External Myofascial Mobilization

Myofascial Mobilization (MM) is a specialized manual therapy technique employed to address fascial dysfunction in a systematic anatomical pattern. It can be applied either externally or internally, depending on the specific needs of the individual. External myofascial mobilization (EMM), in particular, is an approach that draws upon the principles of myofascial connectivity (Ajimsha et al., 2020) and myofascial force transmission (Ajimsha et al., 2022), as established by research. In EMM, the therapist carefully examines and mobilizes the fascia to identify and alleviate myofascial dysfunction. The key aspect of this technique lies in following a traceable pattern, allowing for a methodical and targeted treatment approach. The most commonly utilized procedures within EMM are myofascial release (MFR) and fascial manipulation (FM). MFR involves the application of variable loads and sustained stretches to the myofascial complex. This technique aims to restore optimal length, reduce pain, and improve overall function (Barnes MF, 1997). On the other hand, FM focuses on manipulating the fascia through predefined myofascial units. By appropriately treating these units, the therapist endeavors to restore tensional balance within the fascial system (Stecco L, 2004). The External Myofascial Mobilization (EMM) technique, developed and refined by Dr. Ajimsha MS, a dedicated researcher and enthusiast in the field of fascial studies, provides a personalized and comprehensive approach to managing fascial dysfunction. By utilizing a combination of scientifically derived fascial mobilization methods, the EMM approach effectively addresses complex soft tissue dysfunctions and associated pain in a traceable and anatomically precise manner. The primary goal of EMM is to restore normal mobility and function to the affected area by examining and mobilizing the fascia in a systematic and traceable pattern. Although the evidence supporting the effectiveness of EMM is largely anecdotal, it has shown promising results in treating a variety of musculoskeletal conditions. For example, a recent study conducted by Ajimsha et al. (2021) demonstrated the efficacy of EMM when applied to the pelvic area, leading to a reduction in pain and improved function in patients with chronic pelvic pain. Similarly, another study (Ajimsha 2023) found that EMM effectively improved pain and functional status in patients with moderate Fibromyalgia syndrome. EMM is a safe and non-invasive technique that can be used as a standalone treatment or in combination with other therapeutic modalities to address osteo-myo-fascial dysfunctions. It serves as a valuable tool for healthcare professionals seeking an effective and evidence-based approach to manual therapy. By integrating the principles of myofascial connectivity and force transmission, EMM offers a comprehensive approach to managing fascial dysfunction and promoting overall well-being (Ajimsha MS).