Acknowledgements........................................................... vii
Foreword By John F. Barnes, PT............................................. xi
Introduction............................................................... xv
Section One: Phil's Fascial Journey........................................ 1
Chapter 1 The Lecture on the Floor......................................... 3
Chapter 2 Invisible Kid Scars.............................................. 11
Chapter 3 Appendix Explosion............................................... 20
Chapter 4 Ice Pick in the Back............................................. 27
Chapter 5 Sword to the Neck................................................ 33
Chapter 6 Depression....................................................... 44
Chapter 7 Déjà vu.......................................................... 52
Chapter 8 Shoulder This Storm.............................................. 63
Chapter 9 Pain, Pain, Go Away.............................................. 73
Chapter 10 Aha! MFR!....................................................... 84
Chapter 11 The Path Unfolds................................................ 97
Chapter 12 And the Journey Continues....................................... 112
Section Two: MFR Therapists' Stories....................................... 119
Chapter 13 Ann Devlin-Low, BA, MAT, LMT.................................... 121
Chapter 14 Derek Metzler, MPT.............................................. 143
Chapter 15 Kathy Monkman, BSN, LMT......................................... 158
Chapter 16 Francis 'Chino' Ramirez, DPT, MS, CPT........................... 166
Chapter 17 Kathleen Troust, DPT............................................ 183
Chapter 18 Debbie Walden, MR, RMT.......................................... 190
Chapter 19 Garth Whitcombe LMT............................................. 204
Chapter 20 Ann Udofia, PT, DPT............................................. 214
Chapter 21 Drucilla J. Likens Pape, OTR/L.................................. 221
Chapter 22 Nancy Murray, BSN, RN, MA....................................... 238
Chapter 23 Cathy Covell, PT................................................ 249
Chapter 24 Sandy Whitcombe, LMT............................................ 267
Chapter 25 Laura Probert, MPT.............................................. 277
Chapter 26 Wendy Isom, LMBT................................................ 290
Chapter 27 Linda Aileen Miller, LMT, EAV................................... 307
Afterword.................................................................. 325
Myofascial Release Resources............................................... 329

CHAPTER 1

The Lecture on the Floor

I was writhing in pain on the floor of my soon-to-open, first-ever,leap-of-faith, teeny-tiny wellness clinic.

"Oh NO! Not again! Not NOW!"

It was a Sunday in August of 2004. The clinic space I was about tooccupy was a small suite within a large medical building in ChevyChase, Maryland. Since it was a Sunday, the building was closed anddeserted. I saw and heard no one as I carted painting materials up tothe space on the twelfth floor of the building.

After being a physical therapist for six years, I was beyond excited tostart my own physical therapy and fitness business. In just a coupleweeks, I would see my first patient at TAVO PT & Fitness (laterto become TAVO Total Health). Coupled with the excitement,however, was intense fear and anxiety.

The thoughts of fear and anxiety were relentless: How are you goingto get patients and clients? Why are you starting a business where youknow absolutely no one? How are you going to financially survive? Allyou've got is a treatment table and some rinky-dink exercise things–how are you going to help anyone?

After I finished the few trips back and forth to my car to get everythingI needed, I decided that painting the treatment room would be tasknumber one. The treatment room was only roughly 100 square feetand had no windows. I picked a cheery bright yellow paint to givesome illusion of natural light in the room.

I popped the top of the paint can. I bent down to pick up the littlewooden stir stick and WHAM!!!!

Excruciating pain ripped through my lower back. Within two secondsI was face down on the floor, writhing in pain. The pain was sointense it was difficult to breathe. It was, by far, the worst episode I'dexperienced since I first injured my lower back in 1989. I saw that mycell phone was about two feet from my head. I tried to crawl to myphone but every attempt at motion caused the pain to intensify.

Panic set in. I knew from past experiences with my spine "going out"that I could be out of commission for hours or even days. I tried onemore time to get to my phone. It was impossible. For four long hoursI lay on that floor in agonizing pain.

But, those four hours on the floor were completely pivotal to thetransformation that was about to unfold in my life. Let me explain.

At this point in my life I was thirty-two years old and dealing withmore chronic spinal pain than the majority of my patients twice myage. There were days when I would simply turn my head and kick offa two-week long neck spasm with stabbing pain into a shoulder blade.There were other days where my mid-back was so tight and painful thatI'd have to excuse myself from a treatment session to pop my ribs andvertebrae back into place with a foam roller or with tennis balls. Therewere other days where my lower back had so much pressure within it,it felt as if it would explode if I made a movement it did not like.

This was my daily life. I will go into greater detail within the book,but for now I want to get back to the lessons that unfolded duringthose four hours on the floor.

The voices in my consciousness now had me as a very captive audience.They had four hours to give me the lecture of a lifetime. Of course,I cannot recall the specifics of everything that was "said" but I couldnever forget the core messages, insights, and questions. I will do mybest to convey what transpired in that chunk of time on the floor.

The Lecture on the Floor

So, here you are again.
You help so many people, Phil, when are you going to help yourself?
Are you not important?
Do you not deserve to have a better life?
Do you even love yourself, Phil?
No, really, do you?
You are starting your own physical therapy
business and you are basically crippled!
When are you going to wake up?
WAKE UP, PHIL!!!
W A K E U P!!!
What's it going to take to get your attention?
Do you want to be in a wheelchair by the time you are forty?
It's time.
Now.
It's time for you to help YOU!
It's wonderful that you help people ... now help YOU.
We will give you some credit – you have
tried some things to help yourself.
You became a therapist and fitness trainer.
You have taken many classes.
You have read lots of books.
You have tried therapy and massage.
This knowledge and experience has helped
you become good at what you do.
But it hasn't helped you one bit to GET BETTER YOURSELF.
You've been searching.
You have been searching, we know.
Do you remember ...
You were talking to Laura
about the work
you were doing with your patients.
You said that it felt like you were being
pulled deep into their muscles.
Even though you were only putting light pressure into their bodies.
You said it was strange that these people
seemed to be getting better quickly,
Even though it felt as if you weren't doing much.
Do you remember?
Laura said "It sounds like you are starting to naturally do
myofascial release – you need to take a John Barnes class!"
Do you remember?
This IS what you need to do, Phil!
This is a piece of your puzzle!!!

The lecture ended and, almost instantly, I was able to move. I still hada great deal of pain but I was no longer pinned down in a heap on thefloor. I crawled to my cell phone and called for help.

The lecture sunk in on a cellular level. I really got it. I listened. Ofcourse I also thought I'd just spent four hours in crazy-land! Wherewere these voices coming from? I should clarify that there weren'tactually audible voices. Nothing could be heard in my ears. These werelike telepathic messages zapped directly into my consciousness.

Within a few days, when my back pain subsided, I did some researchon MFR. I borrowed my friend Laura's MFR book, written by John F.Barnes. As I started reading the book I recall feeling my body start tobuzz. This is the first time I recall having this sensation, but it's now acommon sensation for me when I am encountering "my truth." Whensomething crosses my path, and I literally start to buzz, I know it'ssomething that is relevant to me and my journey! When somethingresonates for me, I buzz.

I knew that I needed to take one of John Barnes' introductory MFRcourses. My challenge was that I just left a well-paying salaried jobto leap into the gaping unknown of starting my own clinic. I was sostressed about being able to pay my bills and the overhead of my newclinic, how was I going to pay for an MFR course? I knew it HAD tohappen as soon as possible so I pulled out my credit card and signed upfor my first class. I took my very first MFR class in Miami, Florida inApril 2005 and it was like stepping into another dimension of reality!

I experienced more pain reduction and increased mobility in my bodyat my first MFR course than I had experienced in fifteen years. Oneof the most amazing revelations was that probably ninety percent ofthe seminar attendees were first-time students of MFR, like I was.How is it possible that I could get such great results by working withtherapists who were just now learning how to do these techniques?Over the course of the three-day seminar I had multiple "Aha"moments. So many things just clicked into place. And I buzzed, andI buzzed, and I buzzed.

* * *

One of Phil's clients shares ...

Cameron

It's hard to put into words what my web is without explaining howunaware I was that such a thing even existed before being introducedto MFR. I started getting frequent migraine headaches when I wasthirteen years old. I quickly went from being a normal, athleticteenage girl with friends, a social life, and good attendance to thetoken sick kid that was always bailing on friends, activities and schoolbecause she wasn't feeling good. Doctors replaced friends, and a darkbedroom replaced any place I would rather be.

As most people who suffer from headaches do, I turned to countlessneurologists for answers. Instead of answers, however, I got drugs– and a lot of them. My medicine cabinet became an arsenal ofpharmaceuticals. And while some of my so-called weapons helpedto decrease the frequency of my headaches, the negative side effectsalways outweighed the benefits. While I may not have had a headache,I was nonetheless still confined to a bed as a result of the drowsinessand sheer confusion from whatever my prescribed cocktail was at thetime. This is essentially what initiated a long downward spiral.

By the time I turned sixteen, I was no longer participating in anysports or athletic activities. During a good week, I would make it toschool at least three out of five days, and good weeks were rare. Myenergy level was non-existent, and my grades suffered as a result, notto mention my self-confidence. While I tried to live as normal a life aspossible, there was nothing normal about a young adult that couldn'tfunction due to severe headaches. I developed debilitating insecurities,and anxiety began to control both my body and my life.

As a result, my body became increasingly weaker to the point that Icouldn't stand for prolonged periods of time without experiencingimmense amounts of back and neck pain. Naturally, this pain wouldmake its way up to my head and trigger a migraine. During the timeswhen I didn't have a migraine, my body would be anticipating theonset of one. I was constantly on edge, and my muscles were alwaystight. Essentially, I got stuck in a vicious cycle of chronic pain andmigraine headaches.

By the age of twenty-three, I had developed alarmingly bad posture.My shoulders were rounded and my neck jutted forward. I could notstretch my arms to their full capacity without crying out in pain. Ireached a point in which simple, daily activities became my Everest:taking a shower, getting dressed, walking down stairs, everything.My body ached tremendously and I felt breakable. This feeling ofconstant pain became my new sense of normal.

I finally reached a point where I decided to give up on modernmedicine and, instead, began to pursue more natural methods ofhealing, something I wish I had done from the very start of myheadaches. It was very clear to me that I needed to seek hands-ontreatment for my physical pain. This is when I was introduced toMFR. It really wasn't up until this point that I realized my body didnot have to feel this way.

MFR didn't reduce my symptoms immediately, but it certainly gaveme a sense of hope. Phil explained MFR and described the conceptof the body's web. The fundamentals were simple: everything isconnected. And while I couldn't appreciate this concept at first, itbecame clear over-time.

At the beginning of each session Phil would automatically start byassessing the misalignment of my hips. He would then release thetissue restrictions around my hips accordingly. I initially thoughtthat working on my hips was odd and unnecessary as my pain was inmy head and neck. The techniques that Phil used, however, echoedthroughout my body and I began to understand both the meaningand significance of my fascial web. As soon as my hips were realigned,my whole body felt straighter, more connected. It was as if my hipswere setting a precedent for each and every limb. I began walkingstraighter and standing taller. My legs were actually functioningbetter and more gracefully, even though I had never previouslyrecognized any fault in them. Every limb seemed to take on its ownnew life, instead of being tied down to another. Eventually I began tomove freely and was no longer forced to turn my entire body in orderto look sideways.

As the pain in my body began to subside and my movement beganto improve, my headaches also became less frequent. My hips finallystarted to maintain the correct alignment, allowing Phil to focus onthe tangled web that still existed in my head, neck and shoulders. Thebase of my skull felt like a brick and it took a while before I even feltPhil working in certain areas. Slowly but surely, the tangled web inmy upper body began to release and unwind.

These releases are hard to put into words. The way in which mymuscles reacted to MFR was as if they completely let go of all of thetension they carried and simply melted into Phil's hands. Once I wasable to identify where my body was releasing, I naturally became moreattentive to where it was not. In other words, I became self-aware. Ithink this is one of the most important benefits that I received fromMFR: a conscious recognition of my own web that has allowed me tobe proactive in maintaining its proper alignment.

CHAPTER 2

Invisible Kid Scars

John F. Barnes, PT, begins his first book, Myofascial Release, TheSearch for Excellence, with the following powerful description:

The fascial system surrounds, infuses with, and hasthe potential to influence profoundly every muscle,bone, nerve, blood vessel, organ, and cell of thebody. Fascia also separates, supports, connects, andprotects everything. This three-dimensional web ofconnective tissue is alive and ever-changing as thebody demands. Thus it is a network for informationexchange, influencing and influenced by everystructure, system, and cell in the organism. Like airand gravity, its influence is so all-pervasive that wehave tended to take it for granted.

I recall when I first read that paragraph and immediately flashedback to my Gross Anatomy class in the summer of 1991. The fasciamust have been all that slimy, shiny, slick stuff that we had to siftthrough to get to the REAL object of our dissection and study:the muscles, bones, nerves, and blood vessels. In thinking back, Icould recall that the fascia was absolutely everywhere! Why werewe just hacking and yanking this important tissue and discardingit without examining it? Of course I wasn't thinking that back in1991. I was just eager to learn what I thought all anatomy studentsand potential therapists needed to learn. I was excited to learneverything there was to know about muscles, bones, nerves, andblood vessels.

I realize, of course, that not many people outside of health and medicalschools have the opportunity (or desire) to dissect a deceased humanbody. However, most people who have prepared meat for a meal, be itchicken, or beef, or pork, for example, have seen and felt fascia.

If you are not a vegetarian, the next time you are about to handle araw chicken, please allot a few extra minutes to really examine themiraculous specimen within your hands. First, super-slowly peel theskin from the underlying meat and look closely at what is connectingthe skin to the meat. This is fascia. Then, before using any utensilon the chicken, gently pinch the outer slimy covering between yourthumb and first finger and try to tease it away from the meat. This isfascia. Keep pulling and exploring – see where it takes you and whatit is attached to. Then, cut into the chicken and visually scrutinizethe inner landscape of the tissues. Use your fingers to slowly pulla segment away from a bone. Notice the glistening, shiny, likely-translucenttissues that separate the muscle from the bone andone muscle from an adjacent muscle. This is all fascia. And, from astructural and fascial standpoint, please understand that we humansare designed much like that chicken!

(Continues...)

Excerpted from What's In Your Web? by Phil Tavolacci. Copyright © 2013 Phil Tavolacci, MSPT, PT. Excerpted by permission of Balboa Press.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.

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We will only use your personal data when the law allows us to. Most commonly, we will use your personal data in the following circumstances:

In performance of a contract with you; and/or
compliance with a legal obligation; and/or
vital interests of the data subject; and/or
where it is necessary for our legitimate interests (or those of a third party) and your interests and fundamental rights do not override those interests.
We may also use your personal data in the following situations, which are likely to be less common:

where we need to protect your interests (or someone else’s interests);
where it is needed in the public interest or for official purposes.
In respect of all disclosures of personal data, we will only share the personal information which is necessary for the particular purpose for which it is provided, or where we have another legitimate interest in doing so, and we will ensure that the personal data is appropriately protected.

In respect of special categories of personal data, we may process this in the following circumstances:

in limited circumstances with your explicit written consent; and/or
where we need to carry out our legal obligations and in line with our policies; and/or
where it is needed in the public interest (such as for equal opportunities monitoring or in relation to our occupational pension scheme), and in line with our policies; and/or
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The special categories of personal data may be used in the following ways:

in relation to leaves of absence, to comply with employment and other laws;
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Personal data may be transferred to service providers who support the operation of our business (such as payroll service providers), to other third parties reasonably necessary in the conduct of our business (including insurers, professional advisors, regulators). These third parties may be acting as processor, or controller of personal data in their own right.

RETENTION PERIOD:
We will keep personal data only for as long as is necessary to fulfil the purposes for which we collected it, including for the purposes of satisfying any legal, accounting or reporting requirements. We will normally keep personal data of applicants who we do not employ for six months after we receive it.

We will keep personal data of employees throughout your employment and normally for a minimum of six years after your employment ends.

Changes to your personal data
It is very important that the personal information that we hold about you is accurate and current. Please tell us if your personal information changes during your relationship with us.

Data Security
We have put in place measures to prevent your personal data from being accidentally lost, used or accessed in an unauthorised way, altered or disclosed. In addition, we limit access to your personal data to those of our people and other third parties who have a business need to know. They will only process your personal data on our instructions and where they have agreed to treat the information confidentially and to keep it secure. We have put in place procedures to deal with any suspected data security breach and will notify you and the ICO of a suspected breach where we are legally required to do so.

Where we store your personal data
We principally store data, both electronically and on file, at our office.

Personal data may be transferred outside of the EEA by processors acting on our behalf. For transfers to countries not considered adequate by the EC, we will ensure that personal data is adequately protected, as required by the GDPR. This would include by use of the Standard Contractual Clauses adopted by the EC to protect personal data.

Your rights
Under certain circumstances, you have the right by law to request:

access to your personal data. This enables you to ask to receive a copy of the personal data that we hold about you and to check that we are lawfully processing it.
correction of the personal data that we hold about you.
erasure of your personal data.
object to processing of your personal data where we are relying on our legitimate interest and there is something about your particular situation which makes you want to object to processing on this ground. You also have the right to object where we are processing your personal information for direct marketing purposes.
restriction of processing of your personal data.
transfer of your personal data to another party.
Links from our website
Our website may, from time to time, contain links to and from the websites of third parties that we permit to make such links. If you follow a link to any of these websites, please note that these websites have their own privacy policies and that we do not accept any responsibility or liability for these policies. We recommend that you check these policies before you submit any personal data to these websites.

CHANGES TO THIS PRIVACY POLICY
Any changes we may make to our privacy policy in the future will be posted on our website, so please ensure that you are viewing the correct version.

Please contact us if you have any questions, comments or requests regarding this Privacy Policy.

Last amended May 2021.

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What's In Your Web?

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