How to use a foam roller to relieve neck, back and knee pain
Myofascial release helps to eliminate tension and massage your muscles. Try it with these foam rollers at every price point.
If you have poor posture, rolling the upper side of your body will relieve tension and release the right muscles in your chest and back.alvarez / Getty Images
By Stephanie Mansour
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Self-myofascial release has been gaining popularity over the years as a way to release tight muscles and improve mobility. There are even entire workout classes devoted to foam rolling — arguably the most popular main stream tactic of engaging in myofascial release.
Research has been conducted exploring how foam rolling affects range of motion of joints and if it helps reduce muscle soreness. And the results are promising. One study found that after only three consecutive days of foam rolling, muscle fatigue was reduced and range of motion was increased. So aside from feeling relief in the moment, it's possible that the benefits accumulate over time as well.
Dr. Karena Wu, physical therapist and owner of ActiveCare Physical Therapy in NYC and Mumbai, utilizes foam rolling exercises with her patients at the office and teaches them how to use the foam rollers at home. She explains that foam rolling is a self-massage to the soft tissues. “The foam roller compresses tissues and helps to release tight bands in soft tissue,” she says. “Massage is an 'irritant' to the soft tissues that brings blood flow, which then helps with fluid movement and promotes healing because blood carries nutrients and oxygen. So, getting this type of compressive massage therapy helps break up tightness or 'knots' in the tissues.”
“It also helps to promote fluid circulation, increases pliability of the soft tissues, reduces compressive forces on the joints (when the surrounding soft tissues are more flexible) and increases neuromuscular activity because the soft tissues will be more at an optimal resting length for function,” Dr. Wu adds.
I’ve encouraged my clients to foam roll on their own at the gym as part of their post-workout stretch and recovery routine, and they’re shocked by how good it feels (and how painful it can be on more tender spots, like the IT band.) Whether you dedicate time before or after each workout, attend a weekly foam rolling class, or roll it out in your living room, consistency will help you achieve more mobility, less pain and better muscle function.
But if you’re new to foam rolling, what body parts should you focus on?
A few of the areas that Wu encourages her clients to foam roll are the glutes, quads and backs of the shoulders. She recommends doing foam rolling for at least 10-20 minutes, especially if you’re covering the large areas of the lower legs and working the tissues out.
Susane Pata, a Crunch group fitness instructor and senior master instructor for TriggerPoint, agrees that the quads and thoracic spine are big targets for foam rolling. “People should foam roll like they floss their teeth — daily. But if not, as often as possible,” she says.
Pata says that her classes last an hour for a total body roll, and recommends longer sessions like this after a workout. “If you are foam rolling before a workout (really a good idea so as to get better mobility) I’d keep it short — 5 to 10 minutes —and then do a proper movement warm up,” she says.
Paula Lester, who teaches a class called Pilates Mat, Roll and Release at Privé-Swiss Fitness, integrates foam rolling into a classical Pilates mat class to help relieve tight muscles and stress. She focuses on similar areas (the mid-back, outer thigh and quads) — since they are large areas, they can feel immediate relief after foam roller use. Lester recommends about 20 minutes of foam rolling. “You should spend a couple of minutes on each muscle group focusing mostly on the tighter more tender areas,” she explains. She suggests staying still (and not rolling) on the tight areas to give the roller a chance to dig into these knots and break them up rather than just rolling back and forth. “The increase of blood flow and the pressure from the foam roller helps to release the tight muscles and ease pain," she says.
If you’re in a seated position for much of the day, your hip flexors can become shortened over time. Therefore, stretching the front of your hips, specifically these hip flexors, and massaging the muscles and tissue around them can help combat the effects of sitting all day.
Time to foam roll the outer hip and thigh. It can be challenging to stretch the Iliotibial Band (IT Band), and frequently it becomes tighter the more active you are with the lower body and repetitive motions like running. Lester agrees: "This move targets the long bank of muscles on the outer thigh which can create a lot of tightness contributing to back and knee pain. It decreases the amount of stress put on the hips and knees and increases mobility."
Time to foam roll the upper side of your body. You can strengthen your back all week long and stretch your chest, too. But if the sides of your chest and back are tight, it may be difficult to maintain good posture. Try foam rolling the armpits, outsides of the chest, and the sides of the upper back to loosen up and promote better posture.
To foam roll your upper back, lie down on the foam roller and massage your upper back and neck slowly and gently. You can move side to side or just lie back with your hands behind your head and roll up and down your upper back.
Time to foam roll your quads. "Most of us are quadricep dominant, which leads to tightening of this large set of muscles. This dominance can cause kyphotic posture and tight hip flexors," Lester explains. "Rolling the quads can prevent stress on the knees and tightness in the hips helping to better your posture." To perform this move, lie down with the foam roller underneath you, and roll the tops of your legs up and down on the roller.
Health coach and personal trainer Stephanie Mansour shares her foam roller picks that are perfect for stretching and exercising, at any prince point.
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Stephanie Mansour is a health and fitness expert and weight-loss coach for women. She is a certified personal trainer, yoga instructor and Pilates instructor, and host of “Step It Up with Steph” on American Public Television.