Treatment course6 min read
Which complaints is myofascial release used for?
Myofascial release is often used as the first stage of a programme in clinic. Its purpose is to reduce pain and tightness rapidly so that exercise becomes possible; the treatment proper begins after that.
Where it is used most
Its most direct application is in myofascial pain with trigger points. The neck, over the shoulder, between the shoulder blades and the hip are the areas most often worked.
Where restriction comes from muscle and fascia, it is used alongside joint mobilisation. The two target different tissues and complement each other.
It is also used for tissue stiffness after surgery or injury, where the aim is preserving the healing tissue's capacity to glide against surrounding structures.
Its place in the programme
It is applied at the start of the session, moving straight to exercise afterwards. Using the released tissue through its new range is what preserves the gain.
Its effect lasts hours to days. Planning should account for that; a programme of release alone returns to the starting point within days.
Session frequency starts at twice weekly and reduces to once with progress. Its share of the programme diminishes over time as exercise takes over.
Its limits
It does not correct a structural problem. In disc herniation, joint arthritis or fracture, releasing tissue does not change the underlying issue.
It does not increase muscle strength. The relief felt after release should not be confused with gaining strength; these are different processes.
Where pain originates from nerve root compression its effect is limited. It reduces surrounding muscle tension but does not target the actual problem.
Key points
- The method is the first stage of a programme, not the whole.
- It is applied at the start of a session, moving straight to exercise.
- Its effect lasts hours to days.
- It does not correct a structural problem or increase strength.
- Its effect is limited in nerve root compression.
Frequently asked questions
How many sessions are needed?
No session count is given for the method alone, as it is part of a programme. In myofascial pain the total programme usually runs six to ten sessions.
Is soreness afterwards normal?
Mild tenderness settling within a day or two is normal. A marked increase, or soreness lasting more than a few days, is not expected and should be reported.
Is it combined with dry needling?
They are often combined. Needling is preferred for deep trigger points hands cannot reach, and manual work for diffuse surface tension; the two complement each other.
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This content is for information only and does not replace medical diagnosis or treatment. Response to treatment varies between individuals. Please consult a healthcare professional about your symptoms.