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Question

Myofascial release therapy: Can it relieve back pain?

What can you tell me about myofascial release therapy as a treatment for back pain? Does it work?

Answer

from David P. Martin, M.D., Ph.D.

Myofascial release is a form of massage therapy that uses sustained pressure to loosen or release tightness in connective tissues (fascia). It is thought that tightness within the fascia causes restriction of muscle and other tissues, resulting in back pain and loss of motion. Injuries, stress, inflammation, trauma and poor posture may contribute to this tightness.

Although there is little scientific evidence that myofascial release therapy is effective, some people say this type of massage helps relieve their low back pain — at least temporarily. Some evidence suggests that this technique may be more effective for acute back pain than chronic back pain.

If you've been told that myofascial release therapy may be helpful for your back pain, consult a therapist who has training in such techniques.

Next question
Back pain relief: Ergonomic chair or fitness ball?
References
  1. Oesch PR, et al. Components of physical medicine and rehabilitation in rheumatic disease in relation to international classification of functioning, disability and health. In: Firestein GS, et al. Kelley's Textbook of Rheumatology. 8th ed. Philadelphia, Pa.: W.B. Saunders Co.; 2008. http://www.mdconsult.com/das/book/body/179936672-5/0/1807/452.html?tocnode=55732718&fromURL=452.html#4-u1.0-B978-1-4160-3285-4..10064-6--s0090_2181. Accessed Jan. 25, 2010.
  2. Bonakdar RA. Myofascial pain syndrome. In: Rakel D. Integrative Medicine. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/179936672-5/943798443/1494/109.html#4-u1.0-B978-1-4160-2954-0..50066-1--cesec10_3256. Accessed Jan. 25, 2010.
  3. Making treatment decisions: Myofascial release. American Cancer Society. http://www.acsevents.org/docroot/ETO/content/ETO_5_3X_Myofascial_Release.asp. Accessed Jan. 25, 2010.
  4. Kohatsu W. Low back pain. In: Rakel D. Integrative Medicine. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/179936672-5/943798443/1494/110.html#4-u1.0-B978-1-4160-2954-0..50067-3--cesec33_3302. Accessed Jan. 25, 2010.
  5. Martin DP (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 28, 2010.
AN01808 March 12, 2010

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