The Tension Behind Your Face
You have a large muscular knot behind your
face. This knot becomes tighter every time you feel stressed. It also becomes
tighter when you are in social situations. It makes you wince and grimace and
it gets worse every day because it is never touched, massaged or released.
Worse yet, the tension accumulated from years of misuse makes the muscles ache,
sending pain and panic signals to your brain. Ischemic compression, soft tissue
mobilization and myofascial release are very popular remedies now. Here I am
advocating that you perform this specifically for your nasopharynx. It is
painful at first but it is easier every time and it only takes a few weeks to
completely get rid of the pain. Afterwards your face feels amazing, you feel
much calmer and have much more social composure. Here, I will explain how to provide myofascial
release for the tonsils, the uvula, the palatopharyngeal sphincter, and the
nasopharynx.
How to Get the Knot Out
I recommend that you provide compression
and self-massage to your nasopharynx. You do this by donning a plastic glove,
putting your thumb into your mouth and up into your nasopharyngeal opening in
the back of your throat. To find this opening you want to feel the roof of your
mouth, traveling away from the teeth and towards the area where the hard roof
of the mouth (hard palate) turns soft (soft palate). An inch posterior to this
border is the uvula, the hanging fleshy structure and just behind the uvula is
the opening of the nasopharynx. The nasopharynx is an invagination that you
want to explore and massage using either your left or right thumb. You insert
the finger into the mouth, with the fist pointed to the sky, as if you were
sucking on your thumb. If you have never done this before the opening will feel
tight and painful, and pressing against it will initiate a gag reflex. The best
way to get through this is to always perform the soft tissue release while
breathing diaphragmatically, preferably to a breath metronome. The discomfort that
you feel when stimulating this area is proportionate to the pain signals that this
area sends you every day, throughout the day. This was the single tightest and
most painful muscle in my body, and it was also the easiest and quickest to
rehabilitate. Suck it up, and massage it, you will be glad that you did.
With your thumb inside your nasopharynx
you can place strong pressure on many muscles and soft tissues throughout the
nasopharynx, and nasal cavity. You want to press against each of the walls and
folds of the nasopharynx and even up into the nasopharyngeal ceiling. When you
start out, simply insert the thumb past the first knuckle and keep it still. It
will be uncomfortable and it will feel sore as if you have an infection. It
feels like an itchy, scratchy sore throat. Next try to swallow a few times and
feel the nasopharyngeal sphincter tighten and loosen around your thumb. The first
few times this is very uncomfortable but it should be painless within a week.
Next you want to gently press your thumb into different areas, massaging the
soft tissues, stimulating the nerves, reducing tension in the accompanying
muscles and brining needed blood to the area. I recommend doing this for five
minutes a day, five days a week. Within the first week you will notice that it
is less painful, that your face feels calmer all the time, that you breathe
better, that mucus clearance is easier, and that your face actually looks more
aesthetically pleasing.
The main muscle that you want to
rehabilitate is the nasopharyngeal sphincter. The padded side of your thumb
(without the finger nail) will come into contact with this anterior muscle. You
want to grab it firmly and flex it rhythmically in order to exercise it and
gain conscious access to it. Doing this helps you know how to use it and how to
relax it. Do this at the most inferior portion (near the opening of the nasopharynx)
and the most superior portion (a lip of muscle near the roof of the nasopharynx).
For me the superior portion was the most painful and it took a week to remove
all of the pain from it.
Why This is Helpful
While reading about orofacial pain
disorders I began to think about the tension behind my own nose and eyes. I
figured that a strong form of stimulation could increase the circulation to my
nasal tissues, alleviate the trauma that they held, and help reduce the tone in
my facial musculature. My nose was broken 15 years prior (at age 17) and was
numb and painful at times. I really felt like my nasopharynx was a tense rock
in the middle of my head, and I hoped that myofacial release could help me
better incorporate it into a calm, healthy facial posture.
I am convinced that soft tissues in this
area can become traumatized due to stress, cold, physical injury, sickness, or
undue tension and then remain excessively tonic (tense) so that: 1) circulation
decreases and inflammation increases, 2) the muscles atrophy and undergo
“adaptive muscle shortening,” 3) the neurons in the area relay pain messages to
the brain, and 4) this causes the muscles to become excessively tense further
exacerbating the psychological stress. I am also convinced that reduced
circulation diminishes the immunological response rendering these tissues more
susceptible to upper respiratory tract infection. I believe that firm pressure,
applied to these soft tissues (that are rarely, if ever, stimulated), reverses
these four degenerative processes.
The stimulation and physical compression
of the tissues helps to reduce past trauma, and in my opinion is much like
massaging a sprained ankle. Massage and isometric stretching is really the only
way to return the ankle to its premorbid state. Of course it is painful to
massage, but compressing the muscles is the best way to reduce their tone. The
fact that the muscles and soft tissues deep in our nasal cavity are never stimulated
allows them to “remember” past trauma. They become a “somatic anchor” deep
within the face for pain. Each time you do this the treatment becomes less
painful. One of the reasons we hold tension here is because we are afraid to
breathe through our nose and mouth at the same time in front of other people.
We are afraid that we will look “too” calm to others. Once the area is no
longer painful, this look becomes authentic and breathing using both the nose
and mouth simultaneously becomes preferable.
I believe that this technique has the
potential to help anyone, but may produce the best results for people that
focus concertedly on remaining calm before, during and afterwards. Influencing
how your brain interprets intense forms of stimulation is incredibly important
to how your body copes with them. The way that you breathe surrounding an injury
helps the body to appraise the injury and determine how best to deal with it. I
recommend making calm a priority after the procedure and attempting to breathe
diaphragmatically, employing deep breathing exercises. I would recommend doing
this at home, before sleep or a rest. I do it a few times a week and it is the
last thing I do before I go to bed.
After applying pressure to these areas you
become aware of muscles and tissues behind your face that you never noticed
before. The first time I laid down for several hours with my eyes closed in
order to focus on the accompanying sensations. You feel these muscles tighten
and release after the procedure. While this happened I tried my best to
memorize what it felt like for these areas to release and I tried to keep them
relaxed. Simply turning your attention to these sensations builds somatotopic
and musculotopic maps in the cortex which help you sense and control these
areas. I believe that after using the technique people want to build these
cortical maps so that they can notice when these areas become tight later. As I
did this I used other facial muscles, flaring and constricting my nostrils, in
an attempt to link these new cortical maps to existing ones. It would be
interesting to follow the efferent nerve pathways from these areas up into the
brain. Pain signals originating in the nasal cavity are probably sent to
subcortical threat/stress areas such as the amygdala, and end up in cortical
ones such as the anterior cingulate cortex, and the insula.
After the procedure I went on a long walk
and I noticed that my face felt surprisingly calm. As I passed people on the
street I was worried that perhaps I would appear “too” calm. I realized that I
should embrace the calmness and try to take full advantage of my current state
and really focus on allowing my face to remain placid. I focused on breathing deeply
and evenly, with eyes wide while looking upwards. I figured that if I practiced
this over the course of a few days it would look natural. It really did. I no
longer have a perpetual pained and fearful expression on my face and I no
longer look like someone who had their nose broken violently. It does have a
cosmetic or aesthetic component and definitely helped me to develop a more
relaxed countenance.
Try probing your nose with q-tips. Again,
at first this was very uncomfortable but became much less painful with time. I
didn’t press very far but would make circles with the q-tips just past my
nostrils while breathing deeply. Afterwards you want to think about how to
build this relaxed nasopharyngeal posture into your normal day-to-day facial
posture.
Here are some books that I like on myofascial release: