OMM Review — Myofascial Release
Original OMM review notes for fascial anatomy and direct/indirect myofascial release techniques.
Fascial Anatomy
Fascia is continuous connective tissue that provides structural support, transmits force, and allows glide between structures. It can become restricted by trauma, posture, inflammation, or surgery, leading to pain and limited motion.
Direct MFR
Direct myofascial release engages the restrictive barrier with sustained, gentle tension. The practitioner applies a force opposite the direction of ease and waits for tissue lengthening and release.
Indirect MFR
Indirect myofascial release positions the tissue in its direction of ease or neutrality and holds until spontaneous release occurs. This approach is often more comfortable for acute or sensitive patients.
Indirect release is preferred when pain is severe, inflammation is present, or the patient cannot tolerate direct stretching.
Clinical Use
- Address post-surgical adhesions and scar tissue.
- Restore thoracolumbar fascia and pelvic diaphragm mobility.
- Reduce tension in the diaphragm and respiratory accessory muscles.
- Combine with lymphatic and articulatory techniques for integrated care.
Q: When is indirect myofascial release preferred over direct?
A: In acute, inflamed, or highly tender tissues where direct stretching would provoke guarding.
Q: What is the primary goal of myofascial release?
A: To restore fascial glide and reduce restrictions that limit motion or produce pain.