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From Allied Health Education, “Low back pain (LBP) affects at least eighty percent of Americans, resulting in significant financial burden and loss of quality of life. According to the Clinical Practice Guidelines, mobilization is an important component of back pain management. Too often clinicians are ready to perform joint manipulation/mobilization with disregard for the soft tissue component of LBP. Myofascial restrictions may limit spinal mobility and function, and must be addressed as part of a plan of care. Fascia is a three-dimensional matrix of tissue that envelopes every system of the body. When spinal fascia becomes scarred from inflammation, injury, postural habits or disease, its tension adversely impacts functional mobility and physical activity. Symptoms may be remote from the apparent area of injury, including referred pain, stiffness, muscle weakness, nerve impingement, organ dysfunction, and abnormal sensations. Manual release of the abnormal tension is essential to manage painful restrictions and to restore mobility and function. Learn how to identify fascial restrictions using motion testing and palpation. Apply specific MFR interventions to stretch mobility impairments, improve circulation, and decrease pain in people presenting with LBP to achieve improved functional outcomes.”