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Understanding Fascia and Hyaluronic Acid

Writer: Stella Azzurra SquadroniStella Azzurra Squadroni

Updated: Feb 1


Fascia is a special type of connective tissue that forms a 3D network throughout your body. It helps everything—your cells, muscles, organs—work together smoothly. Fascia has two main parts: a solid part made of fibers (like collagen) and a liquid part made of a gel that holds water. This gel is mostly made up of a substance called hyaluronic acid, along with other molecules. Together, the solid and liquid parts of fascia are known as the extracellular matrix (ECM), which sits between your cells and helps your body communicate and adapt.



Fascia: The Flexible, Adapting Tissue


Fascia is incredibly adaptable and changes based on what your body is going through. For example:


  • Exercise: Fascia adapts to physical activity.

  • Injury: Fascia works to help heal damage.

  • Stress: Fascia can also respond to emotional strain or tension.


The liquid part of fascia (the hyaluronic acid gel) is constantly changing, reacting to how much stress or strain it’s under. Hyaluronic acid is an incredible molecule with the unique ability to both stiffen and loosen as needed. It provides the body’s essential gliding and sliding functions, but it can also become denser under certain conditions. Fascia adapts at the molecular level, which means it can quickly respond to physical changes like injury, overuse, or even just sitting too long.



How Fascia Repairs Itself


When fascia gets injured, your body starts a natural healing process, including inflammation to protect the area. The inflammation can cause pain, making you feel the need to rest. But if the body is overused or doesn’t get enough movement, the inflammation can last too long and lead to fibrosis, a condition where the tissue hardens and loses its flexibility.



The Role of Hyaluronic Acid in Fascia


Hyaluronic acid is super important for keeping fascia smooth and lubricated. In healthy fascia, hyaluronic acid binds with water, helping it stay slippery so your muscles and other tissues can move easily. But when there’s an injury or inflammation, the hyaluronic acid changes, making it stick together and lose its ability to hold water. This creates stiffness and pain in the fascia, leading to movement problems and discomfort.


When you get hit or experience a fall, you might think that it’s your muscles or bones that absorb the impact. But in reality, it’s the fluid in your body - thanks to hyaluronic acid - that instantly stiffens, absorbs, and distributes that pressure.





Woman on a massage bed having a treatment

How Treatment Can Help


Thankfully, the process of stiffness and pain in the fascia is reversible. Treatments like fascia therapy or manual therapy can help break up the clumps of hyaluronic acid, allowing it to hold water again and restore its lubricating ability. This can help reduce pain, improve movement, and prevent the tissue from becoming permanently stiff.

If left untreated, however, this stiffening process can become permanent, leading to more collagen buildup and fibrosis, which can eventually cause muscles to lose their function.







Why Regular Treatment is Important


To keep fascia healthy, it's important to get treatment when you start noticing pain or stiffness. Fascia therapy can help reduce the build-up of dense, sticky hyaluronic acid, making the tissue more flexible and less painful. Research has shown that vibrations during treatment can even help speed up the flow of hyaluronic acid, improving mobility and

reducing discomfort.



A graceful illustration of a dancer showcasing remarkable flexibility in a dynamic pose
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The Takeaway


Fascia is essential for your body’s overall movement and health, and hyaluronic acid plays a key role in keeping it hydrated and flexible. Regular therapy can help prevent long-term issues like stiffness and fibrosis, improving your comfort and range of motion. So, when you start feeling tight or sore, it’s important to address it early to keep your fascia—and your body—feeling great!

 
 
 

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