MFR.pdf

MASSAGENERD.COM

Presents

That can be used all over the body

ÑThe Sllllllllllooooooooowwwwwwwwwwwwww StretchÑ

Ryan Hoyme

CMT, NCTMB, HST

INDEX

*WHOÔS YOUR FASCIA (3)

*PLANTED STRETCH (12)

*FINGER STRETCH (17)

*FASCIA DICTIONARY (4)

*L Ï STRETCH (12)

*HEEL STRETCH (18)

*MYOFASCIAL RELEASE (MFR)

(4)

*I Ï STRETCH (13)

*DOUBLE THUMB STRETCH (18)

*S Ï STRETCH (13)

*ELBOW TWIST STRETCH (18)

*ACTIVE MYOFASCIAL RELEASE

(AMFR) (6)

*W Ï STRETCH (13)

*ANY STRETCHING TECHNIQUE

(18)

*THUMB STRETCH (13)

*CONNECTIVE TISSUE

MASSAGE (CTM) (6)

*FOREARM STRETCH (14)

*BROADENING TECHNIQUES

(19)

*JOINT STRETCH (14)

*ACTIVE MOVEMENT

PARTICIPATION (AMP) (6)

*EAR PULL TECHNIQUE (22)

*PALM STRETCH (14)

*NOSE PULL TECHNIQUE (22)

*INTEGRATIVE FASCIAL

RELEASE (IFR) (7)

*TWIST STRETCH (14)

*PLATYSMA SPREAD (23)

*STRAIGHT STRETCH (15)

*SUBOCCIPITAL SPREAD (23)

*SELF-MYOFASCIAL

RELEASE TECHNIQUES (7)

*ELBOW STRETCH (15)

*PALM SPREAD (24)

*TRACTION STRETCH (15)

*ANATOMY TRAINS (7)

*FINGER TRACTION 24)

*RATCHET STRETCH (16)

*FASCIAL SHEATHS (8)

*SNAKE BITE FOOT (24)

*RATCHET TWIST STRETCH

(16)

*CONNECTIVE TISSUE

MASSAGE (9)

*SACRUM PULL (25)

*KNUCKLE STRETCH (16)

*FASCIA POP (26)

*EACH LAYER (10)

*SIDE ELBOW STRETCH (17)

*SIDE MFR (27)

*RULES OF MFR (11)

*UNDER STRETCH (17)

*CROSS HANDED STRETCH (12)

*THUMB SPREAD STRETCH (17)

ÑTARTÒ

T issue texture changes

A symmetry

R estricted motion

T enderness

Legal Disclaimer

All models are at least 18 years of age. The techniques, ideas, and suggestions in this document are not

intended as a substitute for proper medical advice! Consult your physician or health care professional before

performing or receiving a massage, particularly if you are pregnant, nursing, elderly, or if you have any chronic or

recurring conditions. Any application of the techniques, ideas, and suggestions in this document is at the reader's sole

discretion and risk.

The author and publisher of this document and their employers are not liable or responsible to any person or

entity for any errors contained in this document, or for any special, incidental, or consequential damage caused or

alleged to be caused directly or indirectly by the information contained in this document.

WHOÔS YOUR FASCIA

Facts

Fascia has a strong tendency to contract due to age, chilling,

poor posture, and injury to the muscle it surrounds, and

muscular imbalance.

The human body is held together and given its shape by

connective tissue. Developing early in fetal growth, all of the

connective tissue in the human body is continuous.

There is a lot of it: about 20% of the weight of the human

body is connective tissue.

Fascial restriction usually involves an area larger than a

small-localized spot.

Have you ever heard the term ÑEverything is connectedÒ?

Fascia can be compared to the body's own version of "Saran

Wrap."

Fascia surrounds every organ, blood vessel, nerve, muscle,

and bone of pelvic cavity.

A pulled muscle can be classified as a fascial distortion.

Once fascial adhesion forms, then the injury becomes

chronic.

Fascia is composed of two types of fibers: collagenous

fibers, which are very tough and barely stretchable; and

elastic fibers, which are stretchable.

Sheets of fibrous myofascial adhesion can form anywhere

along nerves and block normal healthy function.

Myofascial pain is probably the most common cause of

musculoskeletal pain in medical practice.

Fascia and Muscles may be arranged, according to the

general division of the body: head, neck, trunk, upper

extremity, and the lower extremity.

There are four major planes of fascia in the body that are

oriented in more of a transverse plane are: pelvic diaphragm,

respiratory diaphragm, thoracic inlet and cranial base.

There are the fascia lines in the body: superficial back line,

superficial front line, lateral line, spiral line, superficial back

arm lines, deep back arm lines, superficial front arm lines,

deep front arm lines, functional lines and the deep front line.

It supports and stabilizes thus enhancing the postural

balance of the body.

It is vitally involved in all aspects of motion and acts as a

shock absorber.

It aids in circulatory economy, especially in venous and

lymphatic fluids.

Fascial change will often precede chronic tissue congestion.

Such chronic passive congestion creates the formation of

fibrous tissue, which then proceeds to increase hydrogen ion

concentration of articular peri-articular structures.

Fascia is a major area of inflammatory processes.

Fluid and infectious processes often travel along fascial

planes.

The central nervous system is surrounded by fascial tissue

(dura mater) which attaches to the inside of the cranium,

the foramen magnum and at the second sacral segment.

Dysfunction in these tissues can have profound and

widespread neurological effects.

Three divisions of fascia: superficial fascial lies directly

below the dermis; deep fascia surrounding and infusing with

muscle, bone, nerves, blood vessels and organs of the body

all the way down to the cellular Level, and deepest fascia

within the dura of the cranial sacral system.

Myofascial element - for every muscle of the body is

surrounded by a smooth fascial sheath, every muscular

fascicule is surrounded by fascia, every fibril is surrounded

by fascia, and every micro-fibril down to the cellular level is

surrounded by fascia that can exert pressures of over 2,000

pounds per square inch. Therefore, it is the fascia that can

ultimately determine the length and function of its muscular

component.

Fascia at the cellular level creates the interstitial spaces

and has extremely important functions of support,

protection, separation, cellular respiration, nutrition,

elimination, metabolism, fluid and lymphatic flow. In other

words, it is the immediate environment of every cell of the

body. This means that any trauma or malfunction of the

fascia can set up the environment for poor cellular

efficiency, necrosis, disease, pain and dysfunction

throughout the body.

Fascia is a tough connective tissue which spreads throughout

the body in a three dimensional web from head to foot

without interruption. The fascia surrounds every muscle,

bone, nerve, blood vessel and organ of the body, all the way

down to the cellular level. Therefore, malfunction of the

fascial system due to trauma, posture, or inflammation can

create a binding down of the fascia, resulting in abnormal

pressure on nerves, muscles, bones, or organs. This can

create pain or malfunction throughout the body, sometimes

with bizarre side effects and seemingly unrelated symptoms,

not always following dermatomal zones. It is thought that an

extremely high percentage of people suffering with pain

and/or lack of motion may be having fascial problems; but

most go undiagnosed, as the importance of fascia is just now

being recognized. All of the standard tests, such as x-rays,

mylelograms, CAT scans, electromyography, etc., do not show

the fascial restrictions.

FASCIA DICTIONARY

Cartilage - often present between bony surfaces to present a

degree of protection for bone surfaces by providing "padding"

and shock absorption capabilities.

Collagenous fibers - very tough and have little stretchability.

Connective tissues (of the joint) - include cartilage,

ligaments, tendons and muscle fascia or fascial sheath. The

physical properties of connective tissue determine flexibility at

the joint.

Continuum Distortion - Alteration of transition zone between

ligament, tendon, or other fascia and bone. Complain of pain in

one spot.

Cylinder Distortion - Overlapping of cylindric coils of fascia.

Deep pain in a non-jointed area, which cannot be reproduced or

magnified with palpation.

Dural tube - surrounding and protects your spinal cord and it

contains the cerebrospinal fluid.

Elastic fibers - stretchable.

First layer is the superficial fascia is attached to the

underside of your skin. Capillary channels and lymph vessels run

through this layer, and so do many nerves.

Folding Distortion - Three-dimensional alteration of fascial

plane. Hurts deep in the joint.

Herniated Triggerpoint - Abnormal protrusion of tissue

through the fascial plane. Smaller fascial herniations

Ligaments - connect bone to bone and offer stability and

integrity to joint areas.

Muscle fascia - represented by 3 "layers" of fascia that wraps

the muscle:

Endomysium- wraps individual muscle fibers or cells.

Perimysium- wraps around groups or bundles of muscle

fibers.

Epimysium- wraps the entire muscle.

(These various "layers" of fascia culminate in the tendons of

the muscle)

Second layer - the deep fascia is much tougher and denser

material. Your body uses deep fascia to separate large sections,

such as the abdominal cavity.

Tectonic Fixation - Inability of fascial surfaces to glide.

Complain that their joint being stiff.

Tendons - connect muscles to bone. The force of muscle

contraction is transferred via the tendinous attachment of the

muscles to the skeletal system.

Third layer of fascia is the sub serous fascia. This is loose

tissue that covers your internal organs and holds the rich

network of blood and lymph vessels that keep them moist.

Triggerband - Distorted fascial band. Sweeping motion with

their fingers along the involved pathway when describing their

discomfort.

MYOFASCIAL RELEASE

(MFR)

Myofascial Therapists also teach the patient stretching

exercises to help them maintain their health.

Myofascial Release is generally an extremely gentle

sustained pressure and gentle form of stretching that

has a profound effect upon the body tissues .

Treatment consists of strokes and stretching called

unwinding, which helps the Therapist find specific areas

of trauma called still points.

Explain the treatment to the client.

Myofascial release is an osteopathic term coined by Dr.

Robert Ward.

John F. Barnes is Physical Therapist and the greatest

teacher of Myofascial Release today.

Myofascial release is also called connective tissue.

When scars harden in one area, it can put tension on

that area and areas far away.

The stretch must be given with sufficient sweep.

The area needs to be contracted painlessly without

putting any strain on the area worked.

Finding fascial restrictions

The client must be placed in a comfortable position.

Before you stretch the fascia, you must stretch and

relax the skin.

Use skin rolling or Petrissage techniques to test the

fascia.

Go both directions to find the most restrictive area.

If the fascia seems to be flexible, move to another

area.

Starting the stretch

At first the elastic component of the fascia will

release, and at some point in time the collagenous

barrier will be engaged. This barrier cannot be forced

(it is too strong). One waits with gentle pressure, and as

the collagenous aspect releases, the therapist follows

the motion of the tissue, barrier upon barrier until

freedom is felt.

Muscles must be kept relaxed while being stretched.

Slower is better.

No oil is to be used.

The therapistÔs hands and the clientÔs skin must move as

one (if you slide on the clientÔs skin, you are performing

it wrong).

Let your hands sink into the clientÔs body.

The stretch must reach deep enough, but do not force

it (pressure only finds the tender area and it does not

replace the stretch).

Your hands will move during the treatment, because the

fascia is relaxing.

Hold a myofascial technique on an average of 90

seconds; some people say 2-5 minutes and others say

once you feel a release.

Push the fascia into a problem joint if there is a

problem near a joint.

If the client notices any tingling or numbness, go to

another area.

Do not tense up when holding the technique.

You can work all the layers of the fascia, but warm-up

each layer first.

Relax the area after completing a myofascial technique.

It is harder to do myofascial when the client has cloths

on, but it is possible.

Myofascial is used more for specific treatment areas.

Myofascial can be painful at times and let the client

know the negative parts to it.

Tell the client to drink a lot of water after the

treatment.

The purpose of myofascial release is to stabilize and

relax the fascia.

How to start it - www.journeysend.ca/healingresources/articles/technique.html

Leg Pulls - www.journeysend.ca/healingresources/articles/technique.html

4 levels of MFR

1. Treatment of the tissue without introducing tension (the therapistÔs contact moves longitudinally along muscle fibers, distal

to proximal, with the client passive).

2. A glide is applied to the muscle which is in tension.

3. Introduction to the process of passively induced motion, as an area of restriction is compressed while the tissues being

compressed are taken passively through their fullest possible range of motion.

4. The client actively moves the tissue through the fullest range of motion, from the shortest to the longest, while the

therapist offers resistance.

Range of motion

You can move limbs and traction it to develop a myofascial technique.

You can pull, twist and then hold limbs to produce myofascial techniques.

Criteria of Fascial Work - www.ultimatewatermassage.com/massage-types-connective-tiss.htm

www.johnlatz.com/keyelements_article.html

Fascial Distortion Model (FDM) - www.fascialdistortionmodel.com/about.html

Myofascial Unwinding - www.wholisticphysicaltherapy.com/MFRthrpn.htm

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