Getting Started with the FascialEdge®

Start with Superficial work. This is pleasant and relaxing for the client, and results in deep reflex relaxation of intrinsic spinal muscles*.

Release fixed / blocked spinal joints prior to deeper work. Myofascial tissues are frequently facilitated as a consequence of spinal subluxation / blockage. There is little benefit in working over them until facilitated tissues are released

Deep Myofascial Work: work on residual deep fibrosis and adhesions. Rather like weeding a garden, you need the right tool to get deep down to the roots of the problem.

Superficial Fascial Planes: Start using the edge of the tool with a light sweeping action. Make a couple of thorough passes over each area in opposing diagonal directions. This makes a tissue-rolling action (as used in Connective Tissue Massage (CTM) and Bowen Technique. This stimulates receptors in the superficial fascia and skin. Recent research shows how this superficial work can produce segmental release of underlying multifidi*. In practice you will find there is no need to repeat strokes over and over, as in Gua –Sha type work.

Deeper fascial planes and muscles: Fibrosis in the epi & perimysium of muscles can be deep and widespread. After superficial work (above), work progressively deeper according to patient tolerance. As above, don`t repeat strokes over and over.

Attachments: Tendon and ligament insertions are rich in free nerve endings and can produce serious pain … that can spread widely. They are as susceptible to fibrosis as other areas. Use gentle cross friction, covering the spread of the insertion onto the bone.

Around bony prominences (eg the PSIS): Use a wrist extension action to guide the round end or tip of the tool around the prominence. This is a powerful action unique to the FascialEge®. Work gently to start, gradually increasing pressure to patient tolerance. Switch to using the tip for deep and awkward regions.

Central Trigger Points (TrPs) Use graded Ischemic compression. Place the round end or tip of the tool over the TP. Give a 40-50 degrees twist to take up the superficial tissue slack, and apply light pressure. The tool multiplies this pressure so go gently and check the pressure is acceptable the client. Wait 8 seconds or until a slight release is felt. Finish with a gentle rub.

Peripheral Trigger Points: Use round end or tip of the tool over the transition zone from muscle to tendon. Apply a slow (3-5 second) cross friction, first one way then the other. Start gently and work to patient tolerance.

FascialEdge® skin rolling action

To recap:

A simple pass over the tissues with the FascialEdge® has multiple potential effects on the underlying tissues. Some are immediate. Others e.g. prolotherapy, may take hours to days to manifest. Start gently and monitor changes from one treatment to the next.

* Hoheisel, Taguchi T, Treede RD, Mense S (Eur. J. Pain. 2011 Sep;15(8) reported proprioceptive input from the superficial layers of the TL fascia to dorsal horn neurons, with reflex connections to segmental multifidi.

* P.E.Baldry, Acupuncture, Trigger Points and Musculskeletal Pain, 3rd ed. Elsevier Pub-lishing: potentially emulates the action of acupuncture in stimulating Aß & Aδ nerve endings to stimulate dorsal horn and CNS mediated descending tract pain modulation.

Using the powerful wrist extensors to work around PSIS attachments
Using the long edge over the serrati and lat. dorsi
Effortless trigger point treatment using the tip. Take up tissue slack before applying pressure.