- With Mayo Clinic internist
Brent A. Bauer, M.D.read biographyclose window
Brent A. Bauer, M.D.Brent A. Bauer, M.D.
Brent Bauer, M.D., is board certified in internal medicine. He is a consultant in the Department of Internal Medicine and director of the Department of Internal Medicine's Complementary and Integrative Medicine Program at Mayo Clinic, Rochester, Minn. Dr. Bauer, a native of Madison, Wis., is also a professor of medicine at Mayo Medical School and a graduate of Mayo Medical School.
He serves on the editorial board of the Mayo Clinic Health Letter and is medical editor for EmbodyHealth Newsletter. He has been on staff at Mayo Clinic since 1992, first practicing at Mayo Clinic in Scottsdale, Ariz., before joining Mayo Clinic, Rochester, Minn., in 1996.
Dr. Bauer's principal research focus is the scientific evaluation of complementary and alternative medicine (CAM) therapies that patients and consumers are using with increasing frequency. He has authored several book chapters and papers on this topic, and is the medical editor of the "Mayo Clinic Book of Alternative Medicine." Dr. Bauer also spearheaded collaboration between Mayo Clinic and Gaiam in the creation of a series of 10 DVDs (Mayo Clinic Wellness Solutions). These DVDs address common health problems (for example, diabetes, obesity, high blood pressure) with integrative medicine approaches that empower people to take charge of their health. His work is at the forefront of the emerging field of integrative medicine which combines the best of conventional medicine with the best of evidence-based complementary therapies.
Dr. Bauer has served on the NIH-NCCAM study section and is currently collaborating on over 20 studies being conducted at Mayo Clinic evaluating CAM therapies ranging from acupuncture to valerian. He is also a member of Sigma Xi, The Scientific Research Society; the American Federation for Medical Research; the North Central Cancer Treatment Group and other professional organizations.
- Tarlov cysts: A cause of low back pain?
Treatments and drugs (3)
- Disk replacement: An effective treatment for low back pain?
- Myofascial release therapy: Can it relieve back pain?
- Epidural steroid injections: Why limited dosing?
Lifestyle and home remedies (1)
- Back pain relief: Ergonomic chair or fitness ball?
Alternative medicine (3)
- Inversion therapy: Can it relieve back pain?
- Prolotherapy: Solution to low back pain?
- Acupuncture for back pain?
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?
from Brent A. Bauer, M.D.
Myofascial (mi-oh-FASH-al) release is a manual therapy technique often used in massage. The technique focuses on pain believed to arise from myofascial tissues — the tough membranes that wrap, connect and support your muscles. Theoretically, myofascial pain differs from other types of pain because it originates in "trigger points," which are related to stiff, anchored areas within the myofascia. The pain that a trigger point causes is often difficult to localize, though.
During myofascial release therapy, the therapist locates myofascial areas that feel stiff and fixed instead of elastic and movable under light manual pressure. These areas, though not always near what feels like the source of pain, are thought to restrict muscle and joint movements, contributing to widespread muscle pain. The focused manual pressure and stretching used in myofascial release therapy loosen up restricted movement, leading indirectly to reduced pain.
Many studies have found that massage, chiropractic manipulation and similar manual therapies work as well as other treatments for back pain. Few studies, however, have tested myofascial release therapy specifically, partly because the exact elements of myofascial release therapy vary from therapist to therapist.
If you've been told that myofascial release therapy may be helpful for your back pain, consult a therapist who has training in the technique.Next question
Epidural steroid injections: Why limited dosing?
- Manheim CJ. The Myofascial Release Manual. 4th ed. Thorofare, N.J.:SLACK Incorporated; 2008:2.
- Tozzi P, et al. Fascial release effects on patients with non-specific cervical or lumbar pain. Journal of Bodywork & Movement Therapies. 2011;15:405.
- Rubinstein SM, et al. Spinal manipulative therapy for chronic low-back pain. Cochrane Database of Systematic Reviews. Cochrane Database of Systematic Reviews.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008112.pub2/abstract. Accessed June 18, 2012.