Myofascial manipulative release of carpal tunnel syndrome: Documentation with magnetic resonance imaging

Abstract

Four patients with carpal tunnel syndrome, unresponsive to routine conservative care, underwent treatment with myofascial release manipulation and selfstretching. Magnetic resonance imaging analysis of the cross-sectional area of the carpal tunnel and electrodiagnosis were performed before and after treatment. The patients improved clinically. The nerve conduction studies showed concomitant reduction in distal latencies or increase in motor response amplitudes. Magnetic resonance imaging demonstrated that the anteroposterior and transverse dimensions of the carpal canal significantly increased after treatment. This study demonstrates that the carpal canal is a distensible structure with the potential to yield to a relatively simple, aggressive, nonsurgical treatment for carpal tunnel syndrome.

Fascial release effects on patients with non-specific cervical or lumbar pain

“…It represents a widely employed manual technique specific for fascial tissues, to reduce adhesions, restore and/or optimise fascia sliding mobility in both acute and chronic conditions (Barnes, 1996;Martin, 2009;Sucher, 1993;Walton, 2008). Some studies have shown the efficacy of MFR to decrease pain, improve posture, and quality of life (Barnes, 1990;Fernandez de las Penas et al, 2005;LeBauer et al, 2008;Lukban, 2001;Radjieski et al, 1998).…”

Comparison of an indirect tri-planar myofascial release (MFR) technique and a hot pack for increasing range of motion

“…Few studies have examined the effectiveness of myofascial release (MFR) techniques on the direct parameters of patient outcomes (Hanten, 1994;Barnes, 1997;Bucher, 1993Bucher, , 1994Weiselfish-Giammatteo and Kain, 2005). Additionally, experimental research does not exist that compares the effectiveness of MFR outcomes versus any modality intervention.…”

Carpal Tunnel Expansion by Palmarly Directed Forces to the Transverse Carpal Ligament

“…Manipulating carpal tunnel mechanics without transecting the TCL, by either myofascial release [8] or using a wearable hand traction device [9], has shown to improve the symptoms of carpal tunnel syndrome. Reconstruction of the TCL after carpal tunnel release has been shown to restore the gliding and pulley mechanisms of the flexor tendons and to improve hand function [6].…”