Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This is a comprehensive monograph on the body tissue of fascia and how the osteopathic profession has focused on this tissue in pathology and treatment.
Purpose: The purpose is to examine this rarely discussed tissue and how it plays into musculoskeletal pathology and the techniques used by the osteopathic profession.
Audience: The audience is broad, as this book has utility for orthopedic surgeons and physical therapists, as well as those in the osteopathic profession. The editors have brought together an outstanding collection of contributors representing osteopathy around the world.
Features: The book begins with an extraordinary description of the history and evolution of the understanding of the fascial tissues of the body and reviews how the world of osteopathy has approached and integrated the tissue system into its diagnostic and therapeutic realm. As there is relatively little unwritten about this tissue, the book has extensive discussions of the nomenclature and the embryology and histology of the fascia tissues. A large section covers the physiology and functions of the fascia in health, in inflammation, as a sensory organ, the mechanics and the physics of the anatomy, and the fascia's interaction with the contiguous musculature. This is followed by an extensive set of discussions of the mechanics of osteopathic therapy including the myofascial release and vibratory techniques. There is also an extraordinary presentation on scars and adhesions that outlines the pathology and a treatment approach.
Assessment: This is by far the most extensive, well-researched, and well-written outline of the anatomy and physiology of this extensive tissue system. It is a seminal work that describes the many decades of research and contemporary thinking in manipulative therapy.