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Can Myofascial Release Help Me?

Take the Test and Find the Relief that You Deserve.

Simply answer the following questions and we will send free information on the John F. Barnes' Myofascial Release ApproachTM. If you wish to speak directly with one of our staff therapists, simply call 1-800-FASCIAL (327-2425) or email paoli@myofascialrelease.com for our Eastern Myofascial Release Treatment Center in Paoli, PA and for those interested in our Sedona, Arizona "Therapy on the Rocks" Western Myofascial Release Treatment Center call (928) 282-3002 or email sedona@myofascialrelease.com.

Many of our typical patients have tried traditional therapy with little or no relief. Our typical patient has had surgery and/or has tried different pain medications or injections, or has visited a chiropractor or acupuncturist with little results. In addition, many of our patients and their insurance companies have spent thousands of with little success. No one should have to live with pain. Myofascial Release offers a non-invasive, medication-free option to resolve symptoms.

1) Have you been told that you have to "live with the pain" or that the "pain is all in your head?"
Yes   No

2) Do you feel exhausted or run down much of the time?
Yes   No

3) Have you had to alter your lifestyle because of your pain? (Example: are unable to see friends, socialize, entertain, care for your children, work, exercise, etc.)
Yes   No

If you answered "yes" to any of these questions or if these scenarios sound all too familiar, then you are a typical patient that we see and successfully treat with Myofascial Release.

If you would like to be contacted by one of our staff therapists, or have a specific question about your condition, please complete the following questionnaire.

Please check all actions that are difficult:
Sitting
Sleeping
Lifting/Bending
Writing 		Climbing Stairs
Reaching
Standing
Computer Work 		Walking
Bending
Driving
Household Chores

Please check the condition(s) that you suffer from or have been told that you have:
Fibromyalgia
Back Pain
Neck Pain
Sciatica
Scoliosis 		Chronic Pain
Pelvic Pain
Chronic Fatigue Syndrome
Carpal Tunnel Syndrome (Wrist Pain)
Headaches/Migraines 		Incontinence
Arthritis
Menstrual Problems
Painful Scars
TMJ (Jaw Problems)

Please indicate the approximate length of time that you have been suffering with your condition(s):
6 months   1 year   5 years   10 years   20+ years

Ask the Therapist a Specific Question:

First Name:

Last Name:

Phone Number:

Email Address:

Please Select a Treatment Center:
   Eastern Myofascial Release Treatment Center, Paoli, PA
   "Therapy on the Rocks", Sedona AZ
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