A variety of things can cause tension in the fascia. Poor posture is a classic example, but the fascia can also be stressed through injury, over-exercise, and poor diet. In fascial release, the therapist feels for areas where the fascia is obviously tense, looking primarily for areas of heat and hardness. When an area of tension is identified, the therapist can use several different techniques to release it, encouraging the fascia to relax. This will resolve the hardness, so when the therapist palpates the area again, it will feel much softer.
When therapists use direct fascial release, they follow the tension in the fascia to its source, and then they apply gentle pressure to the site to encourage the fascia to release. Generally, after the area is held for one to two minutes, the tension releases, allowing the fascia to go slack. Therapists can also address strain indirectly, with gentle stretches of the body around the problem area.
Fascial release can be intense. Although a good therapist will move slowly and carefully, working within the client's limits, when an area of strain releases its tension, it can be momentarily painful. Sometimes, fascial release also hurts when the therapist puts pressure on the rigid area.
Clients may want to start out slowly, requesting indirect fascial release to get used to the experience. The massage therapist will still palpate the body to look for target areas, but the technique used to release the strain will be less invasive. Clients should also be careful to communicate well with their massage therapists; if something hurts, they should speak up, because intense pain can be very counterproductive.