Myofascial Release is sometimes utilized in combination with other therapy modalities such as massage and acupuncture, with the intention of addressing a particular problem area. This is because, while massage and acupuncture can address general pain problems, and myofascial release works with the joints specifically, acupuncture and massage do not go below the level of their muscles. Therefore, they do not offer a comprehensive solution to back pain problems. SMRF, by contrast, goes beneath the level of the muscles, in a type of mechanical catchall category, thus working around the most problematic areas, while also helping to protect against injury and improve general health.
During a SMRF session, the therapist will apply a continuous, directed pressure, either deep or shallow, to the area being treated. The assortment of motion will be determined by the needs of the individual, while the pressure applied will be adapted based on previous experience with that particular area. Typically, the therapist uses a light, medium, or deep pressure, with the intent of creating an energy gradient within the fascia and reducing strain stiffness. This gradient may also be used to improve flexibility, since the fascia will become less stiff due to the increased elasticity attained through myofascial release.
Another component of myofascial release treatment is the use of a pressure-sensitive foam roller. The foam roller targets a specific muscle group with a targeted pressure point, such as the muscles of the neck and shoulders. The foam roller applies small, even pressure at a time to the muscles being treated, which in turn increases blood circulation and brings additional nutrients and oxygen to the affected muscle groups. Over time, with regular use, this procedure contributes to a decrease in soreness and inflammation, and eventually full recovery from the treatment.
While these methods are used commonly, it’s important to note that there’s not any scientific evidence that shows their efficacy. Indeed, many practitioners feel that the use of a rolling, or some sort of foam rolling, does not cause any therapeutic benefit. This is because, even though the foam rollers may apply pressure to the sore area, it is not clear whether the tissue beneath the roller is punctured or cut. If the tissue is punctured however, this may be a cause for pain or injury. Therefore, though some practitioners to apply these techniques with good effect, there is not any evidence that these techniques provide any medical benefit beyond those previously discussed.
Perhaps the most important purpose of myofascial release is to alleviate stiffness in the muscles of the hip flexor, or hip flexor muscles. Tightness in this region of the body occurs as a result of excessive stress put on the hip flexor muscles when performing heavy or extended movement. As well as causing pain and dysfunction, this condition can bring about a number of other health conditions, including arthritis, tendonitis, impingement of internal organs, and chronic pain syndrome.
There are many schools of thought regarding how and why myofascial release treatment can help patients with these conditions. While many physical therapists use it to reduce pain due to restricted range of movement, massage therapists feel it may also relieve pain caused by spasms, weakness, chronic tension, immobility, and inflammation. However, regardless of the fact it can reduce pain and dysfunction, it’s important that physical therapists do not apply too much force to the client, or myofascial release can actually be harmful. In fact, even when myofascial release is used carefully and under the supervision of a trained therapist, it may lead to harm.
Trigger Point therapy has been shown to decrease muscle stiffness and trigger points, but in most cases, it must be performed on an outpatient basis, with a minimum amount of pressure applied, to achieve any benefits. In some patients, especially those suffering from chronic conditions, it may also be quite painful. This is because trigger points are extremely sensitive to sudden, sustained pressure. To decrease the pain caused by trigger point therapy, chiropractors will normally perform Trigger Point releases alongside manual therapy or soft tissue techniques to release the trigger points and decrease inflammation. This combination can lead to complete healing and prevent triggering point associated pain from coming back again.
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