In the past 15 years, multiple articles have appeared that target fascia as an important component of treatment in the field of physical medicine and rehabilitation. To better understand the possible actions of fascial treatments, there is a need to clarify the definition of fascia and how it interacts with various other structures: muscles, nerves, vessels, organs. Fascia is a tissue that occurs throughout the body. However, different kinds of fascia exist. This presentation will demonstrate that symptoms related to dysfunction of the lymphatic system, superficial vein system, and thermoregulation are closely related to dysfunction involving superficial fascia. Dysfunction involving alterations in mechanical coordination, proprioception, balance, myofascial pain, and cramps are more related to deep fascia and the epimysium. Superficial fascia is obviously more superficial than the other types and contains more elastic tissue. Consequently, effective treatment can probably be achieved with light massage or with treatment modalities that use large surfaces that spread the friction in the first layers of the subcutis. The deep fasciae and the epymisium require treatment that generates enough pressure to reach the surface of muscles. For this reason, the use of small surface tools and manual deep friction with the knuckles or elbows are indicated. Due to different anatomical locations and to the qualities of the fascial tissue, it is important to recognise that different modalities of approach have to be taken into consideration when considering treatment options.
The aim of this presentation is given an overview about the gross and histological anatomy of the superficial and deep fasciae. A general schematization of the subcutaneous layers and its regional variations will be presented. The relationship with the muscles, vessels and nerves will be discussed, focusing the possible role of the fasciae in proprioception.
This presentation could contribute to the clinician’s understanding of the biomechanical behaviour of the fasciae, their role in acute and chronic myofascial pain syndromes and of the real effectiveness of different therapies.
This content consists of a 58 minute video presentation professionally produced by Whole Being Films and presented at the British Fascia Symposium 2016 by Carla Stecco MD.
Register today to access free content
Buy today for £6.50
This article is also available within other
subscriptions. View options
Carla Stecco MD is an Orthopedic Surgeon and Professor of Human Anatomy and Movement Sciences at the University of Padova. Founder Member of the Fascial Manipulation Association and of the Fascial Research Society. Member of the Italian Society of Anatomy and Histology, of the Association Française des Morphologistes and of ISMuLT. Scientific activity devoted to the study of the anatomy of the human fasciae from a macroscopical, histological and physiopathological point of view.
Carla has personally completed over 100 cadaver dissections for research. Since 2000 she has organised and personally held theoretical-practical courses on the Fascial Manipulation technique in Italy and other countries. Author of more than 100 in extenso papers on fascial anatomy, 80 indexed in Pubmed. Author of two books about the Fascial Manipulation technique (Piccin ed), translated into English, Spanish and Japanese, and of some chapters about fascial anatomy and the Fascial Manipulation Technique. Author of the “Functional atlas of human fasciae” (December 2014, Elsevier ed.).
Thank you. Your account has been created and you have now been logged in. We will send you an email so that you can set your password for future use.
Unfortunately your current subscription does not include access to the new Co-Kinetic Business Growth and Marketing section. This is either because you have an old legacy Full Site subscription which requires an upgrade or you have another subscription which doesn't include access to the Business Growth element of the site.
This new part of the Co-Kinetic platform is designed to:
To access this new section, we need you to upgrade to add the Business Growth subscription to your account. (more details here).
Don't worry, it's RISK FREE. If you don't wish your subscription to continue after this time, simply
cancel your Business Growth subscription before the trial expires and your original content
subscription will continue as before.