The case of “Breaking my fascia”
Five years ago or so, I received a call from a patient referred by MD. Her first question was: “Do you possess enough expertise and experience to break my fascia?” 😊
Jokingly I answered: “I’m in the business of repairing, and not breaking.” Regrettably, she felt that my humor was not appropriate and angrily retorted: ”Boris, I have developed myofascial tissue problem. For two months, I was seeing “fascia chiropractor”, and little by little started feeling much worse. Now my pain us not only in the scapula, but traveling to my arm, and I cannot sleep at night because of pain. In the beginning, it wasn’t like this, I could sleep without pain. Of course, I asked what chiropractor did, the answer was:” he tried to break my fascia, but my case is difficult and he couldn’t succeed. My primary care physician believes you can do it.”
To tell you the truth I don’t know where the terminology “breaking fascia” and “myofascial tissue” come from. No book of histology will support the existence of myofascial tissue. We have fascia and muscle alliance, an anatomical unit that is working together. Yet, histologically speaking, these are different tissues. Fascia is a connective tissue, which means fibers of fascia have no potential to constrict while the function of muscles to constrict. To read about physiological bases of fascia release
I have invited her for treatment, and using a very convincing tone of voice, told her: ”clinical picture as you described, can be the result of buildups of tension within fascia and muscles. I possess the expertise to detect these abnormalities and eliminate this tension, in which case you can feel much better.
It was a difficult mechanical pain case. In addition, the patient exhibited anterior scalene muscle syndrome that triggered a neurological picture, radiating pain to the upper extremity. During the first five treatments performing connective tissue massage/fascia release and mobilization techniques, trigger point therapy, and massage techniques addressing muscles I have achieved positive change in the clinical picture. The patient could sleep at night, experienced no radiating pain to the upper extremity, was free of pain movement of the neck and upper back. Of course, I convinced her to continue treatments in order to increase the threshold of muscular irritability. She agreed, and I have provided seven more treatments. Since then, during all these years I treated her sciatic nerve neuralgia, and knee sprain/strain type of injury. Today she is doing well. Her neck and upper back symptoms have never come back.