Does thoracic rib pain improve with myofascial release (MFR) therapy?

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From the Research

Thoracic rib pain can be effectively managed with myofascial release (MFR) therapy, as evidenced by the most recent and highest quality study, which found that Bowen therapy, a form of MFR, produced statistically significant and clinically relevant results in reducing pain and functional disability in patients with thoracic myofascial pain syndrome 1.

Key Findings

  • The study published in 2023 found that Bowen therapy was more effective than the tennis ball technique in reducing pain and functional disability in patients with thoracic myofascial pain syndrome 1.
  • Myofascial release therapy, including Bowen therapy, works by breaking up adhesions in connective tissue, improving blood flow, and releasing trigger points that refer pain to the ribs.
  • The technique helps restore normal tissue mobility, reduces muscle guarding, and improves breathing mechanics, which is particularly beneficial for thoracic pain since restricted fascia in this area can impair respiratory function and perpetuate pain cycles.

Treatment Recommendations

  • Seek treatment from a physical therapist, chiropractor, or massage therapist trained in myofascial release techniques, typically requiring 2-3 sessions per week for 2-4 weeks.
  • Each session usually lasts 30-60 minutes.
  • Between professional treatments, patients can perform self-myofascial release at home using a foam roller or tennis ball against a wall, applying gentle pressure to tender points for 30-90 seconds while taking deep breaths.
  • Combining this with gentle stretching of the chest, upper back, and intercostal muscles can enhance results.

Rationale

  • The most recent and highest quality study 1 provides strong evidence for the effectiveness of myofascial release therapy in managing thoracic rib pain.
  • The study's findings are consistent with the underlying principles of myofascial release therapy, which aims to restore normal tissue mobility, reduce muscle guarding, and improve breathing mechanics.
  • The treatment recommendations are based on the study's findings and are intended to provide a comprehensive approach to managing thoracic rib pain.

References

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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