Fascia and the Dynamic Fascial Response Approach

Understanding Fascia and Dynamic Fascial Response

The following is an excerpt from Chula’s manuscript for A Dynamic Approach to Pregnancy Massage

So, what is fascia? When I research ‘myofascia’ or ‘fascia’ I will often get an outdated definition describing it as that sinewy stuff that is covering over the muscle like a piece of meat at the butcher. Many articles will mislead that fascia is what “separates the muscles and organs”. They forget to tell you that…Fascia is one continuous structure. It’s web-like and although there is fascia found in between and around the cellular structures (e.g., muscles, organs, bones) it’s been discovered that it also interpenetrates the muscles, organs and bones spanning, without interruption, from head to toe. So far so amazing right?

Even more fascinating, the fascia has no fixed pattern or movement the way a web does. When a spider web expands by the force of the wind, it’s geometry simply stretches wider then returns back to its original form. The most impressive thing about the fascia is its morphing ability. This magical web of fibrous material, is hollow and filled with hydration and is ever-changing in movement. One fibrous segment of your fascia’s ‘web’ can morph into two segments during movement! Yes, the fascial fibers have the ability to morph! They slide in and out of themselves as our body moves!

The movements of fascia are purely chaotic yet completely organized. It has been poetically described by a group of Italian osteopaths “The fascial continuum is like a flock of birds flying together without a predetermined logic and maintaining their individuality at the same time” Leave it to the Italians to find such beautiful words to describe fascia!
See: Bordoni, Marelli, Morabito and Sacconi

Fascia, one fiber morphing into two.
Photo clip from Jean Gimberteau’s impressive film ‘Strolling Under the Skin’.
A must see for any bodyworker!

 

 

This magical web of fibrous material, filled with hydration, has a fractal, icosahedronal architecture (Photo below). Ease of movement is achieved as long as the hollow fascial fibers are well hydrated and nourished by the ground substance in the extracellular matrix (the stuff around the cells that absorb water).

Icosahedron vertices form three orthogonal golden rectangles.
By Fropuff, Mysid

If all of this, along with a complex pressure system is healthy, then the fascial fibers have mobilty, creating the tensegrity our bodies need to perform and move freely. I believe that a broad, fascial approach (explained below), along with resistance and release, traction and compression and an active pin and stretch approach to bodywork stimulates the ground substance (and hydration uptake), fascial metabolism and fascial repatterining. This helps unwind taught, injured fascia and thus prolongs cellular life.

Many people are developing bodywork styles around fascial discoveries that involve charts and lines. It is crucial to know anatomy and the maps of fascia. In contrast my bodywork follows no charts but works within a broad intuitive map. I continue to resist any idea that I know what is going on and yet I trust what I feel. Following the constantly updated articles posted in medical journals on the fascial system has confirmed that I am spot on in this broad approach and perhaps why the results I get are consistent with pain resolve and increased ROM. <br><br>“The most recent information on fascial tissue indicates that there are not fascial layers, but polyhedral microvacuoles of connective tissue, which connect the body systems and, by hosting specialized cells, permit several functions, such as motor, nervous, vascular and visceral. These microvacuoles (a repetition of polyhedral units of connective fibrils) under internal or external tension change shape and can manage the movement variations, regulating different body functions and ensuring the maintenance of efficiency of the body systems. Their plasticity is based on perfect functional chaos: it is not possible to determine the motion vectors of the different fibrils, which differ in behavior and orientation; this strategy confers to the fascial continuum the maximum level of adaptability in response to the changing internal and external conditions of the cell”. <a href=”https://pubmed.ncbi.nlm.nih.gov/28844209/”><em> See: Bordoni, Marelli, Morabito and Sacconi</em></a>

Dynamic Fascial Response®

This approach to bodywork that I developed over the last 20 years, is a blend of structural therapies and foundational philosophy that produce a dialog of activation and response between the practitioner and the fascia. The response from the fascia releases holding patterns in the fascial body and, as a result, both physiological and emotional changes occur. This method resources and repurposes stuck patterns and can heal trauma, relieve pain, improve posture and health and above all promote peace.

This bodywork may be received passively or involve active client participation.  At times a DFR session  may include Somatic NLP, a dialog process used to better resource unwanted behavioral patterns and for healing emotional trauma.

Certification in Dynamic Fascial Response

Students who are certified in at least 32 hrs of DFR™ courses are free to use the terminology Dynamic Fascial Response™ to describe their work after they have exhibited proficiency through demonstration or video.

DFR Ethics

There will be no touch other than that which is non sexual and fully consensual.

There will be no “isms”  no racism, size-ism, identity-ism, age-ism, etc tolerated in the DFR™ community which prides itself on inclusion.

The DFR™ practitioner will never diagnose a client or work outside of their scope of practice.

FIVE Underlying Principles of DFR™

All parts have positive intentions. All parts have methods they use to carry out their intentions. The methods and intentions are separate and often very different things. These wrapped points have a positive intention. The DFR™ practitioner will reframe by thanking these points for holding on so tight for the client and in some cases, guide their client to reframe the pain as well. Who’s to say what might have happened at the time the wrapped point chose to constrict or atrophy? They may have fallen apart, be it emotionally or physically. The injury may have gone even deeper. It is unknown. So first we thank the wrapped point for working so hard for the client. Then as we unwind the fascia we invite the wrapped point to use the breath as a new resource to carry out it’s positive intention instead of holding on so tight in an unhealthy postural pattern.

DFR™ Philosophy

DFR™ bodywork allows for a paradigm lift from the limited construct of deep tissue to the unlimited field of dynamic fascial response. The success of adopting the DFR™ style begins with a shift of perspective. All that we are and all that we do arises from what we think and believe, our perspective. The DFR™ practitioner abandons the old ways of focusing their attention on the wrapped point(s), because for years they may have approached their clients ailments in this way to no avail. <br> <br>When the DFR™ practitioner visually assesses their client’s body, their eyes are seeing way beyond the problem area or area of complaint. They are looking at the way everything is attached from head to toe, knowing that all along now, there is this fibrous, collagen-filled web of life running through this spirit-filled client in a body that already has everything it needs to heal. It just needs the right environment to do so. <br> <br> For instance, I would be working the levator scapulae, neck and occiput area trying to relieve headaches, neck and shoulder tension and my clients’ body kept bouncing back to the injured holding pattern. This was exhausting my body because I was over-efforting, and affecting my clients’ time management and finances because they had to have repeated sessions. Since I began practicing DFR™ I have not had to pay for advertising and all of my clientele is word of mouth. One needs to book a week or two ahead to get a session and sometimes I have to put clients on hold as I cannot take on new clients. I’ll add that though “fixing” someone is never my goal, I have had several clients say “you fixed me”. I never heard that feedback when I was solely practicing deep tissue bodywork. It’s important to note that DFR is not absent of deep tissue bodywork. We just don’t allow it to dominate a session. Dynamic Fascial Response™ bodywork is what leads the session.

Wrapped Points

Many clients seek massage for various reasons, however, the most common client seeks bodywork to heal acute ailments in specific areas of their body. Whether it be due to emotional trauma, postural patterns or physical injury, DFR™ calls these specific areas “wrapped points”.

Wrapped points are points of tightly wrapped and trapped postural, physical or emotional trauma caused by an event, accident, overuse, hereditary traits, repetitive movement, physical or emotional stress. In these points you would find built up layers of fascia in a fixed, restricted pattern with a lack of blood supply, hydration and oxygen.

Fascia is healthy when hydrated and fractal, not dry and fixed.

Wrapped points result in a holding pattern that involves and incorporates the fascia of the direct area, surrounding area and in many cases, like that of the jaw and pelvic floor or hip and foot, can run a holding pattern throughout large portions of even the entire body.

Accommodate

There are also times when, through your visual assessment and intuition, it is obvious that room is needed elsewhere first before engaging in direct dialog with the wrapped point. First, there needs to be a neutral or released space created in order to accommodate for the change to take place for the wrapped point. This method called “accommodating or, to accommodate” can also be used to start a session.

The 10 Modalities Used in DFR™

  • Slow fascial release stroke with little to no oil.
  • Pin and stretch (MET, Muscle Energy Techniques) with little to no oil to increase range of motion.
  • Resistance and release for active muscle release at full ROM (Range of Motion)
  • Slow and safe compression and traction to encourage circulation and mobility of joints.
  • Cross fiber friction to tonify muscles
  • Deep tissue to release shortened muscle
  • Acupressure to encourage gastric motility.
  • Oil effleurage to activate the parasympathetic nervous system.
  • Lymphatic drainage to help the heath of overall tissue
  • Energy work to activate the parasympathetic nervous system

Lower Cortisol ~ Be sure to incorporate delicious oil runs.

Cortisol is the stress hormone known to cut off circulation and disable healing. Knowing this, you do not want to create a session of all work for your client.

Once the wrapped points are tended to, add oil for a bliss experience that will anchor in the change by activating the parasympathetic nervous system. This will lower cortisol levels and enable a healthy internal environment for better blood and oxygen circulation and collagen formation. Circulation cannot improve in a stressed environment.

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Chula Gemignani  is the author of A Dynamic Guide To Pregnancy Massage. She is a certified massage therapist and somatic guide,. She teaches courses and certifications in Dynamic Fascial Response in Nevada City.  Her classes are a great way to inspire your practice with new techniques and perspective. Join her classes in the Sierra Foothills or invite her to your city.

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