Trigger Point Therapy
What is Myofascial Release (MFR)? Self-myofascial Release (SMFR), also known as transcutaneous release, is a technique for rehabilitation and rehab with an EMS object for a stimulus-transducer. This can be done with minimal motion or effort required from the person. The purpose of self-myofascial Release (SMRF) is to promote neuromuscular adaptation via mechanical stresses placed on the joints, to increase flexibility and length, to increase tissue growth factors, to increase the rate and force of muscle contraction, and to raise the efficiency of muscular regeneration.
Myofascial Release is sometimes utilized in combination with other therapy modalities such as massage and acupuncture, with the intention of addressing a specific problem area. This is because, while acupuncture and massage can address general pain issues, and myofascial release works with the joints specifically, massage and acupuncture do not go below the level of their muscles. Therefore, they do not 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 regions, while also helping to protect against injury and improve overall health.
Throughout a SMRF session, the therapist will apply 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 particular area. Generally, the therapist uses a light, medium, or deep pressure, with the intention of producing an energy gradient inside the fascia and reducing tension 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 element of myofascial release therapy is the use of a pressure-sensitive foam roller. The foam roller targets a specific muscle group using a targeted pressure point, like the muscles of the shoulders and neck. The foam roller applies small, even pressure at a time to the muscles being treated, which in turn increases blood flow 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.
While these methods are used commonly, it is important to note that there is not any scientific evidence that shows their efficacy. Indeed, many practitioners feel that the application of a rolling, or some type of foam rolling, does not bring about any therapeutic benefit. This is because, although the foam rollers may apply pressure to the sore area, it's not clear whether the tissue beneath the roller is punctured or cut. If the tissue is punctured however, this can be a cause for injury or pain. Therefore, though some practitioners to apply these techniques with great effect, there's absolutely no evidence that these techniques offer any medical benefit beyond those previously discussed.
Perhaps the most important function of myofascial release is to relieve tightness 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 put on the hip flexor muscles when performing extended or heavy movement. In addition to resulting in pain and dysfunction, this illness may contribute to numerous other health conditions, including arthritis, tendonitis, impingement of inner organs, and chronic pain syndrome.
There are numerous 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 feel it can also relieve pain from spasms, fatigue, chronic tension, immobility, and inflammation. However, regardless of the fact it can reduce pain and dysfunction, it is important that physical therapists don't apply too much force to the customer, or myofascial release can actually be harmful. In actuality, even if myofascial release is used carefully and under the supervision of a trained therapist, it may lead to injury.
Trigger Point therapy has been proven to decrease muscle stiffness and trigger factors, but in most cases, it must be carried out on an outpatient basis, with 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 factors 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 reduce inflammation. This combination may lead to complete healing and stop triggering point related pain from coming back again.
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