing to the injury 2) to understand the treatment I give and why I’m going what I’m doing 3)they understand why I am giving the exercises and how it will help. I am a firm believer that my treatment will only be 50% of their success and the more they are involved, the longer term the effects will be.

Clients may come in with varying degrees of a type of injury so there is not one approach to helping them. My approach is I focus on mobility, support and balance. When the body is balanced, the joint range of motion is better and the muscles are in a neutral position and will be stronger (not stretched or shortened).  Many times the body is pulled out of it’s ideal balanced position for long enough that the unbalanced position is what seems to be normal and that is why it often ends up being a chronic condition that ends up surfacing seemingly out of nowhere.

The types of modalities I use include Deep Fascial (connective tissue) Release, PRT (passive release technique), Muscle Energy, Joint Mobilizations, Standard Stretching, demo of the exercises to be done at home, Postural and Range of Motion Assessment. Over the next little bit I will cover each of these modalities and explain how they can be helpful in achieving a well supported strong balanced body.