Fascia is a layer of connective tissue below the skin which encases organs, muscles, and bones.The definition has now been broadened to include all collagenous based soft tissues in the body, including cells that create and maintain the extracellular matrix. Fascia is composed predominantly of fibroblasts, myofibroblasts, and macrophages.
It was regarded as a passive structure supporting muscles and organs. Contemporary research shows that it plays a significant role in force transmission, proprioception, regulation of muscle tension, inflammatory processes, and pain generation.
Fascia develops post-birth through movement like crawling and walking, and thickens in response to the demands put on it.
It contracts independently, and provides ~ 30% of the muscle movement force. Healthy fascia allows smooth movement, the layers glide over each other when functioning properly. Damage to its fibers or hyaluronan causes stiffness and can be the reason behind non-specific back pain and myofascial pain. It’s also suggested that inflammation of the fascia might be associated with other idiopathic conditions like fibromyalgia, irritable bowel syndrome and endometriosis.Researchers are also investigating the role of fascia in cancer progression, particularly its potential involvement in cell signalling pathways and metastasis.
Stiffness of fascia can be caused by ageing, menopause, genetic factors, obesity and stress.
Taking care of the fascia includes :
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Static stretching that is holding a pose like in yoga. It relaxes the fibroblasts and reduces inflammation.
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Foam rolling to prevent stiffness.
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Avoiding prolonged sitting
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Staying hydrated
Can understanding fascia change the way we think about pain, movement, and overall health?
MBH/PS