Myofascial Therapy by Ekaterina Pushkarnaya, CMT

Myofascial Therapy by Ekaterina Pushkarnaya, CMT Myofascial Therapy by Ekaterina Pushkarnaya, CMT

If you’re working with a boxer, especially one who throws rotating punches like hooks and uppercuts, the subscapularis d...
04/03/2025

If you’re working with a boxer, especially one who throws rotating punches like hooks and uppercuts, the subscapularis deserves your full attention.
This deep rotator cuff muscle plays a major role in internal shoulder rotation and stability — exactly what’s activated when a punch is generated from the ground up and finishes through the arm. When it’s overloaded (which is often in fighters), the result is limited mobility, deep shoulder pain, or even nerve-like symptoms down the arm.
In my Push Method Myofascial Compression Release, I include targeted work on the subscapularis to decompress the tissue, restore healthy glide, and reduce protective holding patterns.
Many boxers don’t even realize how restricted this area is until we release it — and suddenly their punches feel faster, smoother, and more connected.
If you’re a therapist working with fighters, don’t skip this zone. It can be a game-changer for shoulder function and injury prevention.

Train Hard. Recover Smart.

Many people believe that pushing through the pain after surgery will help them recover faster—but forcing movement too s...
01/30/2025

Many people believe that pushing through the pain after surgery will help them recover faster—but forcing movement too soon can actually slow down healing and make things worse.
Healing first, movement second!
🔹 Why You Shouldn’t Force Movement Too Soon
After surgery, your body treats the incision site as an injury, triggering a protective response:
✅ Connective Tissue Guarding → Your body tightens the surrounding tissues to prevent excessive movement that could cause further damage.
✅ Inflammation & Pain → Your tissues are already stressed and need time to repair before being stretched or strengthened.
✅ Fragile New Tissue Formation → Newly formed fibers are delicate, and too much stress too soon can lead to scar tissue buildup and restricted mobility.
🔹 The Right Approach to Recovery
Instead of forcing movement, the priority should be healing the tissues first and reducing pain.
My Push Method Myofascial Compression Release helps by:
✔ Increasing blood flow & oxygen delivery to the incision area for better healing.
✔ Gently reducing the guarding response of connective tissue to prevent long-term stiffness.
✔ Flushing out inflammation and improving circulation to speed up recovery.
🔹 When Is It Time to Work on Strength & Flexibility?
Only once the tissues are healed and relaxed should you start focusing on:
✅ Strengthening the muscles around the surgical site.
✅ Restoring flexibility & range of motion with controlled movement.
✅ Preventing compensations & imbalances to avoid future pain.
💡 Recovery is a process—rushing it can set you back. Prioritize healing first, and strength will follow.
Let’s work together to get you moving again—the right way!
📩 DM to schedule

You might think that after knee surgery, you’ll be able to bend, step, and walk again pretty easily—but reality hits dif...
01/30/2025

You might think that after knee surgery, you’ll be able to bend, step, and walk again pretty easily—but reality hits differently. Instead of smooth movement, you feel stiffness, pain, and inflammation, making every step feel like a challenge.

🔹 Why Does This Happen?
Knee surgery isn’t just about fixing a problem—it’s also a trauma to the body.
Here’s what’s happening inside:

1️⃣ Tissue Damage & Healing → The muscles, fascia, and connective tissues around your knee have been cut, stretched, or manipulated. Healing takes time because new fibers need to grow and repair for full function to return.

2️⃣ Connective Tissue Guarding Response → Your body recognizes surgery as an injury and reacts by tightening the surrounding tissues to prevent excessive movement—this is your body’s way of protecting itself from what it perceives as further damage.

3️⃣ Inflammation & Scar Tissue Formation → Post-surgical swelling and the formation of scar tissue can restrict movement, making it difficult to fully flex or extend your knee.

🔹 How Myofascial Therapy Helps
My Push Method Myofascial Compression Release helps break through this stiffness, reducing tension, scar tissue restrictions, and inflammation while improving circulation and mobility. While recovery takes time, releasing restrictions in the fascia can speed up the process and make movement easier.

💡 If you’re struggling with post-surgical knee stiffness, let’s work together to restore your movement.

📩 DM to schedule

If you work all day on hard concrete floors, your feet are taking a serious beating—even if you don’t realize it yet. Un...
01/30/2025

If you work all day on hard concrete floors, your feet are taking a serious beating—even if you don’t realize it yet. Unlike softer surfaces that absorb impact, concrete provides zero shock absorption, meaning every step you take sends force straight up through your feet, ankles, knees, and even your lower back.
Over time, this constant pounding can cause micro-tears and inflammation in the plantar fascia—the thick band of tissue that supports your arch. This leads to plantar fasciitis, a painful condition that starts with heel pain and can worsen to the point where even standing first thing in the morning feels unbearable.
💥 Why Does This Happen?
• Lack of shock absorption → Your feet absorb all the impact
• Long hours standing → Continuous pressure leads to tightness and inflammation
• Inadequate footwear → Most shoes don’t provide enough cushioning or arch support
• Muscle fatigue → Tight calves and foot muscles pull on the fascia, worsening the strain

🔹 Can My Myofascial Therapy Help?
Yes! My Push Method Myofascial Compression Release helps relieve tension in your feet, calves, and surrounding muscles, reducing pain and improving mobility.
However, if you keep working on concrete floors without additional support, the problem will keep coming back.
At this point, maintenance is key. Regular myofascial sessions will help manage your pain, but for long-term relief, you’ll need to make changes like:
✔ Wearing supportive, cushioned footwear
✔ Using anti-fatigue mats if possible
✔ Scheduling regular myofascial therapy to prevent flare-ups
Your feet are your foundation—take care of them before the pain takes over!
📩 DM to schedule

Jaw Pain & TMJ Issues: Could Your Pain Be From Dental or Medical Procedures?Do you struggle with jaw pain, clicking, sti...
01/30/2025

Jaw Pain & TMJ Issues: Could Your Pain Be From Dental or Medical Procedures?
Do you struggle with jaw pain, clicking, stiffness, or headaches? It could be Temporomandibular Joint (TMJ) dysfunction, and your past medical or dental procedures might be the cause!
🔴 Common TMJ-Related Problems:
✔️ Jaw pain & tightness
✔️ Clicking or popping sounds
✔️ Uneven bite & difficulty chewing
✔️ Teeth grinding (bruxism) – often at night!
✔️ Headaches & migraines
✔️ Ear pain, ringing (tinnitus), or pressure
✔️ Dizziness & balance issues
✔️ Neck, shoulder, and even back pain

🦷 Medical & Dental Procedures That Can Lead to TMJ Dysfunction:
🔹 Tooth extractions (including wisdom teeth removal) – Can lead to jaw misalignment, scar tissue, and nerve irritation.
🔹 Braces, retainers – Gradual shifting of teeth can strain the jaw and affect bite alignment.
🔹 Dental implants, crowns, root canals, and fillings – Can alter the bite and create uneven jaw muscle tension.
🔹 Jaw surgeries & trauma (including intubation during surgery) – Can cause scar tissue, muscle tightness, and long-term misalignment.
🔹 Prolonged dental procedures – Keeping your mouth open for long periods stresses the jaw muscles and fascia, leading to stiffness and pain.
🔹 Facial surgeries – Can change muscle function and movement patterns, sometimes leading to compensatory pain.
💆‍♀️ How My Push Method Myofascial Compression Release Can Help 💆‍♂️
My method works by releasing deep fascial restrictions in the jaw, neck, and shoulders—helping to restore balance, relieve tension, and improve movement. Clients often feel immediate relief from jaw pain, headaches, dizziness, and lingering tension caused by past procedures.
✨ If you’ve been struggling with TMJ pain or post-dental/medical tension, myofascial therapy could be the missing link to lasting relief!
DM me to book a session and feel the difference!

🔥 Double Crush Syndrome & Thoracic Outlet: When Nerve Pain Becomes Unbearable! 🔥Thoracic Outlet Syndrome (TOS) happens w...
01/30/2025

🔥 Double Crush Syndrome & Thoracic Outlet: When Nerve Pain Becomes Unbearable! 🔥
Thoracic Outlet Syndrome (TOS) happens when nerves or blood vessels between the collarbone and first rib get compressed—leading to pain, numbness, and weakness in the neck, shoulders, and arms.
But here’s what makes it even worse… Double Crush Syndrome occurs when compression happens at more than one site along the same nerve path. This is when you REALLY feel it—when the pain becomes unbearable, disrupting your life, and you’re desperately looking for relief.
My Push Method Myofascial Compression Release helps by targeting deep fascial restrictions that contribute to nerve entrapment. By releasing tension in the neck, shoulders, and chest, I help improve circulation, reduce nerve irritation, and restore pain-free movement.
If you’re tired of constant nerve pain, this could be the solution you’ve been searching for!

Thoracic Outlet Syndrome (TOS): Understanding & ReliefDo you experience pain, numbness, or tingling in your shoulder, ne...
01/29/2025

Thoracic Outlet Syndrome (TOS): Understanding & Relief
Do you experience pain, numbness, or tingling in your shoulder, neck, arm, or hand? These could be signs of Thoracic Outlet Syndrome (TOS)—a condition caused by compression of nerves or blood vessels passing through the thoracic outlet.
Common causes include:
• Poor posture (e.g., head-forward positions)
• Muscle imbalances or tightness in areas like the scalenes or pectoralis minor
• Injury or surgery that leads to scar tissue or changes in the thoracic outlet
• Activities or postures that shorten myofascial tissues
✨ Important to know: TOS is a poorly understood condition that cannot be completely cured. However, based on my observations and experience, it is possible to significantly improve the condition and even achieve long-term remission with consistent care and maintenance using my method.
Using my Push Method Myofascial Compression Release, I focus on addressing the myofascial restrictions caused by injuries, surgeries, or poor posture. This approach helps improve blood flow, restore mobility, and reduce pain significantly.
✨ Consistent care can lead to a much better quality of life!
📍 San Bruno, CA

In myofascial therapy, “listening to the tissue” is more than a metaphor—it’s a fundamental practice. A skilled therapis...
12/10/2024

In myofascial therapy, “listening to the tissue” is more than a metaphor—it’s a fundamental practice. A skilled therapist tunes into the subtle feedback provided by the body’s fascia, feeling for areas of tension, restriction, or imbalance. This tactile dialogue allows the therapist to adapt their approach, ensuring each session is uniquely tailored to the patient’s needs.
The fascia holds a record of the body’s history—injuries, stress, and repetitive strain. By listening to the tissue, therapists can uncover the root causes of pain and dysfunction, facilitating deep, lasting relief. This patient-centered approach fosters trust, promotes healing, and reinforces the body’s natural ability to restore balance.
True healing begins when therapists focus not only on what they feel but also on how the body responds. Listening to the tissue is the key to unlocking a more effective and transformative therapeutic experience.
🌿👐✨

🌬️ Feeling Tightness in Your Chest? 🌬️Do you ever notice stiffness in your chest or limited capacity when you breathe de...
10/30/2024

🌬️ Feeling Tightness in Your Chest? 🌬️

Do you ever notice stiffness in your chest or limited capacity when you breathe deeply? This restriction can affect much more than just your breathing!

🔻 Why Chest Stiffness Matters:
When your chest is tight, it limits oxygen intake, which can lead to fatigue, stress, and even feelings of anxiety. Over time, reduced mobility in the chest can also affect posture and may contribute to upper body pain.

💆‍♂️ How Myofascial Therapy Can Help:
Myofascial therapy targets the fascia — the connective tissue around muscles — to relieve restrictions and promote better movement. With gentle techniques, we can release tension in the chest, allowing for deeper, more comfortable breaths. Many clients feel a renewed sense of relaxation and an increase in lung capacity after just a few sessions!

🌟 Breathe Freely Again!
Experience the difference that open, unrestricted breathing can make in your daily life. As a myofascial therapist in San Bruno, I’m here to help you find relief and improve your overall well-being.

When is the Right Time to Start Stretching After Surgery or Injury? 🕰️Starting to stretch too soon can actually slow you...
10/28/2024

When is the Right Time to Start Stretching After Surgery or Injury? 🕰️

Starting to stretch too soon can actually slow your recovery and prevent essential collagen from forming, which is crucial for proper healing! Let your body focus on recovery first. Here’s a general guide:

1. Immediate Phase (0-3 days): 🛌 Rest is essential—no stretching, just rest and reduce inflammation.
2. Early Healing (1-6 weeks): 🔄 Gentle range-of-motion exercises only, as advised by a professional.
3. Recovery Phase (6+ weeks): 🚶 Slow, controlled stretching might be introduced with guidance from a myofascial therapist to support safe healing.
4. Full Rehab (3-6 months): 🧘 Gradual, progressive stretching to regain full flexibility.

Healing right is more important than healing fast! Always consult your myofascial therapist or healthcare provider to tailor the timing to your specific needs.

Address

1001 Sneath Lane Suite 105
San Bruno, CA
94066

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