I Heart Myofascia

I talk about fascia with my clients a lot, mostly because I often work with this tissue and I want my clients to be informed about what I'm doing to their bodies so that they understand my treatment rationale and get behind my approach. I also do this because I'm a fan of informed consent. 

Many people are not aware of what fascia is, and until fairly recently - the past couple of decades- mainstream medicine has not really appreciated it's importance either. Fascial connective tissue surrounds every tissue in the body and is completely continuous throughout. It's contribution to bodily biomechanics and physiology has been historically underestimated. Scientists are now looking very closely at the importance fascia which is really exciting for manual therapists because it helps to give our profession more quantitative evidence that further validates the medical importance of fascial release techniques and massage therapy in general. 

Don't let fascial adhesion interfere with your jazz hands.

So what is it?

Fascia is tough connective tissue that creates a 3-dimensional web extending without interruption from head to toe. Fascia surrounds every muscle, bone, nerve, blood vessel, and organ all the way down to the cellular level.

The fascial system acts to support, stabilize, and cushion the structures of the body. Fascia creates separation between vessels, organs, bones, and muscles. It creates space through which delicate nerves, blood vessels, and fluids can pass.

Trauma, repetitive motion, inflammation, or poor posture can cause the fascia to become solidified and shortened. These thickened areas are referred to as a fascial restrictions which can cause pain and dysfunction. Fascial restrictions do not show up on common standardized tests such as x-rays, MRI, or CAT scans and are therefore often overlooked as a cause of dysfunction.

Analogy #1: The Unitard

Sometimes I use the metaphor of a full body unitard as an example. I know - great image to conjure up. If your unitard gets all bunched up at the knee - maybe you snagged it while prancing about - it can affect your ease of movement at other areas, perhaps pulling in the groin or even as far north as the shoulder or neck. Fascial adhesion can affect bodily function in a very similar way. If left for long periods of time, these adhesions can lead to postural imbalances, movement restrictions, and the sequelae of dysfunctions that can follow these. It is possible to reverse the damage of fascial adhesion with the skillful application of myofascial release. But remember, it is always better to prevent injury rather than having to recover from one!

Analogy #2: Chicken Skin

Superficial fascia lies beneath the skin & surrounds the muscles.

Another example I use to explain this tissue to my clients is chicken skin. (Yes, more lovely imagery.) If you have ever skinned a chicken - or watched someone else - you may have noticed a slippery spiderweb-like tissue beneath the skin that surrounds the muscles of the bird. It is durable and dynamic, easy to lift in some places but adhered firmly in others. This is chicken fascia and our bodies have tissues just like this.


Please understand that this is a massive topic to address, and in no way am I trying to encompass all significant fascial topics, nor sound like any sort of expert on the matter. (My brilliant uni-tard analogy certainly boosts my credibility as a near-expert, no?) This is simply an introduction.

Videos to Deepen Your Understanding:

Gil Headley's entertaining "Fuzz Speech" explains - with great enthusiasm - how fascial adhesion can accumulate due to lack of movement. *Just a little warning: Human cadavers are used for demonstration in this video, but don't let that deter you.

This next video explores fascia magnified 25x. Subtitles explain what is being viewed, and is a great addition to Dr. Headley's previous talk.

Take care & I'll see you in the clinic ready to answer your questions about fascia,
Dana





Sources:

• A great link to Overview on fascial mechanoreceptors written by Robert Schleip, PhD., who I had the pleasure of very breifly meeting while he was in Vancouver for the Fascia Congress a couple of years back. 
• Website full of useful links to fascia research articles - http://fasciaresearch.de/
• image - http://tarhearted.typepad.com/my_weblog/2010/04/my-life-is-unitarded.html
• image - http://www.goodhousekeeping.com/recipes/cooking-tips/remove-chicken-skin#slide-1
• http://loseandimprove.tumblr.com/post/40846187585/handmadehealth-from-anatomy-in-motion-on-fb