myofascial release intensive - rick...

Myofascial ReleaseIntensive

PO Box 4086 * Wheaton * Illinois * 60189 * phone: 630-926-5891web site: www.SevenWisdoms.com * e-mail: [email protected]

Workshop Manual

Medical Massage Training

What is Myofascial Release?

© Copyright 2013-2016, Rick Vrenios Page 1

Its infl uence is Physio-Emotional and Somato-Psychic in nature.

Physio-Emotional - ____________________________________________________

Somato-Psychic - ____________________________________________________

Myofascial Release can turn back the clock and make the client Biologically Younger!

Myofascial Release is an “umbrella term” for several modalities that focus on the myofascial unit.

These include:

* Positional Release* Neuromuscular Therapy* Craniosacral Therapy

* Structural Therapy / Rolfi ng* Trager* And Others.

In this intensive, we are going to cover the foundational principles that make this system work andhow you can use direct and indirect applications to facilitate positive results for your clients. Then,if you would like more in-depth training in Neuromuscular Therapy or Craniosacral Therapy, fullcertifi cation courses are available through our training center.

Myofascial Release is a style of bodywork that is often classifi ed as “medical massage” because of its profound therapeutic value. At thesame time, practitioners of Myofascial Release are seen as facilitators,rather than “healers”, because they understand that the body heals itself,and the therapy simply helps the body do what it knows how to do, in amore effi cient and accelerated way.

It is a type of bodywork that focuses on the myofascial unit, including themuscle, connective tissue, and the neuromuscular junction.

It is a wholistic approach to the body because the work directly impactsevery organ, every tissue, and cell of the body. It helps the client haveincreased body awareness. It can greatly improve the body’s ability tomove.

Indications for Myofascial Release


> Pain complaint not alleviated by other massage techniques.

> Has chronic condition that causes tightness and restriction in soft tissues (fi bromyalgia, diabetes, chronic fatigue syndrome).

> Has painful complex postural asymmetries.

> Has asymmetrical muscle weakness.

> Has impaired respiration and infl exible ribcage due to respiratory disease, etc.

> Has frequent, intense headaches due to trigger points, TMJ Disorder, cervical issues, etc.

> Has impaired mouth closure or swallowing due to restriction in mastication muscles.

> Is athlete or performer in need of enhanced speed or accuracy of movement.

Contraindications for Myofascial Release* Client does not understand or respect boundaries.

* Therapist does not feel comfortable with providing MFR for this client.

* Has contagious condition transmittable through respiration or contact

* Does not understand concept of “Good Hurt”

* Is under infl uence of drugs or alcohol

* Is unable to give informed consent due to mental condition

* Has an unstable medical condition (angina)

* Has dermatitis

Cautions for Myofascial Release* MFR consistently lowers blood pressure! Clients must rest in horizontal position after receiving

work for 10-15 mins, get up slowly, don’t sit up until dizziness is gone.

* May lower blood sugar levels. Diabetics may want to have a snack before treatment if prone tohypoglycemia.

* Clients with still healing fractures or wounds are ok, but avoid the injured area.

* Clients with compromised circulation must avoid aff ected area.

* Blood clotting lowering medications may cause increased bruising.

* Children or mentally incompetent adults must have responsible adult present during session.

First & Foremost - A Philosophy of Care


Myofascial Release is not a “TECHNIQUE” nor is it something you “DO TO” your client.

Instead, you, as the therapist, _________________________________.

KEY CONCEPT: There is NO one universal protocol that fi ts every person. This work is intuitive and client centric.

And When I Touch You, I Listen, and That is What I Work With.Nelita Anderson

It is essential to remember that your client is a complete person with hopes, dreams, fears, pains,joys, heartache, successes and failures. All of that is embedded into their body.

KEY CONCEPT: “Negative Holding” Patterns are designed to _________________.

Positive Patterns will _______________________________________________.

Protective Patterns shorten to ________________________________________.

Protective Patterns harden to ________________________________________.

KEY CONCEPT: MFR is about ___________________ and _______________________.

What is the Myofascial System?


The Myofascial System is a union of muscle, fascia and other connective tissue, and the nervoussystem. It is also intimately related, (and scientifi cally demonstrated) to the human energy fi eld, but we’ll get into that later on.

There are Four Types of Connective Tissue. They are:

_______________________________ _______________________________

_______________________________ _______________________________

We have 2 Classifi cations of Fascia

Superfi cial Fascia- Loose fascia located just below the surface

of the skin

Deep Fascia- Denser fascia in and around muscles, organs,

cells. Tendons and ligaments are examplesof deep fascia

Fascia - Relationships to Organ Systems

- Nervous System

- Body Cells

Image used with permission from Trail Guide to the Body

Fascia & the Web of Life


Fascia creates a complete web throughout the body connecting everycell with every other cell.

Fascia creates a web or a net that means that an injury in one areahas a universal impact. It also means that dysfunction in the neck mayhave its source elsewhere in the body.

Thixotropy - ______________________________________________

The tension on cells created by the fi bers of fascia can exert as much as _________ pounds per square inch of pressure!

X-Rays, CAT scans, bloodwork, no medical tests will reveal fascialproblems (Fibromyalgia).

The Keys to Success with MFR

Basic Formulas:

Anti-Myofascial Work Formula

Force = _____________________

Myofascial Work Formula

_______________ + _______________ = _______________ = ________________

Old Style Myofascial Work vs New Style

Old methods of MFM gave relief 2-hours to 2-daysNew methods give better, longer lasting relief

Old method is more aggressive, New works in harmony with the fl uidity of body

The MFR Indirect Approaches


Gentle stretch with only a few grams of pressure, which allows the fascia to unwind itself.

The gentle traction applied to the restricted fascia will result in heat and increased blood fl ow in the area. This allows the body’s inherent ability for self-correction to return, thus eliminating painand restoring optimum performance of the body.

1. Lightly contact the fascia with relaxed hands

2. Slowly stretch the fascia until reaching the FIRST barrier or restriction

3. Maintain a light pressure to stretch the barrier for approximately 3-5 minutes

4. Prior to release, the therapist will feel a therapeutic pulse (e.g. heat)

5. As the barrier releases, the hand will feel the motion and softening of the tissue.

6. The key is sustained pressure over time.

The Two Approaches of MFR

Myofascial Releases incorporates two specifi c approaches based on the need of the situation.

Indirect Approach (Passive)You FOLLOW the change the body makes in response to your presence.

Direct Approach (Aggressive)You guide or encourage the change for the body.

Specifi c Indirect Techniques


CompressionIn the Indirect mode, Compression is as much a listening as it is a warming for the tissues. Inaddition, the goal is sinking with the client rather than pressing into the client. Follow the naturalrhythm and timing sinking and releasing with the fl ow of the body.

TractionDiff erent than “stretching”, you do not try to exceed the body’s resistance to lengthening. Move the body in directions that help it to lengthen in the natural planes of muscle fi ber direction. During tractioning, follow any small joint movement the body wants to make to help achieve release. Keypoint is to wait for the body to release its resistance. We do not want to overpower the body intorelease.

It can be helpful to use small back-and-forth, wave-like movements in connection with the timingof the clients breath.

Rocking/JostlingThis a form of vibration that begins with a compressive technique, and the key is rhythm. Assistthe body to move to the edge of resistance and to return in a rocking motion. Let the body’snatural rhythm emerge as you assist greater sense of freedom in the body. This activates thebody’s parasympathetic nervous system into a state of rest.

Shaking / FloppingThis is another form of vibration techinque in which the body area is fi rst lifted. The action of shaking and fl opping confuses the body’s proprioceptors into a state of relaxation. The muscles go limp as a natural response to sensory input that is too unorganized for the brain to interpret.So, shaking acts on the nervous system as well as on the connective tissue.

Fascial Releases for the Diaphragms


The body has four major, natural diaphragms created by lines of connective tissue.These are the Pelvic Diaphragm, the Respiratory Diaphragm, the Thoracic Diaphragm,and the Hyoid Diaphragm. These diaphragms are also naturals places where fasciarestrictions can commonly occur.

This type of release is considered an Indirect Approach because it is very subtle work,and yet the results can be very profound. It is indirect because rather than directingthe fascia, you are Following the fascia.

Instructions:

1. Engage with the diaphragm by sinking in to connect with the bones used as yourlandmarks (Hyoid, Clavicles, Xiphoid Process, Pubic Bone).

2. Lighten the weight of pressure to be just enough to meet the superfi cial fascia.

3. Rest in that position to allow the client’s body to be comfortable with your presence.

4. Use gentle movement testing the three directions to test which is the direction thefascia prefers to move.

5. Using gentle sustained pressure in the direction the fascia wants to move, wait forthe fascia to release. You are listening to and following the fascia to its place of ease.

6. If you do not feel a release, try LESS pressure! We areencouraging an “unwinding” process.

The Diaphragms:

Arndt-Schultz Law“Weak stimuli increasesphysiologic activity andvery strong stimuli inhibitsor abolishes activity.

Pelvic Diaphragm: Top hand superior edge of pubic bone Low back, sacral, lower abdomen andLower hand on sacrum urogenital conditions

Respiratory: Top hand covers xiphoid process Liver, gallbladder, stomach, lower lung issuesLower hand at T12 Some low back pain & psoas muscle issues

Thoracic: Top hand covers where clavicles meet Lung conditions, neck, shoulder, & uppersternum and hand runs down sternum extremity musculoskeletal issues and

Lower hand at C7 promotes Lymphatic Flow

Hyoid Top hand covers hyoid bone Neck conditions, headaches, throat issues,Lower hand at C2 & C3 and TMJ Disorders

Critical Thinking - Best Approach

The states of infl ammation are generally defi ned as:

Acute: ____________________________________________________

Body Intent: ______________________________________________

Subacute: ____________________________________________________

Body Intent: ______________________________________________

Chronic: ____________________________________________________

Body Intent: ______________________________________________

Choosing the Right Approach based on Infl ammation

Chronic Direct Approach - NMT

Subacute Direct CT / Indirect CT

Acute Indirect Approach - Craniosacral

Based On Pain Severity

Mild Direct Approach - NMT

Moderate Direct CT / Indirect CT

Severe Indirect Approach - Craniosacral


Critical Thinking - Strategy

Bicep Curl* What FOUR Major Muscles Make the Controlled Motion Happen?

_____________________ _____________________

_____________________ _____________________

* Knowing prime movers, synergists, antagonists for movements isvery helpful.

Body Reading

* Standing

* On the Table

* Look for Lines of Tension/Torsion

* Think 3D! Rotations, exaggerated curves

* Standing Still is essentially a motion!



The MFR Direct Approaches

Practitioners use fi ngers, knuckles, elbows, or other tools to slowly stretch the restricted fascia by applying a force.

The direct Myofascial Release (or deep tissue work) method works on the restricted fascia.Direct Myofascial Release seeks for changes in the myofascial structures by stretching, elongationof fascia or mobilizing adhesive tissues. The practitioner moves slowly through the layers of thefascia until the deep tissues are reached.

1. Land on the surface of the body with the appropriate “tool”

2. Sink into the soft tissue

3. Contact the fi rst barrier/restricted layer

4. Put in a line of tension

5. Engage the fascia by taking up the slack in the tissue

6. Move or drag the fascia across the surface while staying in touch with the underlying layers

7. Exit Gracefully

Critical Thinking... Strategy

Trapping Muscle with Active or Passive Stretch

Lengthen & Strengthen Approach

Think “Warming” not “Storming”

Piezoelectric Phenomenon

Collagen in the deep fascia is a gellatinous material withmolecules arranged like those in solid crystal forms, suchas quartz crystal! All crystal structures are piezoelectric.

Piezo means pressure. Therefore, piezoelectric meansthat electricity is conducted when compressed underpressure. This weak electric current causes the collagenmolecules to realign and light waves vibrate along thesame plane.

Again, Connective Tissue (CT) weaves continuouslythroughout the entire body interlinking literally every cellwith every other cell. Not only has the CT been shown


to transmit electrical current, but has also been shown to transform that current into information.Piezoelectric phenomenon can be a process of communication similar to the nervous system.

In the body, piezoelectric fi elds are created by tension on the crystaline structure of the connective tissue.

The PE Field attracts water (and water conducts electricity).

Areas of trauma, disease, or long-term stress become dehydrated. Interstitial fl uid and ground substance tend to move away from the trauma site. The state of dehydration causes the body tobecome Biologically Older!

MFR can stimulate a more organized tension on the connective tissue, which can stimulate areturn of the PE Field. The fi eld attracts water back into the tissues for a healthier state. The result is that Myofascial Massage can directly cause the body to become Biologically Younger!

The piezoelectric fi eld has intimate relationships with the body’s meridian system described in ChineseMedicine, Chakra Balancing, Reiki and many otherenergy medicine disciplines. Researchers have foundsignifi cant relationships between major patterns of collagen in the body and the pathways of the majormeridians. My personal belief is that the ConnectiveTissue is the physical manifestation of the energybody.

If you would like to go in depth into the ChakraSystem or systems of energy work, our training centerhas a variety of fascinating programs that will providean exceptional hands-on learn experience.

Direct Deep CT Techniques

Sustained Pressure

Oppositional Stretch (Cross-handed Stretch)

Skin Rolling

J-Strokes

Forearm Technique

Trigger Point Therapy

Scraping


Objectives for Today...


In this continuation of the Myofascial Release training, we aregoing to progress deeper into the therapeutic potentials andapplications available.

* We will look deeper at the philosophy behind the therapy.* Gross vs Focused Releases* Posture Evaluation, Spirals, and Therapeutic Applications* Therapeutic Stretch* Advanced Myofascial Trigger Point Approaches.

Much of this will be familiar! Look for the subtleties within whatwe do today.

The Power of the Pause...

MFR is a form of “Teaching”.

Pauses give the body a chance to process the new state, gives ita chance to decide whether it feels safe being this way.

It is generally recommended that the client NOT immediately getup and dress after a MFR Session (Diff erent than using MFR as a tool during a Swedish).

Blood pressure is often lowered. Blood sugar is often lowered.Emotions are quieted.

The “Rest & Reintegrate” Time allows the new state to fi nd its comfort zone and place of stability.

It also allows a gentle “re-entry” back to the pressures of life.

Generally, use a brief pause after completing a major body region.

Disengage touch and give space before moving to the next area. (stay connected)

The pause is for BOTH of you…You: Decompress your hands / Clear your mind / Stretch your bodyClient: Feel & assimilate the changes Time to decide if it feels rightBoth: Take a moment to breathe

The Game...


We are going to play a game. Use this space to record your experiences.

The Neuro-Musculo-Fascial-Verbal Connection

In massage, we often want to encourage the client to stop talking and be in the moment.However, in a therapeutic situation where we are helping the client break out of chronic patterns ofholding, this is not always the best advice.

Moaners are Good!

The new pattern will __________________________________________________________

when the new state is _________________________________________________________!

When working with your clients creating therapeutic change, it is very important to encourage asmall amount of verbal interaction to help identify, acknowledge, and lock-in the change.

Think of it this way, we are a being comprised of physical matter, vibration/energy, and thought.When one aspect of our being is out of sorts, all aspects are out of sorts. When all three aspectsare in agreement, the change has a much stronger perception of reality.

Gross Release vs Focused Release


In Myofascial Release, we work by lengthening the softtissues.

With Gross Releases, we work with large areas… manytimes working beyond the “quarter” system.

Focused Releases shift our attention to singular musclesor segments of a specifi c muscle.

Gross Release of Any Muscle

Gross releases stretch and release tightness in a broad area of the body,often spanning a full muscle group or myofascial unit.

Stretch is applied in line with the muscle fi ber direction. One hand is used to stabilize a body region and the other hand applies the stretch.

This type of stretch can be a stretch, or it can be performed with the hand,fi ngers, or forearm to engage and lengthen a muscle group (ie. Erector Spinae Group).

Deeper Application: Gross Release will reveal and isolate tightness andrestriction to be addressed with a Focused Release!

Focused Release of Any Muscle


Focused Release uses one or two fi ngers of each hand to facilitate a stretch for a segment of a muscle.Finger distance may be several inches apart… Or,they may be only millimeters apart.

First, we use Gross Releases to peel away the “fi rst layer of the onion”.

This helps identify deeper tightness for FocusedReleases.

We may alternate between Gross and FocusedReleases throughout a session.

The initial stretch is held at the fi rst resistance point.

Certain muscles are not easily released using active or passive joint movement. These are bestaddressed with a Focused Release:

Suboccipitals Supraspinatus Pectoralis minorSerratus posterior superior Serratus posterior inferior SupinatorAnconeus Longissimus Iliocostalis

Semispinalis Multifi dus Rotatores Quadratus lumborum Quadriceps PopliteusTibialis anterior

When a release occurs, we feel slack in the stretch.

Gently increase the stretch to take up the slack & hold again.

Continue to follow the release until you fi nd the “End Feel”…Peaceful, calm, rubber, soft.

Muscles that Require a Focused Release

Postural Evaluation - Standing Front or Back


Head Tilt Neutral / Left / Right

Head Rotation Neutral / Left / Right

Facial Crease Equal / Deeper Right / Deeper Left

Eyes Level / Left Higher / Right HigherEqual Size / Left Bigger / Right Bigger

Nose Midline / Diviated Right / Deviated Left

Mouth Symmetrical / Left Longer / Right LongerNot Pulled / Pulled Left / Pulled RightLevel / Left Elevated / Right Elevated

Ears Neutral / Left External or Internal Rotation / Right External or Internal RotationLevel / Left Higher / Right Higher

Neck Equal Length / Left Longer / Right Longer

Shoulders Neutral / Left Protracted or Retracted / Right Protracted or RetractedLevel / Left Higher / Right HigherEqual Length / Left Longer / Right Longer

Arms Neutral / Left External or Internal Rotation / Right External or Internal RotationEqual Abduction / Left Greater / Right GreaterEqual Length / Left Longer / Right Longer

Trunk Neutral / Shifted Left / Shifted RightSides Equal / Left Longer / Right LongerEqual Creases / Left Higher or Longer / Right Higher or LongerNeutral Rotation / Rotated Left / Rotated Right

Pelvis Neutral / Left Protracted or Retracted / Right Protracted or RetractedLevel / Left Higher / Right Higher

Thighs Neutral / Left External or Internal Rotation / Right External or Internal Rotation

Knees Both Straight / Left Recurvatum-Flexed-Straight / Right Recurvatum-Flexed-StraightLevel / Left Higher / Right Higher

Legs (Lower) Neutral / Left Varus (Bow Legged) Valgus (Knock-Kneed) / Right Varus-ValgusEqual Abduction / Left Greater / Right Greater

Feet Left - Neutral / Everted / Inverted Right - Neutral / Everted / InvertedForefoot Left - Neutral / Varus / Valgus Right - Neutral / Varus / Valgus

Weight Bearing Equal / Left Greater / Right Greater


Postural Evaluation - Standing Side-Facing

Head Neutral / Left / Right

Ear Neutral / Left External or Internal Rotation / Right External or Internal RotationLevel / Left Higher / Right Higher

Cervical Lordosis Normal / Exaggerated / FlattenedEquals Lumbar Lordosis / Greater than Lumbar / Less than Lumbar

Shoulder Neutral / Protracted / RetractedOver Hip Joint / Forward of Hip Joint / Behind Hip Joint

Thoracic Kyphosis Normal / Exaggerated / Flattened

Lumbar Lordosis Normal / Exaggerated / Flattened

Hip Joint Over Middle of Knee Joint / Forward of Knee Joint / Behind Knee JointOver Lateral Malleolus / Forward of Malleolus / Behind Malleolus

Hip Neutral / Protracted / Retracted

Knee Neutral / Flexed / Recurvatum

Middle of Knee Joint Over Lateral Malleolus / Forward of Malleolus / Behind Malleolus

Postural Evaluation - Spirals

Beyond the Traditional Postural Evaluation, we canexamine the natural SPIRALS in the body.

This takes some practice and a willingness to stretchyourself, but it can reveal patterns and dysfunction in thebody.

More importantly, it can reveal the ORIGIN andEND POINT of the dysfunction!


Assessment for Low Back Issues

Step 1: Intake Interview1. Do you know what caused this problem?

2. How long has the pain been occurring for this episode?

3. Is it getting worse or staying the same?

4. Is the pain anywhere else in your body? Include weakness, tingling, numbness, etc.

5. Is there any pain or soreness in your neck or shoulders?

6. Then, ask the client to stand and point where the pain is.

7. Palpate that area and confi rm you are in the right place.

8. If pain was reported in other places, does the client feel it now with standing?

Step 2: Movement Tests- Supporting client, have them arch their back. How far back until the pain returns?

- Side Flexion – Any pain and where in the motion does it occur?

- Opposite Side Flexion - Any pain and where in the motion does it occur?

- Forward Flexion: Drop head, how far till pain? Is there pain elsewhere also?

- Slowly rise back from Forward Flexion - Painful coming back up? Pain elsewhere?

- Have client walk - Is there pain when walking? Where?

- What activities have they noticed are restricted in their life because of the pain?

- Is there a time when of day back spasms more frequently?What activities are typically happening then?

Step 3: On the Table- Palpate the back. Feel the quality of the muscles.

Look for tight contracted, or fi brotic areas.

- Be sure to explore quality of tissues that the client noted as pain areas.

- Assess both pain areas and areas that are pain free.


Therapeutic Approach for Low Back Issues - Prone

- Warming Up the BackWith Palm & Thenar Eminence or Folded Hand, make SLOW lengthening down the

back & fascial lines. Stretch the fascia while assessing quality of tissues.

Make a connection with the client’s breath (have them breathe to lift your hand)

If you come across a painful area, ask how intense the pain is (6 good pain, 7 is strongbut tolerable, 8 they can manage pain, but would rather not). Create trust!

- Trapezius & Levator Scapulae> Soften area with sustained compression, massage, stretch, pressure & lengthening

- Lower Thoracic AreaWork lower thoracic area (back of heart).

Deep lengthening from the Spine laterally following along the path of the rib cage.

If low back is tight, this area will be tight and be restricted.

- Erector Spinae GroupFascial lengthening for Spinalis in lamina groove.

Finger tips or forearm to lengthen down while client breathes INTO the low back.

If you fi nd any pain points, just stay on the point. Key is to stay for 2-5 minutes.

Can do small forearm movements to sink deeper & lengthen.

Come out slowly> Spinalis - Finger tips to lengthen> Longisimus - same> Iliocostalis - same

- Sacrum> Slow clearing with thumb pads along superior surface of sacrum.

> Stretch attachments Medial to Lateral while client breathes into the sacrum.

> Thumb down lamina groove from thoracic to sacrum. Deep & Slow!

> Thumbs into top of the ilium


- Traversospinalis Group (Rotatores & Multifi dus)> From lateral edge of Erector Spinae group, sink deeper pressing lateral to medial.

Find transverse process and move medially toward the spine in slow... deep... cross-fi ber movement.

> L5 / S1 is often source of low back pain

> Medial to Lateral spreading from spinous process to transverse process(Great for forward pelvic tilt)

> Use knuckles, fi ngers or thumbs down transverse processes –NO STRAIN, soft contact.

> Think of pain point as a “frozen” area. Sustained pressure melts it with time.

- Iliac Crest> Gluteal attachment - explore the crest

> Flat back of hand, drop medial to lateral along the crest.

> More specifi c - shift to knuckles in same movement.

- Pelvic & Gluteal> Forearm down into hip area into greater trochanter.

> Piriformis - Find Landmarks: Line from halfway down lateral edge of sacrum to greatertrochanter. Forearm at superior border of piriformis bends muscle toward opposite foot.

- Quadratus Lumborum> Use thumb pads for sustained pressure & clearing on 12th rib

> Use thumb pads to clear the Iliac crest attachment sites

> Soft palm contact on QL and below on abdomen (palm over palm), calming & soothing.

Completion> Complete the posterior side of the body with connecting, soothing, quieting strokes.

[End of PRONE Segment - Continue in SUPINE Position]

Therapeutic Approach for Low Back Issues - Prone

Therapeutic Approach for Low Back Issues - Supine

- [SUPINE] Iliopsoas (Lordosis)> Bend client’s knee on your side of the table. Palpate anterior surface of ASIS. Slide just

medial and begin downward direction into pelvic bowl. Raise fi ngers up and down to massage against inside of ASIS and the Iliopsoas muscle group.

> Visualize a line angling from the ASIS to the navel and lumbar spine. Turn your fi ngers (still deep in the pelvic bowl), and twist your wrist to lengthen the muscle fi bers along the

pathway of Psoas Major and Minor.

> Return your fi ngers to reconnect specifi cally with Iliacus. Then, move the client’s foot (sole fl at on the table). Extend and retract the leg by fl exing and extending the knee.

Have the client take over and continue the movement while you provide sustainedpressure into the muscle.

As client retracts (Flexes the Knee), the Iliacus muscle will pop up and self-massage into your fi ngers.

- Completion of SUPINE Segment> Continue with the anterior side of the body to complete the session.

- Rest, Integration, Recovery Time> Remember that an integral part of the Myofascial Release process is a 10-15 minute

period of quiet rest to enable the body to assimilate and integrate the work beforere-entering into regular life.

Give the work time to stabilize before the client gets off the table.


Therapeutic Stretch


Active Stretch

Passive Stretch

Multi-Plane Stretch

Using Eye Movement

HypermobilityJoint hypermobility can cause the following:

• Joint pain.• Back pain.• Joint dislocation

(the joint comes out of its correct position).• Soft tissue injuries, such as tenosynovitis (infl ammation of tendon’s protective sheath).

Hypermobile joints should not be stretched.

OverstretchingWarning sensations:

1. Localized warmth of stretched muscles2. Followed by burning/spasm feeling

- Discontinue immediately3. Sharp Pain

- Damage likely occurred.

The Fascial Sheaths


Based on an image by: Ryan Jay Hayme

Seven Wisdoms InstitutePO Box 4086

Wheaton, IL 60189630-926-5891

www.sevenwisdoms.com

myofascial release intensive - rick...

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