What should I expect from my first appointment?

The therapist will review and discuss your Health History Form and your needs/goals for therapy. Your current pain level, past injuries, accidents, surgeries and traumas throughout your life, these are all clues to your fascial restrictions.  The therapist will look at your body in standing position to see myofascial restrictions, and then feel for tensions throughout the body both standing and lying down. MFR is performed directly on the skin by the hands of the therapist, usually on a massage table. We do not use lotions or oils of any kind during Myofascial Release. Please be mindful and do NOT apply lotion or oil to the skin the day of treatment. Occasionally to gain best access to the restrictions, treatment is given while seated or on the floor in gentle stretching positions. You will also be given self-treatment techniques to continue at home. Any questions or concerns can also be addressed during and after the session. 

What should I wear during treatment?

When receiving Myofascial Release female clients usually wear undergarments, loose shorts and a sports bra or other stretchy clothing. Male clients wear undergarments or loose elastic waist gym shorts. This facilitates the initial postural evaluation and the natural movements of the body during treatment. Therefore, wearing undergarments or loose-fitting exercise shorts is ideal for both comfort and ease of working on the body.  Loose tank tops can be worn if additional covering is preferred. We do not use lotions or oils of any kind during Myofascial Release. Please be mindful and do NOT apply lotion or oil to the skin the day of treatment.

Will I be covered during the session? 
Unlike massage, Myofascial Release encourages movement. Movement is usually impeded by sheets or blankets. However, when you are being treated on the treatment table, you always have the option of a cover. Modest draping with a full-size sheet is provided should you require it. Your comfort is our priority.

Should I talk during my treatment session?

Initially, verbal communication is necessary with your therapist.  You are in control of the session at all times. You have safety words like “ease up” or “halt” which indicates to your therapist that the pressure is too much, or you would like to stop at that particular moment, for whatever reason. The therapist will respect your wishes to do so.  Everyone has different tissue sensitivities, and each therapist, a different touch. You should communicate to your therapist any areas of “therapeutic pain” that come up during treatment, as it can be indicative of where a fascial restriction occurs. Emotions may surface during a release, and you are encouraged to express yourself emotionally as needed or vocalize as it feels right.  Your therapist may dialogue with you during this time. You are never obligated to share what surfaces for you, unless you want to.  This is and can be an important part of your healing.

How will I feel after an MFR session?

Many people feel great when they experience structural releases.  Some people report feeling energized, uplifted, and a deep sense of relaxation.  They can move around better than when they arrived after years of being restricted. Sometimes we experience what is known as a Healing Crisis. You may experience mild muscular soreness, heightened emotional awareness, temporary exacerbation of pain, or have a generalized feeling of malaise.  This is a good sign that your body is releasing. Your body may just need time to adapt as it learns a new way to move.  Please drink plenty of water and relay any healing crisis to your therapist. Follow up treatments, self-treatment, and performing your home program will help this clear. It usually resolves in a few hours to a few days.

Why do I need to drink extra water before and after treatments?

MFR releases toxins as restrictions are diminished. Drinking extra water ensures that such toxins are flushed out of the system. It also replenishes the fascia that was unable to receive hydration and nutrients when restrictions existed.  Drinking water restores the function of the fascia that has just been released.  A good start is drinking half your body weight (in pounds) in ounces of water. So, if you weigh 180 lb. then your intake would be 90 oz of water/day.  If you work out or sweat a lot, then add 8 oz per hour of activity.  Drink throughout the day. 

How long will it take before I start to notice a difference?

Every individual responds differently based on factors such as the duration and severity of medical history, current lifestyle, motivation levels, frequency/consistency of visits, and ability to maintain compliant with treatment sessions and given home stretching/home exercise regimens. You can speed your recovery time by maintaining compliancy, drinking plenty of water, eating right, getting rest, being accountable, and taking on an active role in your self-care. 

How many sessions will I need?

There is no "one size fits all" answer. It is impossible to estimate how long a person will need treatment. Even with similar diagnoses, each person is very individual in terms of complexity of the problem, and responsiveness to the treatment.  For some even just one session can impart a lifetime of changes, though most feel improvement within the first few treatments.  Even one session is better than none!  There is no formula on how many treatments are needed because no two people are alike.  Every “body” tells a different story.  Treatment results vary with each individual.  Generally, goals are reached within four to twelve weeks of treatment, 1 to 3 times per week. Chronic and more severe conditions will require greater frequency and increased length of treatment.  However, each person is unique in their needs, responsiveness, expectations, financial and time constraints, and we can work together to decide what is the best course of action. There is no protocol that must be followed, and you are free to decide what works best for you. Our ultimate goal is to empower you with tools/techniques you can use at home to manage your own symptoms.

Are there any contraindications to receiving Myofascial Release Therapy?

Yes. The conditions include malignancy, aneurysm, and acute rheumatoid arthritis.   Regional contraindications include: hematoma, open wounds, healing fractures, anti-coagulant therapy, advanced diabetes, sutures, osteoporosis or advanced degenerative changes, obstructive edema, febrile state, cellulitis, systemic or localized infection. Please inform your therapist of any of these conditions. 

How do I know if I have a Myofascial Restriction?

We all have myofascial tightness here and there which often resolves with normal everyday movement. It changes throughout the day depending on what we are doing with our bodies.  However, when this “tightness” becomes more severe, it can pull the body’s skeletal system and organs out of alignment, alter function, and/or produce pain.  This is what we call it a myofascial restriction. Severe Myofascial restrictions will not loosen on their own with normal, daily movement. Sometimes specific stretches or a self-treatment plan using MFR principles may remove the restriction. Other times it will require the therapeutic help of skilled hands to feel where the restrictions are and to release them.  The good news is that MFR is extremely effective at providing lasting relief by addressing the underlying problem. Myofascial restrictions and their painful manifestations are not visible on x-ray, MRI, or CT scans.  

Does MFR hurt? 

To the recipient it feels like gentle sustained pressure with the therapist’s hands directly on your skin. Releases can feel like butter melting, taffy stretching, or softening imprints into clay. In areas that are extremely tight, it may feel like a mild rope burn but will never be outside of your comfort level.  The holds vary in length depending on tissue response, and many describe a warm or vibratory sensation.  Occasionally, some have experienced “therapeutic pain” during their treatment. It will not injure you and is just tissue memory. 

What are the benefits of Myofascial Release? 
Myofascial Release can help release chronic muscular tension and pain, improve circulation, increase joint flexibility, reduce mental and physical fatigue and stress, promote faster healing of injured muscular tissue, improve posture, and much more.  Myofascial Release is also known to promote better sleep, improve concentration, reduce anxiety and create an overall sense of well-being. 

How long should I expect my session to last?

Your initial session will be 90 mins, follow-up sessions may be either 60 or 90  mins. 

How much does a MFR treatment session cost?

      60 mins $125

       90 mins $180

What forms of payment does Las Vegas Myofascial Release accept?

Payment is expected at the time of treatment. Cash is preferred, Credit and Debit Card are also forms of acceptable payment. Las Vegas Myofascial release Gift Certificates are also accepted. We will be happy to provide you with a payment receipt so you can submit to your insurance company. Reimbursement will depend on your policy cover for massage therapy.

How do I find out more about MFR?

John Barnes’ website,, is an invaluable source of information. In particular, click on resources, then articles for more information.