THE MYOFASCIAL WEB
23
Myofascial Web and Fibromyalgia Fibromyalgia Information Foundation 2014 Annual Conference Ginevra Liptan, MD
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Ginevra Liptan, MD, explains trigger points and myofascial release bodywork.
Transcript of THE MYOFASCIAL WEB
Myofascial Web and Fibromyalgia
Fibromyalgia Information Foundation 2014 Annual Conference
Ginevra Liptan, MD
Fibromyalgia (FM) pain
Hyper-reactive spinal cord and brain called “central sensitization”
Pain generated from muscle tissue
18 tender points used to diagnose FM
Fibromyalgia muscle pain sources
-Fascia –connective tissue around muscle
-Myofascial trigger points
What is fascia?
Connective tissue network Surrounds both individual and
groups of muscles Highly sensitive to pain Contracts to give muscles
extra strength
Myofascial “web”
Connective tissue that envelopes muscles
Connective tissue that’s left after muscle cells dissolved
Fascia in FM
Increased tension
Inflammation
Prone to “ knotting up”( myofascial trigger points)
Myofascial trigger points
Hyper-irritable or taut band of muscle
Painful on compression
Refers pain
Can occur in any muscle under strain
Myofascial trigger point
Treatments for fascia/trigger points
Myofascial release (MFR)
Trigger point injections
Self-care
Myofascial release therapy
Manual traction and prolonged assisted
stretching
Breaks up painful adhesions in the
connective tissue surrounding muscle
MFR is not massage
Myofascial release for FM
Castro-Sanchez et al . 2011
20 weeks myofascial release therapy
Compared to sham ultrasound
Significant improvement in pain and tender
points
Pain reduction persisted at 1 and 6 months
post-intervention
Our study- MFR vs. massage
Women between the ages of 21 and 50 with a confirmed FM diagnosis
Randomized to myofascial release or Swedish massage
Therapists had advanced training using the John F. Barnes MFR approach
90 minutes weekly for 4 weeks
FIQ-R Percentage Change in Myofascial Release Subjects
Pe
rce
nta
ge
ch
an
ge
in F
IQ-R
Myofascial release subjects 1–8
A change of 14% or more is considered significant
FIQ-R Percentage Change in Massage Subjects
Pe
rce
nta
ge
ch
an
ge
in F
IQ-R
Massage subjects 1–4
A change of 14% or more is considered significant
Trigger point injections
Injection of lidocaine
“Dry needling”
Trigger point self-treatment
Resources
www.theracane.com
www.myofascialrelease.com
Book: The Trigger Point Therapy Workbook: Your Self- Treatment Guide for Pain Relief by Clair Davies
Web sites:
