What are key considerations for performing myofascial release on the neck safely?

Myofascial release (MFR) techniques for the neck must be performed with precision and awareness due to the presence of delicate structures such as arteries, nerves, and the cervical spine. The three primary endangerment sites to be mindful of are the suboccipital triangle, the anterior triangle (containing the carotid artery and jugular vein), and the posterior triangle (where the brachial plexus and subclavian artery pass). It is essential to palpate carefully and avoid excessive pressure in these areas to prevent adverse effects.

Effective MFR techniques include releasing the lateral neck fascia, addressing the ligamentum nuchae, and massaging the sternocleidomastoid and scalene muscles. These methods help improve neck mobility, reduce muscular restrictions, and restore balance to the cervical spine. Practitioners should use gentle and sustained pressure, following the natural response of the tissues rather than forcing movement. Clients with conditions such as osteoporosis, recent trauma, or vascular issues should be assessed for contraindications before treatment.

This Ask the Expert is an edited excerpt from the course, "Advanced Soft Tissue Approaches for the Neck," presented by Kate Peck, LMT, BCTMB.