Myofascial pain syndrome release therapy can help provide chronic pain relief for the condition, which affects connective tissue. Also known as myofascial release, this soft tissue therapy relaxes tight muscles and interconnecting tissue.

Connective tissue, or fascia, forms an intricate web in the body that weaves around muscle, bone and internal organs in a single structure from head to toe. This fibrous tissue can become inflamed due to overuse, infection, trauma or scarring. The result can be decreased blood flow, pain and stiffness in both muscles and the fascia itself.

Inflammation can also lead to a reactive thickening, or fibrosis, of the fascia which in turn causes myofascial pain. When the fascia thickens, it can’t flex with the body like it’s supposed to, and constriction develops. Constricted muscles become tight and tense, leading to more irritation of the fascia. It’s a vicious cycle of pain and tightness that can become unbearable.

Myofascial pain syndrome release therapy can refer to different manual techniques of tissue stimulation. In one type, the patient remains passive while a practitioner performs tissue manipulation. In the other, the patient actively engages with the practitioner, providing resistance when required.

In addition, there are two styles of delivering fascial pain release. One involves deep tissue work that can be mildly painful during treatment. This is known as direct myofascial release. The other is accomplished with a much softer touch and is called indirect myofascial release.
 
Both attempt to restore the flexible nature of the fascial tissue, enabling the muscles to relax and alleviating pain. Some users report improved posture and better organ function as a result.

Direct Myofascial Release
This direct method used to be called fascial twist, because the practitioner uses deep pressure of the fingers, hands or elbows to stretch out the restricted fascia. Usually, the treatment starts with a softer touch, which increases in intensity as the practitioner works down through the layers of soft tissue.

Rolfing is another name for soft tissue manipulation conceptualized by Dr. Ida Rolf. Her goal was to create a holistic system that incorporated movement education to realign body posture and structure.

Indirect Myofascial Release
Using a considerably lighter touch, the indirect style incorporates gentle stretching and kneading movements to relax the fascia. The theory is that this soft manipulation will encourage blood flow and encourage the body to heal itself.

This technique got its start in osteopathy schools, then spread to physical and occupational therapists, massage therapists and physicians.