Thoracolumbar fascia and massage :
What is the thoracolumbar fascia ? how can it be treated with deep tissue massage ? The thoracolumbar fascia [TLF] is a wide region of connective tissue (roughly diamond-shaped) that encloses the intrinsic back muscles and consists of the thoracic and lumbar portions of the deep fascia. It consists of several layers of crosshatched collagen fibres that cover the back muscles in the lower thoracic and lumbar areas before moving through these muscles and attaching to the sacrum. It is most formed in the lumbar region.
Swedish massage, yet the more deep pressing factor is useful in delivering constant muscle pressure.
The TLF is a multi-layered structure that distinguishes the para-spinal muscles from the posterior abdominal wall muscles, such as the quadratus lumborum (QL) and psoas major.
A two-layered model or a three-layered model has been described in numerous explanations of this structure.
It forms a thin covering for the extensor muscles of the vertebral column in the thoracic zone. It is fixed to the thoracic vertebrae’s spines on the mediolateral side, and to the ribs at their angles on the lateral side. It is also attached to the vertebral spines in the lumbar zone, but it also forms a tight aponeurosis that connects laterally to the flat abdominal wall muscles. It is divided into three layers in the middle: anterior, middle, and posterior. The quadratus lumborum is surrounded by the first two layers, and the erector spinae and multifidus muscles are encased by the last two layers. The iliolumbar ligament, the iliac crest, and the sacroiliac joint are all connected to it below. The thoracolumbar fascia is connected to the supraspinous and interspinous ligaments, as well as the facet joint capsule, by its extensive attachment to vertebral spines.
The three-layered model differs from the two-layered model in the following ways
The Posterior Layer is divided into two laminae :
superficial (LD aponeurosis) and deep (LD aponeurosis). The SPI aponeurosis is present between these laminae above the L4 stage. The MLF is a fascial band that connects the paraspinal and quadratus lumborum muscles (QL). The anterior layer begins anterior to the QL and ends posterior to the psoas, passing between the QL and the psoas.
The Transversalis Fascia has been characterised as an extension of the Anterior Layer.
The fascia anterior to the QL is simply referred to as transversalis fascia by authors who use the two-layered model, and it is excluded from the model.
The back’s superficial muscles are shown in the diagram above. The grey area in the bottom centre is the thoracolumbar fascia.
The latissimus dorsi and serratus posterior inferior aponeuroses dominate the superficial lamina of the TLF’s posterior layer (PLF). Around the paraspinal muscles, the PLF’s deeper lamina forms an encapsulating retinacular sheath.
The TLF’s middle layer (MLF) appears to be derived from an intermuscular septum that separates the epaxial and hypaxial musculature during development.
The deep fascia’s unyielding nature allows it to accommodate and separate groups of muscles into relatively well-defined spaces known as compartments. The deep fascia connects and distributes load between these compartments.
The TLF is a vital component of the myofascial girdle that covers the lower torso and is involved in the following functions :
A sense of security.
transferring the load.
The process of stabilisation.
The thoracolumbar fascia’s attachment to the lumbar spine’s posterior ligaments allows it to help stabilise the vertebral column while it is flexed by creating fascial tension that helps balance the abdominal wall.
The TLF lengthens by around 30% when the spine is in complete flexion compared to the neutral position . This tissue’s lengthening is accompanied by a narrowing of its width. As the spine goes back into extension, this deformation places ‘strain-energy’ into the tissue, which should be recoverable in the form of reduced muscle work.
When you have a deep tissue massage, you run the risk of experiencing side effects. But what exactly are they? And how much of an effect will it have on you?
Many people believe that in order to benefit from a deep tissue massage, it must be painful. This is incorrect!
The majority of deep tissue massage side effects are mild and will go away within a few days of your operation. There are also very unusual but severe side effects. You must consider all aspects of deep tissue massages in order to make an educated decision about whether or not they are right for you.
Deep tissue massage
A deep tissue massage, also known as a Swedish massage, is a form of treatment that focuses on the muscles nearest to your bones and joints. This deep tissue massage helps to realign these muscles and alleviate stress and pain that has built up in them.
Massage therapists do this by applying direct pressure to the affected area with their hands by using a massage oil. In comparison to other types of deep tissue massage, the practitioner hits the sub-levels of muscle more efficiently by using slower movements and deeper pressure.
This form of massage is most effective for treating lower back pain, leg muscle tightness, sore neck, and upper back pain. This deep tissue massage will help with most chronic muscle pain.
Side Effects of Deep Tissue Massage
This counselling treatment is sought out by people who want to feel better and alleviate stress and discomfort. However, there is a chance of any negative side effects as a result of this. Deep tissue massage side effects vary from minor but often reported issues to more severe (but uncommon) issues.
You need all the evidence to make an educated decision about whether a deep tissue massage is right for you. While you might not experience all of these as a result of massage therapy, it’s still important to be aware of the potential side effects.
We’ve compiled a list of reported deep tissue massage side effects, which range from the most common and mild to more uncommon and severe complications.
A source of discomfort
Some people can feel discomfort and pain during and after a deep tissue massage because of the techniques used and the pressure used to reach the lower muscles.
This is a fairly normal occurrence. Any discomfort you have during or after the massage should only last a few days. If the pain continues, seek advice from your psychiatrist or a general practitioner (doctor).
Keep track of how much discomfort you’re in during your massage. The majority of people believe that a deep tissue massage must be painful in order to be effective. This isn’t the case at all.
It can help you get through treatment if you are mindful of how much pain you are in and how much you can take. If you believe it is too hard for you, talk with your therapist and inform him or her. Don’t be afraid to express your concerns and you are the expert on your own body.
Muscle Fatigue and Soreness :
Muscle soreness and exhaustion are two other typical deep tissue massage side effects.
The aim of this massage is to work out the built-up tension in the deeper muscles by penetrating through the top layers of muscle. The muscles are relaxed as a result of this, which is achieved with specific pressure techniques. This, in turn, will result in muscle weakness and soreness. Any discomfort, pain, or exhaustion should only last a few days.