Three articles on PainSci cite Schleip 2003: 1. Shin Splints Treatment, The Complete Guide 2. Thixotropy is Nifty, but It’s Not Therapy 3. Does Fascia Matter?
PainSci commentary on Schleip 2003: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.
This paper neatly dissects and dismisses as inadequate some prominent historical explanations for the alleged phenomenon of a fascial “release,” such as thixotropy and piezoelectric signalling. Schleip also does a good job of explaining how tough fascia is, and provides a good primer on a menagerie of mechanoreceptors in soft tissue (nerve endings that detect various pressures and tuggings and sheerings). From there the paper slides into fairly far-fetched speculation about what a “release” might actually be. The general implications are pretty trivial — imagine, the human body might respond to stimuli! — and none of it really has all that much to do with “fascia” per se, and (more importantly) we have no idea whether or not any of it constitutes a meaningful mechanism for a “therapy.” I can make someone twitch their quadriceps by bonking their patellar tendon: does it matter, other than as a test of the reflex itself?
All the speculation rests on a single weak premise: that what therapists believe they are perceiving is a real phenomenon in need of explaining, a palpable movement/shift in the tissue. There may be such a thing, but it’s certainly not a safe assumption. It may well be that the only phenomenon that needs an explanation is why therapists are so convinced that they perceive “releases” in the first place.
~ Paul Ingraham
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- Photobiomodulation therapy is not better than placebo in patients with chronic nonspecific low back pain: a randomised placebo-controlled trial. Guimarães 2021 Pain.
- No effect of creatine monohydrate supplementation on inflammatory and cartilage degradation biomarkers in individuals with knee osteoarthritis. Cornish 2018 Nutr Res.
- The CANBACK trial: a randomised, controlled clinical trial of oral cannabidiol for people presenting to the emergency department with acute low back pain. Bebee 2021 Med J Aust.
- Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects. Gerhart 2017 Ann Behav Med.
- Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain. Zhou 2020 Sci Rep.