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Fascia is a thin casing of connective tissue that surrounds and holds every organ, blood vessel, bone, nerve fiber and muscle in place. The tissue does more than provide internal structure; fascia has nerves that make it almost as sensitive as skin. When stressed, it tightens up.


Although fascia looks like one sheet of tissue, it’s actually made up of multiple layers with liquid in between called hyaluronan. It’s designed to stretch as you move. But there are certain things that cause fascia to thicken and become sticky. When it dries up and tightens around muscles, it can limit mobility and cause painful knots to develop.


Healthy fascia is smooth, slippery and flexible. Factors that cause fascia to become gummy and crinkle up (called adhesion) include: 

  • A lifestyle of limited physical activity (too little movement day after day)

  • Repetitive movement that overworks one part of the body

  • Trauma such as surgery or injury


Determining whether your pain is due to muscles, joints or fascia can be difficult. In general, muscle injuries and joint problems feel worse the more you move. Fascia adhesions tend to feel better with movement and also respond well to heat therapy, which helps bring back the tissue’s elasticity.

For some people, adhesions can worsen over time, causing the fascia to compress and contort the muscles it surrounds. This can result in hard, tender knots in the muscles, called trigger points. Myofascial pain syndrome is a condition in which those trigger points cause pain to occur:

  • During movement

  • When pressure is applied

  • In seemingly unrelated parts of the body (referred pain)

Treatment focuses on relieving pain and getting tight fascia and muscle fibers to relax. Medical options include pain relievers, physical therapy and injections of medication directly into trigger points.


Keeping your fascia healthy has many benefits. You’ll move more easily, have better range of motion and experience less pain. Things you can do to prevent fascia problems include:

  • Move more: In addition to a consistent but varied exercise routine, it’s important to be active throughout the day. Have a desk job? Take at least a two-minute break every hour to stand up and move around, which helps fascia stay supple. Consider walking meetings or stand up and walk while participating in conference calls.

  • Stretch regularly: Stretching is essential to good health. It reduces the risk of inflammation and structural problems in the body.

  • Focus on posture: Slumping over a desk or a phone or walking in an awkward way to compensate for an injury can cause fascia to tighten. Try to switch postures regularly while sitting or standing.


There are a variety of ways to improve mobility of your fascia and help relieve fascia pain.

  • Manual Therapy: A variety of techniques focused on fascia mobilization may help improve the fascia

  • Exercise: One of the best ways to improve fascial strength which can also improve pain is tension and loading the tissue. If someone is new to exercising, it is highly recommended to consult with an exercise specialist, or trainer so you can load yourself safely and progressively.

  • Self-Myofascial Techniques: Self-mobilization of the fascial using tools such as a foam roll, tennis ball, or lacrosse ball can all be useful for relieving fascia tension and improve pain. Consult with your physical therapist before starting these to ensure that you are doing them correctly.


Treating fascia pain often requires using more than one therapy. A patient’s treatment plan may include a combination of things such as heat therapy, an anti-inflammatory diet, yoga therapy and guided imagery, which helps patients relax by visualizing themselves pain-free.

Most people experience tense muscles from time to time. But it’s important to get help for chronic or severe pain, which may be a sign of a serious health condition. If you continue to have pain despite efforts to relieve it or if pain interferes with sleep or daily activities, talk to your doctor or integrative medicine specialist.

Source: Johns Hopkins Medicine

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