There are two main schools of myofascial release: the direct and indirect method.

Direct myofascial release

The direct Myofascial Release method works directly on the restricted fascia. The practitioners use knuckles, elbows, or other tools to slowly sink into the restricted fascia applying a few kilograms-force or tens of newtons and then stretch the fascia. This is sometimes referred to as deep tissue work. Direct Myofascial Release seeks for changes in the myofascial structures by stretching, elongation of fascia, or mobilising adhesive tissues. There can be a misconception that the direct method is violent and painful. It is not essentially aggressive and painful, as the practitioner moves slowly through the layers of the fascia until the deep tissues are reached.

Technique:

1: Land on the surface of the body with the appropriate 'tool' (knuckles, or forearm etc).
2: Sink into the soft tissue.
3: Contact the first barrier/ restricted layer.
4: Put in a 'line of tension'.

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