FasciaBlaster

Last updated

FasciaBlaster
TypeSelf-massage device
InventorAshley Black
ManufacturerAshley Black/ADB Interest, LLC
Website FasciaBlaster.com

The FasciaBlaster is a device invented by entrepreneur Ashley Black primarily for use as a self-massage method to help reduce cellulite. There is no evidence it is effective, and claims made by Black about fascia have been characterized as pseudoscience. The FasciaBlaster is marketed as expected to cause bruising, and some users have reported various injuries in addition to bruising following use.

Contents

Overview

The FasciaBlaster is a hand-held bar with plastic claw-like parts intended to be applied to the skin and then used to massage the fascia underneath the skin, with a goal of reducing cellulite and stiffness. [1] [2] [3]

The device was invented by entrepreneur Ashley Black. [1] [2] As of 2017, Black was not a licensed physical therapist. [1] She initially marketed the tool as the Lumpbuster in 2012 for her work as a health and wellness trainer. [1]

Black has marketed bruises caused by the FasciaBlaster as an indication of treatment effectiveness, [1] and has compared the bruising injuries from the device as similar to the pseudoscientific practice known as cupping. [2] A physiotherapist speaking with the Evening Standard in 2018 about the FasciaBlaster stated "anything that causes pain should only be used under the guidance of a doctor, physiotherapist or other trained medical professional." [2]

The FasciaBlaster was featured on Today in March 2017, where it was noted Black advises bruising can be expected, [4] [5] and in 2018, the device was used on Kourtney Kardashian in an episode trailer for Keeping Up with the Kardashians . [2] Model Toni Garrn described "lots of bruising" in 2017 while also praising "immediate results" after working with Black. [6] A 2020 review in Essence magazine noted "immediate results" as well as "soreness and bruising" after Black used the tool on the reviewer. [7] A 2017 review of three months of self-use by a reviewer for the Santa Monica Observer described "many many jaw dropping bruises" and warned "they also might last twice as long as a "normal" bruise." [8]

Some users have reported various injuries after use of the FasciaBlaster, including severe bruising, and have submitted complaints to the Food and Drug Administration in the United States. [1] [9] FDA complaints reviewed by Buzzfeed News in 2017 also included reports of inflammation and changes in menstruation. [10] On Facebook, user complaints in 2017 included "severe bruising, weight gain, sagging skin, increased cellulite, nausea, and menstruation changes." [1]

On May 22, 2017, the Terms of Use Agreement was updated on the fasciablaster.com website to include warnings that the device can cause "vomiting, hormone changes, increased sensitivity, headaches, acute inflammation, changes in cycle, reoccurrence of pre-existing condition, weight gain and other toxicity-associated symptoms," in addition to prior warnings that included "rashes, bumps, redness, irritation, itching" and "bruising." [11] :4–5

Lack of evidence for "fascia blasting"

According to The New York Times in 2023, "If you choose to use a self-massaging device, don’t overdo it: No evidence supports the recent trend of "fascia blasting," or aggressively manipulating fascia through the skin, which can lead to bruising." [12] In 2017, a chief of bariatric and minimally invasive surgery at Stanford Health Care told Buzzfeed News , "A bruise does not equal fascia being broken up," and an assistant professor of dermatology at Yale School of Medicine said "Bruises are pathologic, or an indication of tissue injury, and shouldn’t be the goal of a treatment." [1]

Ashley Diana Black International Holdings, LLC contributed funding to a study published in Cogent Medicine in 2019 that was conducted by the Applied Science and Performance Institute (ASPI) of Tampa, Florida, which studied 33 women who used the FasciaBlaster five days a week over 12 weeks, and concluded the tool "may be a viable method in treating cellulite" while also noting some subjects reported "mild symptoms of irritability, nausea, headaches, and bruising." [13] [14]

Before the ASPI study appeared in Cogent Medicine, it was posted on the Ashley Black Guru website, with pictures of subjects and claims of FasciaBlaster effectiveness. [1] Doctors who spoke with HuffPost after the study was published by Cogent Medicine in 2019 agreed the FasciaBlaster is not an effective cure for cellulite, and a plastic surgeon said, "It is clear that more research needs to be done in developing better treatments for cellulite." [14]

In 2017, a sports medicine doctor said "the research is still in its infancy" when speaking with Harper's BAZAAR about the FasciaBlaster and the relationship between cellulite and fascia. [6] According to medical experts who spoke with Buzzfeed News in 2017, various claims made by Black about bruises, fascia, and cellulite are lacking in scientific basis and evidence. [1] A doctor from the Massachusetts General Hospital Dermatology Laser and Cosmetic Center said temporary swelling after use of the device may cause the perception of a reduction in cellulite. [1]

According to Buzzfeed News in 2017, "Black has developed an entire pseudoscience around a real type of tissue, fascia, which connects muscle to skin and contributes to the appearance of cellulite." [1] A 2018 consensus statement on fascial tissue research in sports medicine published by the British Journal of Sports Medicine noted a lack of validation for the efficacy of "manual therapies, such as massage" and stated, "While commercial and other interests often favour the promotion of premature positive conclusions about specific fascia-related treatments, strict application of scientific rigour is essential for the development of this promising field." [15]

Litigation

In 2017, two proposed class action lawsuits began against Ashley Black, Ashley Diana Black International Holdings, L.L.C., ADB Interests, L.L.C., Ashley Black Company, ADB Innovations, L.L.C., Ashley Black Guru, and Ashely Black Fasciology, L.L.C., for various torts. [16] [17] [18] The cases were consolidated into one case, Elson v. Black, in 2018. [19] :2 In Elson v. Black, the United States Court of Appeals for the Fifth Circuit on January 5, 2023 reversed the dismissal of two claims in the class action lawsuit and returned the case to the trial court. [19] [20]

A lawsuit alleging defamation and other torts brought by ADB Interest, LLC and Ashley Black on May 25, 2017 against a FasciaBlaster user who complained of injury from the device on Facebook was dismissed, and damages and costs amounting to over $250,000 were awarded against ADB and Black [11] :15 in an anti-SLAPP repudiation pursuant to the Texas Citizens Participation Act. [21] [11] :16–18 The 2018 decision was upheld by the Texas Courts of Appeals in 2020. [11]

In July 2017, ADB began lawsuits alleging business disparagement by two individuals who had participated in studies sponsored by ADB and then posted negative comments on Facebook about the FasciaBlaster after signing non-disclosure agreements, but ADB later dismissed the lawsuits. [11] :57–8 [21]

Related Research Articles

<span class="mw-page-title-main">Massage</span> Manipulation of the body through stretching and pressure

Massage is the rubbing or kneading of the body's soft tissues. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearms, feet or a device. The purpose of massage is generally for the treatment of body stress or pain. In European countries, a person professionally trained to give massages is traditionally known as a masseur (male) or masseuse (female). In the United States, these individuals are often referred to as "massage therapists;" In some provinces of Canada, they are called "registered massage therapists."

Rolfing is a form of alternative medicine originally developed by Ida Rolf (1896–1979) as Structural Integration. Rolfing is marketed with unproven claims of various health benefits. It is based on Rolf's ideas about how the human body's "energy field" can benefit when aligned with the Earth's gravitational field.

<span class="mw-page-title-main">Subcutaneous administration</span> Insertion of medication under the skin

Subcutaneous administration is the insertion of medications beneath the skin either by injection or infusion.

<span class="mw-page-title-main">Frostbite</span> Effect of low temperature on skin and other tissues

Frostbite is a skin injury that occurs when exposed to extremely low temperatures, causing the freezing of the skin or other tissues, commonly affecting the fingers, toes, nose, ears, cheeks and chin areas. Most often, frostbite occurs in the hands and feet. The initial symptoms are typically a feeling of cold and tingling or numbing. This may be followed by clumsiness with a white or bluish color to the skin. Swelling or blistering may occur following treatment. Complications may include hypothermia or compartment syndrome.

<i>Gua sha</i> Traditional Chinese medicine involving skin-scraping

Gua sha, or kerokan, is a traditional Chinese medicine (TCM) practice in which a tool is used to scrape people's skin in order to produce light petechiae. Practitioners believe that gua sha releases unhealthy bodily matter from blood stasis within sore, tired, stiff, or injured muscle areas to stimulate new oxygenated blood flow to the areas, thus promoting metabolic cell repair, regeneration, healing, and recovery.

<span class="mw-page-title-main">Bruise</span> Type of localized bleeding in tissues outside blood vessels

A bruise, also known as a contusion, is a type of hematoma of tissue, the most common cause being capillaries damaged by trauma, causing localized bleeding that extravasates into the surrounding interstitial tissues. Most bruises occur close enough to the epidermis such that the bleeding causes a visible discoloration. The bruise then remains visible until the blood is either absorbed by tissues or cleared by immune system action. Bruises which do not blanch under pressure can involve capillaries at the level of skin, subcutaneous tissue, muscle, or bone.

<span class="mw-page-title-main">Hematoma</span> Medical condition

A hematoma, also spelled haematoma, or blood suffusion is a localized bleeding outside of blood vessels, due to either disease or trauma including injury or surgery and may involve blood continuing to seep from broken capillaries. A hematoma is benign and is initially in liquid form spread among the tissues including in sacs between tissues where it may coagulate and solidify before blood is reabsorbed into blood vessels. An ecchymosis is a hematoma of the skin larger than 10 mm.

<span class="mw-page-title-main">Pressure ulcer</span> Skin ulcer (bed sore)

Pressure ulcers, also known as pressure sores, bed sores or pressure injuries, are localised damage to the skin and/or underlying tissue that usually occur over a bony prominence as a result of usually long-term pressure, or pressure in combination with shear or friction. The most common sites are the skin overlying the sacrum, coccyx, heels, and hips, though other sites can be affected, such as the elbows, knees, ankles, back of shoulders, or the back of the cranium.

<span class="mw-page-title-main">Cupping therapy</span> Pseudoscience whereby suction is applied to the skin

Cupping therapy is a form of pseudoscience in which a local suction is created on the skin with the application of heated cups. As alternative medicine it is practiced primarily in Asia but also in Eastern Europe, the Middle East, and Latin America. Cupping has been characterized as a pseudoscience and its practice as quackery.

<span class="mw-page-title-main">Cryotherapy</span> Local or general use of low temperatures in medical therapy

Cryotherapy, sometimes known as cold therapy, is the local or general use of low temperatures in medical therapy. Cryotherapy may be used to treat a variety of tissue lesions. The most prominent use of the term refers to the surgical treatment, specifically known as cryosurgery or cryoablation. Cryosurgery is the application of extremely low temperatures to destroy abnormal or diseased tissue and is used most commonly to treat skin conditions.

Manual therapy, or manipulative therapy, is a physical treatment primarily used by physical therapists, physiotherapists, occupational therapists to treat musculoskeletal pain and disability; it mostly includes kneading and manipulation of muscles, joint mobilization and joint manipulation. It is also used by Rolfers, massage therapists, athletic trainers, osteopaths, and physicians.

A soft tissue injury is the damage of muscles, ligaments and tendons throughout the body. Common soft tissue injuries usually occur from a sprain, strain, a one-off blow resulting in a contusion or overuse of a particular part of the body. Soft tissue injuries can result in pain, swelling, bruising and loss of function.

<span class="mw-page-title-main">Blood blister</span> Injury of subdermal tissues and blood vessels where damage does not pierce the skin

A blood blister is a type of blister that forms when subdermal tissues and blood vessels are damaged without piercing the skin. It consists of a pool of lymph, blood and other body fluids trapped beneath the skin. If punctured, it suppurates a dark fluid. Sometimes the fluids are cut off from the rest of the body and dry up, leaving behind dead cell material inside the blister with a texture like putty. Some blood blisters can be extremely painful due to bruising where the blister occurred.

<span class="mw-page-title-main">Black eye</span> Brusing injury to the face

A periorbital hematoma, commonly called a black eye or a shiner, is bruising around the eye commonly due to an injury to the face rather than to the eye. The name refers to the dark-colored bruising which is the result of accumulated blood and fluid in the loose areolar tissue following a blow to the head. This blood tracks freely under the scalp producing a generalised swelling over the dome of the skull but cannot pass into either occipital or the temple regions because of the bony attachments of the occipitofrontalis muscle. But this fluid can, however, track forward into the eyelid because the occipitofrontalis muscle has no bony attachment anteriorly. This leads to formation of hematoma a few hours after the head injury or cranial operation. If injury is more extensive, potentially even a skull fracture, an apparent black eye can sometimes worsen and may require professional medical treatment before it will resolve. This is more likely if the area around both eyes has been injured or if there is a history of prior head injury or fracture around the eye. Though disfiguring, the vast majority of black eyes are not serious, require little or no treatment, and will resolve spontaneously within a week or two.

Myofascial release is an alternative medicine therapy claimed to be useful for treating skeletal muscle immobility and pain by relaxing contracted muscles, improving blood and lymphatic circulation and stimulating the stretch reflex in muscles.

<span class="mw-page-title-main">Stone massage</span> Form of massage therapy

The stone massage is a form of alternative medicine massage therapy and bodywork involving the placement of either heated or cooled stones to the body for the purpose of pain relief, relaxation and therapy. There are many variations and techniques used in the application of stone massage therapy, deriving from a variety of traditional practices. Stone massages are primarily used to alleviate physical pain issues, however, are also used to promote emotional and spiritual wellbeing in practice.

Collagenase clostridium histolyticum is an enzyme produced by the bacterium Clostridium histolyticum that dismantles collagen. It is used as a powder-and-solvent injection kit for the treatment of Dupuytren's contracture, a condition where the fingers bend towards the palm and cannot be fully straightened, and Peyronie's disease, a connective tissue disorder involving the growth of fibrous plaques in the soft tissue of the penis. BioSpecifics Technologies developed the preparation, which is manufactured and marketed by Endo Pharmaceuticals as Xiaflex in the US and by Sobi as Xiapex in Europe.

<span class="mw-page-title-main">Cellulite</span> Medical condition

Cellulite or gynoid lipodystrophy (GLD) is the herniation of subcutaneous fat within fibrous connective tissue that manifests as skin dimpling and nodularity, often on the pelvic region, lower limbs, and abdomen. Cellulite occurs in most postpubescent females. A review gives a prevalence of 85–98% of women of European descent, but it is considerably less common in women of East Asian descent. It is believed to be physiological rather than pathological. It can result from a complex combination of factors, including diet, sedentary lifestyle, hormonal imbalance or heredity, among others.

Cat massage is a practice used by veterinarians and at home by pet owners to apply massage therapy techniques to domestic cats, primarily for relieving pain and discomfort, and also by owners as means of intimate interaction for strengthing the cat–human bond.

The intermittent vacuum therapy (IVT) is a treatment conducted in case of venous and arterial issues as well as in rehabilitation. With the aid of normal and low pressure, it should enable to control venous reflux, enhance lymphatic flow and improve blood flow in periphery and muscles.

References

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  9. "This Popular Product Promises to Eliminate Cellulite. But Women Say It's Injuring Them". Money . Retrieved February 11, 2024.
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  12. Friedman, Danielle (September 11, 2023). "The Tissue That Connects Our Muscles May Be a Key to Better Health". The New York Times . Retrieved February 11, 2024.
  13. Jameson, T Bart; Black, Ashley D.; Sharp, Matthew H.; Wilson, Jacob M.; Stefan, Matthew W.; Chaudhari, Swetanshu (April 8, 2019). "The effects of fascia manipulation with fascia devices on myofascial tissue, subcutaneous fat and cellulite in adult women". Cogent Medicine. 6 (1). doi:10.1080/2331205X.2019.1606146.
  14. 1 2 Brucculieri, Julia (June 20, 2019). "New Study Suggests A Way To Get Rid Of Cellulite Without Surgery Or Creams". HuffPost . Retrieved February 13, 2024.
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