Myofascial Release Course

Myofascial Release Course This course teaches the principles of fascia carrying chronic tension in the body and demonstrates t Myofascial Release Courses - 2 day

23/05/2025
Do you suspect anyone having a Cauda Equina Syndrome?
14/05/2025

Do you suspect anyone having a Cauda Equina Syndrome?

The cluneal nerves are sensory nerves that supply the skin over the buttocks. They’re divided into three groups: superio...
03/05/2025

The cluneal nerves are sensory nerves that supply the skin over the buttocks. They’re divided into three groups: superior, middle, and inferior cluneal nerves.

The superior cluneal nerves come from the dorsal rami of L1–L3 and pass over the iliac crest. These are the most clinically relevant, especially in cluneal nerve entrapment, where they get compressed as they pass through the thoracolumbar fascia near the iliac crest. That can cause local buttock pain, sometimes mimicking lumbar radiculopathy.

The middle cluneal nerves arise from the dorsal rami of S1–S3 and innervate the skin over the sacrum.

The inferior cluneal nerves are branches of the posterior femoral cutaneous nerve and supply the lower part of the buttock, closer to the gluteal fold.

When someone presents with vague buttock pain, especially near the iliac crest, and imaging is unremarkable, superior cluneal nerve irritation is sometimes worth considering, though it’s easily overlooked.

Treatment for cluneal nerve irritation, particularly superior cluneal nerve entrapment, is usually conservative to start with. Manual therapy can help reduce irritation where the nerve passes through the fascia over the iliac crest—this might include gentle soft tissue work, mobilisation around the thoracolumbar junction, and movement-based strategies to desensitise the area.

Sometimes adjusting how the person moves or loads that side can reduce irritation. If it’s aggravated by prolonged sitting or direct pressure (like leaning on that side), modifying those behaviours helps.

In more persistent cases, local anaesthetic or corticosteroid injections at the point where the nerve pierces the fascia can be both diagnostic and therapeutic. Rarely, surgical decompression is considered, but that’s typically only when everything else fails.

It’s often misdiagnosed, so making sure the pain isn’t from referred lumbar or SIJ sources is part of the process. But when it is the cluneal nerve, direct mechanical irritation at the iliac crest is usually the driver.
Doctor of physical therapy

My next Myofascial Release Workshop is on May 8th and 9th at Golden Egg Holistic, Portlaoise.
24/04/2025

My next Myofascial Release Workshop is on May 8th and 9th at Golden Egg Holistic, Portlaoise.

Myofascial Release Course Presented by Laurence Hattersley B.Sc. DO MOCI CST-P MIACST Upcoming Course Dates: May 8th & 9th 2025   Laurence is a registered osteopath with over 26 years experience. Laurence has extensive experience teaching anatomy and physiology, including western medical studies fo...

23/04/2025

Jaap van der Wal states:
SAVE THE FASCIA (positive version|).
Three good arguments to participate in the 7th International Fascia Research Congress in New Orleans from August 10-14, 2025.
(In another FB post a more negative version with four arguments NOT to attend this congress).
1.
A select group of wise anatomists and experts will present a proposal at this congress, as part of the already long-running nomenclature discussion on fascia, to arrive at an anatomical-functional definition of the so-called "fascial system." See the December 20, 2024 Journal of Anatomy (DOI: 10.1111/joa.14212). However, I cannot appreciate this proposal other than yet another attempt to categorize fascia or the possible "fascial system" as an anatomical-functional system and define it within the straitjacket of the reductionist anatomical view. Again, the dissection method, i.e. foundation of the anatomical mindset that I so often question and sometimes detest (hello, I have been a licensed medical anatomist-embryologist for 40 years), is employed to make fascia "something anatomical”. Right in itself, I suppose there could be such a thing as "fascial anatomy (although it still sounds to me as a contradictio in terminis)" but the approach in the aforementioned article produces a definition that, like Vesalius' "muscle (hu)man," cpould be considered an (anatomical) artifact. I have had many opportunities to argue that, and you can read about it in the first chapter of David Lesondak's book entitled Fascia, Function and Medical Aplication. 20221 (and in The Tensional Network of The human Body by Schleip, Findley, Ch 2.2, among others).
I challenge you as a movement therapist, as an osteopath, as a craniosacral therapist, as a MELT trainer,as a Pilates trainer therapist etc etc whatever your professional background is to deal with, to work, to treat fascia, to ask yourself if this substrate corresponds to 'your fascia'. The fascia of the dimension of the first body, of the body that we are (and that, for the record, is not the body of science and anatomy). Ask yourself whether the definition of the fascial system offered here should not be broadened with a definition in a broader sense that encompasses the definition presented here now but also does justice to the holistic and complementary nature of "fascia.

2.
There will be a fascinating film (with discussion afterwards) on the life of and her passage through science of Ms. Ida Rolf, made by Ales Urbanczik. She was a biotensegrity thinker avant la lettre, and her philosophy revolves around the concept of the fascial web as well as gravity or, in other words, man's balancing upright body, physically, psychologically and spiritually. (The latter is also an essential theme of my vision of the human embryo). She would certainly not have found herself in the definition of the facial system as it is now before us

3.
There will be an interesting poster presented by David Wronski about Structural Integration. - Gravity an unexplored factor in a more Human use of Human Beings. Watch it.

There is also no such thing as a "muscular system" or a system of muscles. In every anatomy book there is a chapter on muscles entitled MYOLOGY, which includes not only the so-called skeletal muscles, but also mimic muscles, smooth muscles, cardiac muscles and laryngeal muscles. At most one speaks of a musculo-skeletal system (as substrate for the so-called posture and movement system), also such a poor reduced anatomical definition. But there is no such thing as a muscular (tissue) system. So too with fascia. There are plenty of fasciae in the body, with all kinds of functions (not all shearing mobility and tensional loading) but to rake them together and define fascia as a system as the Christmas tree of fasciae is perhaps anatomically defensible but does not deal with the fascia as web or communication and self recognition (Schleip). Just as the muscle man does not exist in the primary reality of the body namely the reality in which we move, so does fascia, except as the aggregation of a large number of connective tissue structures or so-called fasciae also exist in another way. (Just recently Carla Stecco boasts of a piece of recognition of fascia by having produced a publication in a reputable journal of anesthesiology and announces her article as dealing with the innervation of FASCIAE, as if fasciae, like muscles(?), are unambiguous anatomical elements!.
I think the discussion should rather be about a possible revision and redefinition of the concepts of connective and muscular tissue, but who would dare to question this ancient, widely accepted and still applied sacred four unity of tissues? Similarly, the embryo dramatically challenges the sacred trinity of ectoderm, mesoderm and endoderm and seems to indicate that the mesenchyme may well be the representative of the embryonic "meso. That mesoderm is not a (third) layer at all but a dimension, namely that of the interiority, of the "fabric of the body," of fascia in other words.

Go to New Orleans to "save" the fascia from the anatomists and take the following quotes and definitions and consider which ones may and may not belong in it or in your list:

Stecco et al (zie boven):
A layered body-wide multiscale network of connective tissue that allows tensional loading and shearing mobility along its interfaces;
Stephen Levin:
Fascia is the fabric of the body, the matrix. Not the investment, the coverings of the corpus. All organs are embroidered into the fascial fabric;
J.C. Guimberteau:
“Fascia is the tensional, continuous fibrillar network within the body, extending from the surface of the skin to the nucleus of the cell. This global network is mobile, adaptable, fractal, and irregular; it constitutes the basic structural architecture of the human body.”’;
Findley & Schleip, 2007.
Fascia is ubiquitous, everywhere in the body. It permeates the whole body, forming a continuous three-dimensional matrix of structural support which interpenetrates and surrounds all tissues and organs. (....) Fascia is both a tissue and a system;
Andrew Taylor Still:
The soul of man, with all the streams of pure living water, seems to dwell in the fascia of his body;
Ida Rolf (Structural Integration):
“Fascia is the connecting line between the psyche and the soma”(deze quote wordt door Rolf-biograaf Ales Urbanczik niet herkend maar wel gebillijkt).
Ales Urbanczik about Ida Rolf:
“She became more and more convinced that the fascial web is more than simply a physical phenomenon; it is a manifestation of someone's entire being”.
Christine Wushke:
Fascia is a vibrating liquid crystal matrix that yields to energy and soft pressure;
Neil Theise:
The fascial interstitium is a body-wide network through which water and solutes can flow. It's actually not an organ. It's a system”.
Jaap van der Wal’:
Fascia as integrity ‘system’. It is ‚everywhere‘, it connects, and it creates space. It enables movement and it ‘mediates’, in a mechanical way and in a spatial organization. It is our ‘organ or dimension of innerness’

🎊🌲Between the years, we traditionally announce our "Best-of series" of the most influential posts of 2024 on FB.📣 today ...
07/01/2025

🎊🌲Between the years, we traditionally announce our "Best-of series" of the most influential posts of 2024 on FB.

📣 today 🥇 2

Anatomy of the Plantar Fascia 🦶

👉 The plantar aponeurosis (PA) originates from the calcaneal tubercle and extends to the forefoot. The aponeurosis consists of a medial, central and lateral part. The medial and lateral parts attach to the abductor hallucis and the musculus abductor digiti quinti pedis, respectively. These parts are usually categorized as “fascia”. The central part is thicker and is considered an “aponeurosis” (https://www.ncbi.nlm.nih.gov/books/NBK526043/).

👉 As the central aponeurosis extends towards the forefoot, it divides into five separate bundles. These bundles radiate towards and attach through the plantar plates to the proximal phalanges (https://pubmed.ncbi.nlm.nih.gov/12831690/, https://pubmed.ncbi.nlm.nih.gov/13129168/). Most anatomic studies of the PA have focused on its attachment to the calcaneus. Detailed descriptions of each central PA bundle are rare.

👉 There is dorsiflexion of the metatarsophalangeal (MTP) joints during walking. The PA tightens via a windlass mechanism first described by Hicks (https://pubmed.ncbi.nlm.nih.gov/13129168/). All five bundles contribute to raising the foot arch. It is not known whether dysfunction of only one central bundle could affect this mechanism.

📸 Picture: Great view of a dissection of the sole of the foot showing the anatomy of the plantar aponeurosis (PA).

1. Longitudinal digital tracts of the PA.

2. Abductor digiti quinti muscle.

3. Lateral component of the PA.

4. Central component of the PA.

5. Medial component of the PA.

📘 Source: https://www.sciencedirect.com/science/article/pii/S1268773121000023

https://www.anatomy4beginners.com/
31/12/2024

https://www.anatomy4beginners.com/

Anatomy and Physiology needs a guiding hand. This anatomy and physiology video course is one to which you can return repeatedly. It has ITEC recognition and taught by an Osteopath experienced in teaching

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