Myofascia is the outerlayer supportive structure of a muscle. Myofascial release engages the myofascial tissue “restrictive barrier” (tension). Practitioners use knuckles, elbows, or other tools to slowly stretch the restricted fascia. Direct myofascial release is an attempt to bring about changes in the myofascial structures by stretching or elongation of fascia, or mobilizing adhesive tissues. The practitioner moves slowly through the layers of the fascia until the deep tissues are reached.
Other techniques include effleurage, deep friction and active release techniques to break down scar tissue and improve blood flow for healing.