Title: Bone Wizardry / OMM Mastery / 12.Myofascial Release
Tags: #BW_OMM::Technique::Myofascial #BW_OMM::Type::Cloze BoneWizardry bonewizardry-free omm omt
On every note of this deck, unless a note says otherwise:
Review Links: - Bone Wizardry fascial subtypes
- Practice: Myofascial Release QBank
Show outside sources
- StatPearls myofascial pain
- StatPearls 5 diaphragm procedure
- WVSOM OMT methods
- OMM brief review

Myofascial release treatment can be direct or indirect, active or passive.
Topic: Myofascial Release
Bone Wizardry Lock: Myofascial release treats fascial drag. Direct goes into the bind; indirect finds ease first, then waits for release.

Q: After the physician has correctly addressed the myofascial structures (with MFR), the patient is asked to use "[...]" to help induce a release.
A: enhancers
Q: Name some examples of "enhancers" used in MFR:
1. [...]
2. [...]
3. [...]
A: Respiration; Eye movement; Muscle contraction
Comment: Enhancers include active movement of the patient (respiration, eye movement, or muscle contraction).
Topic: Myofascial Release
Bone Wizardry Lock: Patients contribute actively to myofascial release. Respiration, eye movement, and voluntary muscle contraction all deepen the tissue response. When the release stalls, an enhancer is what moves it.

Myofascial release procedure:
1. Palpate restriction
2. Apply compression (indirect) or traction (direct)
3. Add twisting or transverse forces
4. Use enhancers
5. Await release
Topic: Myofascial Release
Bone Wizardry Lock: Compression moves toward ease for indirect. Traction moves into restriction for direct. Both methods then layer in twisting or transverse forces and wait for the tissue to respond.

Q: One of the main goals of myofascial release is to restore [...] flow.
A: lymphatic
Topic: Myofascial Release
Bone Wizardry Lock: Fascia envelops lymphatic vessels. Restrictions in the fascial matrix impede fluid movement. Restoring lymphatic flow is a primary reason to treat fascial dysfunction.

Name the four diaphragms found in the human body:
1.Tentorium cerebelli
2. Thoracic inlet
3. Abdominal
4. Pelvic
Comment: All four play a role in lymphatic return (the most important being the abdominal diaphragm).
Topic: Myofascial Release
Bone Wizardry Lock: Four horizontal diaphragms act as lymphatic pumps. All four must move freely for fluid to return to venous circulation. Restriction at any one can impair the whole chain.

Q: Which diaphragm release technique can be used to relax soft tissue restrictions and enhance lymphatic drainage from the head and neck?
[...]
A: Thoracic inlet release
Comment: Procedure:
1. Patient supine with arm abducted to 90°.
2. Physician seated at the side of the patient.
3. With one hand, place your fingers in the patient's supraclavicular fossa and apply traction towards the patient's wrist.
4. With the other hand, move the patient's wrist superiorly until tension develops in the supraclavicular fossa. Hold this until some relaxation is noted.
5. Repeat this procedure 2-3 times.
Topic: Myofascial Release
Bone Wizardry Lock: Thoracic inlet release targets head and neck lymphatic drainage. With the patient supine and arm at 90 degrees, traction at the supraclavicular fossa gradually frees restriction at the thoracic outlet.

Where are the four compensatory curves located?
1. Occipitoatlantal junction
2. Cervicothoracic junction
3. Thoracolumbar junction
4. Lumbosacral junction
The common compensatory pattern (80%) rotation is as follows:
Occipitoatlantal: left
Cervicothoracic: right
Thoracolumbar: left
Lumbosacral: right
The uncommon compensatory pattern (20%) rotation is as follows:
Occipitoatlantal: Right
Cervicothoracic: Left
Thoracolumbar: Right
Lumbosacral: Left
Topic: Myofascial Release
Bone Wizardry Lock: The common pattern (80 percent) goes OA left, CT right, TL left, LS right. The uncommon pattern (20 percent) reverses all four. If one junction is known, the rest can be inferred.