Trigger Point Therapy
What is Myofascial Release (MFR)? Self-myofascial Release (SMFR), also called transcutaneous release, is a method for rehabilitation and rehab with an EMS object for a stimulus-transducer. This is done with minimal motion or effort required in the person. The purpose of self-myofascial Release (SMRF) is to promote neuromuscular adaptation through mechanical stresses placed on the joints, to increase flexibility and length, to raise tissue growth factors, to increase the rate and force of muscle contraction, and to raise the efficiency of muscular regeneration.
Myofascial Release is sometimes used in combination with other treatment modalities like massage and acupuncture, with the goal of addressing a specific 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 don't go below the level of the muscles. Therefore, they don't provide a complete 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 overall health.
Throughout a SMRF session, the therapist may employ a continuous, directed strain, either deep or shallow, to the area being treated. The range of motion will be determined by the needs of the patient, while the pressure applied will be adapted based on previous experience with that specific area. Typically, the therapist uses a light, medium, or deep pressure, with the intention of producing an energy gradient within the fascia and reducing tension stiffness. This gradient may also be used to improve flexibility, as the fascia will become less stiff due to the greater elasticity achieved through myofascial release.
Another element of myofascial release treatment is the use of a pressure-sensitive roller coaster. The foam roller targets a particular muscle group using a targeted pressure point, like 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 oxygen and nutrients to the affected muscle groups. Over time, with regular use, this process leads to a reduction in soreness and inflammation, and eventually complete recovery from the treatment.
When these methods are used commonly, it's important to note that there's no scientific evidence that demonstrates their efficacy. Indeed, many practitioners feel that the application of a rolling, or some type 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 if the tissue beneath the roller is punctured or cut. If the tissue is punctured however, this may be a cause for injury or pain. Therefore, while 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 area of the body occurs as a result of excessive stress placed on the hip flexor muscles when performing extended or heavy motion. In addition to causing pain and dysfunction, this condition may contribute to a number of other health conditions, including arthritis, tendonitis, impingement of inner organs, and chronic pain syndrome.
There are many schools of thought concerning how and why myofascial release therapy may help patients with these conditions. As many physical therapists use it to reduce pain due to restricted range of motion, massage therapists believe it may also relieve pain caused by spasms, fatigue, chronic tension, immobility, and inflammation. However, despite the fact it can reduce pain and dysfunction, it's essential that physical therapists do not apply too much force to the client, or myofascial release can actually be harmful. In fact, even if myofascial release is used carefully and under the supervision of a trained therapist, it may lead to harm.
Trigger Point therapy has been proven to reduce muscle stiffness and trigger points, but typically, it must be carried out on an outpatient basis, using a minimum amount of pressure applied, to achieve any benefits. In certain patients, especially those suffering from chronic conditions, it may also be quite painful. This is because trigger points are very sensitive to sudden, sustained pressure. To decrease the pain caused by trigger point therapy, chiropractors will normally perform Trigger Point releases alongside manual treatment or soft tissue techniques to release the trigger points and decrease inflammation. This combination may lead to complete recovery and prevent triggering point related pain from coming back again.
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