Chapter 24 Myofascial Release

OVERVIEW.

Myofascial release (MFR) is a manual therapy involving deep friction and stroking of the body’s fascia in order to improve its ability to move and deform within the body. The aim is to eliminate pain, reduce structural imbalances, and ultimately, improve functional ability.¹

SUMMARY: CONTRAINDICATIONS AND PRECAUTIONS.

Three physical therapy sources cited a total of 23 concerns for MFR. Concerns ranged from 3 to 17 per source. The largest proportions of concerns were circulatory, and to a lesser extent, musculoskeletal and integumentary. The most frequently cited concerns were malignancy, hematomas, aneurysms, open wounds, and acute rheumatoid arthritis. Malignancy, aneurysms, and acute RA were considered an ACI by one source.

Note: MFR sources offer few rationales for their contraindications. Because MFR incorporates stroking (massage-like) and pressure (mobilization-like) forces, it is likely that many of the same concerns and rationales described by those manual therapies also apply here.

CONTRAINDICATIONS AND PRECAUTIONS

A00-B99 CERTAIN INFECTIONS AND PARASITIC DISEASES

C00-C97 NEOPLASMS

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