Myofascial Release is NOT Trigger Point Therapy

In the world of bodywork and physical therapy, two terms often come up: Myofascial Release (MFR) and Trigger Point Release (TPR)/Trigger Point Therapy.

Although people may use these terms interchangeably, they are not the same technique.

Each addresses different aspects of pain and physical dysfunction and involves distinct approaches and goals.

Understanding Myofascial Release

Myofascial Release is a manual therapy technique that focuses on releasing restricted fascia from it’s sticky ground substance to effect all surrounding structures including muscles, bones, nerves, blood vessels, lymphatic structures, and organs. This method aims to relieve the crushing pressure created by these restrictions to reduce pain, improve movement, restore the body's natural alignment, and restore cellular health.

Here are some key points that define MFR:

1. Whole-body approach: Myofascial Release takes a holistic approach, looking beyond localized pain to understand how restrictions in one area impact other areas of the body. For example, restriction in the hip/pelvis can often cause discomfort jaw (TMJ). The interconnected nature of fascia means that treating one area can have a ripple effect throughout the entire body.

2. Gentle, sustained pressure: With MFR, therapists use gentle, sustained pressure on specific areas of fascia for 5 or more minutes at a time, allowing the tissue to release gradually. Unlike deep tissue massage, MFR does not aim to "break down" the tissue. Instead, the sustained pressure allows the ground substance surrounding fascia to "melt" and allow for free movement and glide of the fascia.

3. Focus on the fascia, not just the muscles: Myofascial Release specifically targets the fascial tissue rather than the muscles themselves. This approach makes MFR especially effective for addressing chronic pain which is often multidimensional and isn’t often strictly muscular in nature.

4. Relieves overall tension patterns: By releasing fascial restrictions, MFR often helps relieve larger tension patterns in the body, creating a more lasting reduction in pain and improvement in function.

What Is Trigger Point Therapy?

Trigger Point Release or Trigger Point Therapy, on the other hand, focuses on small, hyperirritable spots in the muscles that are commonly called “knots” or “trigger points.” Trigger points often form due to muscle overuse, injury, or strain, and they can lead to focal or localized referred pain.

Here’s what makes TPR distinct from MFR:

1. Targeted, localized treatment: Trigger Point Release focuses on specific muscle “knots” that contribute to pain. While trigger points often have a broader effect, TPR remains focused on releasing these specific points rather than treating the whole fascial network.

2. Direct pressure: In TPR, therapists apply direct pressure to the trigger point, typically using their fingers, knuckles, or an instrument. The pressure is usually deeper and more intense than MFR to break up the collagenous cross-links that have created the trigger point.

3. Shorter duration, intense focus: Because TPR targets specific points, the treatment is typically more intense, and each spot is treated for a shorter duration than in MFR. The therapist may work on several trigger points in a single session, providing relief for immediate sources of pain.

Key Differences between sustained-pressure Myofascial Release & Trigger Point Therapy

Myofascial Release (left), Trigger Point Therapy (right)

Why Choose One Over the Other?

The choice of technique depends on the individual’s needs and the underlying cause of their pain.

Myofascial Release is often best suited for individuals dealing with chronic, widespread pain and limited mobility. This approach aims to address the entire fascial network and is beneficial for conditions such as fibromyalgia, postural imbalances, and chronic pain syndromes.

Trigger Point Release is typically recommended for individuals who have specific, localized areas of muscle pain, often described as "knots." This technique may be ideal for athletes .

Can They Be Combined?

A therapist skilled on both techniques can utilize both within a treatment plan. With experience, the therapist can assess the areas of restriction in both the fascia and muscles to determine the best approach. Ideally, trigger point release is used seldomly, as most pain is rarely just muscular in nature. Starting with MFR allows the therapist to address deeper “trigger points” more effectively.

If you’re experiencing chronic pain or specific muscle tightness, consider consulting with a therapist trained in both MFR and TPR to explore which approach is best for you.

Pain doesn’t have to be a part of everyday life—there are tools and therapies out there to help. The right technique (or combination of techniques) can provide lasting relief, restoring freedom and ease to your body.

Learn more about both techniques during our FREE Masterclass