7th Interdisciplinary World Congress on Low Back and Pelvic Pain

October 15th, 2010

Tom is not able to make this conference because of previous commitments, but the line-up is incredible, and he hopes you will attend if you can to see these great and significant presenters:

The organizers of the Fascia Research Congress would like our newsletter subscribers to know that registration is still open for the 7th Interdisciplinary World Congress on Low Back and Pelvic Pain

Balanced Solutions: Effective Implementation of Evidence Based Research

More information
November 9 – 12, 2010
Hyatt Regency Century Plaza
Los Angeles, CA, USA

Join an exciting list of international speakers and professionals. This Congress will feature diverse and exciting research delivered by highly recognized professionals from around the world, including the following speakers from past International Fascia Research Congresses:

Frank Willard: Anatomy of the trunk’s connective tissue structures and the lumbar fascia in particular.

Moshe Solomonow: Biomechanics, electromyography, stability and tissue biology of cumulative low back disorder

Andry Vleeming: Dynamic stability of the pelvis and spine: New insights in force closure and the consequences for rehabilitation
Siegfried Mense: The thoracolumbar fascia as a source of low back pain

Robert Schleip: Tearing and micro injuries of lumbar fasciae as potential pain generators

Helene Langevin: Ultrasound imaging of connective tissue pathology associated with chronic low back pain

Jean Claude Guimberteau: Journey under the skin to the muscles, lumbar fasciae and structural architectures

Jay Shah: Ultrasound techniques reveal objective abnormalities of myofascial trigger points and surrounding connective tissue

Leon Chaitow: Fascia directed therapies for the treatment of low back pain: review and new directions

Paolo Tozzi: Evidence-based correlation between low back pain and reduction of renal mobility, assessed by Dynamic Ultrasound Topographic Anatomy Evaluation (D.U.S.T.A.-E.): local kidney manipulation improves kidney mobility and decreases pain perception

Adjo Zorn: Walking with elastic fascia: saving energy by maintaining balance

Paul Hodges: Strategies for motor control of the spine and changes in pain: the deep vs. superficial muscle debate

The program will be presented in the format of three main sessions led by moderators and keynote speakers who are known for their expertise in selected areas. This will be followed by five parallel sessions that highlight topic specific research. Seven primary subject areas will address the dominant theme which includes movement stability in lumbopelvic pain, pelvic girdle pain (diagnostics, risk factors and motor control), cognitive aspects of treatment, evidence based practice for low back pain along with diagnosis and treatment, connective tissue and the role of fascia, surgical management and sports medicine and exercise.

Weekend workshops will share clinician experience in the management of lumbopelvic pain. Open poster presentation will illustrate the worldwide research of new and innovative ideas in the field.

More information

10-sessions, Explained

October 13th, 2010

A reader asks: Can someone please explain to me the 10 sessions of Rolfing? Are all 10 sessions needed, and what is the specific focus for each session? What is the ultimate goal, to restore good posture or to relieve chronic pain?

From I Rolf’s point of view: “If you’re symptoms get better, that’s your tough luck” – she was going for a specific functional alignment in gravity. If your pain was due to constriction, compression, or compensation of this type, the pain goes away – but the goal is the improvement of support, balance, and alignment. Its aim is systemic, not symptomatic.

In Rolf’s ten series, three sessions deal with the superficial sleeve – front, back, and sides, Four sessions deal with the core myofascial relationships, and then the final three integrate the body’s movement. With someone well-versed in yoga, dance, or the like, I can usually reduce that to 8, but all the steps are necessary, even of they can be done in less time. Conversely, others can require more sessions, more time, to cover the same steps.

In our own system, KMI, we use 12 sessions, but based on the same principles. These sessions are outlines in detail in an appendix at the back of the book Anatomy Trains – www.anatomytrains.com

Bronnie – if you got temporary relief, either: 1) your pain is not really structural, and so would respond better to another method or 2) (and more likely) the pain is anchored somewhere else in your body, sometimes well away from the site of pain, and needs a more skilled practitioner to see, feel, and unhook that link.

Breathing

October 6th, 2010

In response to a request, let’s think for a minute about ‘stuck on the exhale’ vs ‘stuck on the inhale’: (I have great sympathy for the following, being somewhat bipolar and thus familiar with both extremes)

Of course both such people are continuing to breathe, but what the term means is that someone’s postural pattern tends toward either end of the bell curve where, in one instance, they cycle mostly around a position where the ribs are up, the diaphragm down, and the lungs are full. While these ‘stuck on the inhale’ people are circulating air enough to continue metabolism, they never really breathe out to where the lungs are empty, the diaphragm relaxes up, and the ribs fall.

At the other extreme lie those who hover around the exhaled position: ribs down, slumped, diaphragm unvibrant, lungs compressed. Again, they respire enough to live, but not through the full excursion of the ribs and lungs. Blood chemistry can change, and these folks tend to the depressed side. It’s hard to get your energy up when your breathing is down. This positional tendency tends to cast your eyes and attention down and inward as well – at the extremes these folks cannot get out of their own way.

Those stuck on the inhale are likewise manifesting a shaped pattern that has a meaning – we just haven’t developed a ‘Prozac’ for this disease. The inability to collapse breeds an (exclusively) outward looking manner that defies introspection and relies instead on others’ opinions to form one’s self-image. Hence we often see these barrel-chested in-breathers in positions like politicians, talk show hosts, and car salesmen, where the feedback is direct and self-worth in others’ eyes can be easily measured.

Evolution of Collective Learning in Kinesis

September 28th, 2010

I am feverishly reading the work of Howard Bloom in preparation for meeting him. His overview of the development of group consciousness (Global Brain, Wiley, 2000) mirrors my own thinking, but carries it deeper and with more supporting evidence. His ideas on the elements of a ‘collective learning machine’ (an epithet that applies to each of us as cell aggregates, to KMI / Kinesis, and to the bodywork / movement profession in general) are particularly relevant to understand our process and advance it. Where are you in this spectrum? (Hint: you can inhabit several places within it in different endeavors, but you cannot be nowhere.)

In every collective learning machine – and I paraphrase Bloom for the rest of this – there are five active elements, more or less in order, but all interacting in a developed system at all times: All of these elements have constructive and destructive phases or uses; read of them without judgment, but notice your affinity.

1) Conformity enforcers impose identity through similarities. These similarities help the group through adverse circumstances, develop a common language, and help the crowd pull together on collective enterprises. The induction process of the KMI training performs this task for us as a group – giving us a common presumptions, approach, language for bodyreading and strategy, the 12-series, and the common goals of length, alignment and a complete body image. Anatomy Trains (and our new effort of ‘Fascial Fitness’) seeks to diffuse a common language to speed the process of collective learning among the larger enterprise of physical education or, as I call it, Spatial Medicine.

In spite of the power it generates, of course, too much cookie-cutter similarity will be the death of any learning machine, so evolution builds in:

2) Diversity generators give birth to variation. Each individual represents an hypothesis in the communal mind. Many of the diversity generators are useless or even potentially harmful, but when circumstances change, some few of these folks hold the key to successful adaptation to the future. In your immune system, many white blood cells harbor antigens which are useless (and therefore kept under control) until a specific invader germ enters the body. Suddenly, these previously useless WBC’s are vital to the body’s survival. The ‘odd ducks’ within a group can be annoying or even detrimental in ‘good’ times, but some few can hold the key to new opportunities in one kind of adversity or another.

The diversity generators are allocated resources by the:

3) Inner judges continually take the measure of results, rewarding contributions of value, and punishing bad guesswork. If we’ve solved a knotty problem, we hear the cheers of fellow workers or family members, and our systems flood us with positive hormones that swell our chests, give us energy, and set our minds ablaze with confidence. If we cannot get a grip or cannot find agreement in what we are offering, our inner judges activate self-destruct machinery (stress hormones) that literally kill off brain cells and dull our wits, steal our pep, and isolate us. Inner judges are sometimes generous but often far from kind. But whatever their action on the individual, they are essential to complex adaptive learning systems.

The inner judges decisions activate the:

4) Resource shifters shunt riches and influence to group members who succeed (in whatever terms success is measured). The resource shifters embody Jesus’ algorithm: To he who hath shall be given, from he who hath not, even what he has shall be taken from him. Again, not very kind or ‘just’, perhaps, but it is the law of the group in learning.

Resource rich groups then engage in:

5) Intergroup tournaments or face offs evoke cooperative effort and innovation from each collective intelligence in an effort to survive and thrive. The mechanism here is familiar from Darwin’s natural selection, but applies in this context to group interactions or ‘wars’. This can range from a friendly dispute over technique to the competition among schools to the competition among methods to nuclear confrontation, but these are the forces – mostly unseen at the level of ‘culture’ that make mass minds click.

Obviously this has implications from family therapy right up through realpolitik on a global level, but let’s stick to the nested group of the individual practitioner, the KMI school, and the collective SI endeavour currently embodied in the IASI.

The KMI training is designed to produce (in an ever-improving recursive iterations) a conformity enforcement of practical fascial pattern-altering skills within a conceptual framework of the 3- and 12-series, but allowing enough room in our admissions policies and methods for ‘odd ducks’ who make us shake our heads and roll our eyes right now, but may at some future date innovate something of real value to the ever-changing situation of the marketplace. Thus our teachers are conformity generators with an eye (and an allowance) for the diversity generators. Once graduated, the group’s inner judges (not individual people, but collective ideas and feelings) will promote some to successful practitioners; others fall by the wayside and seek elsewhere.

Some successful practitioners will become teachers, and material and non-material resources will be ‘paid’ to those who correctly read and fulfill a need in the marketplace of ideas and techniques. These teachers / clinic heads / writers / presenters / volunteers et al. are building and will continue to create the identity of KMI / Kinesis within the SI community and beyond. This identity competes in an intergroup tournament going on among the schools within IASI for the resources of the small group of those interested in structural integration. But there is a larger intergroup tournament among the various bodywork methods for dominion over the larger marketplace of hands-on healing. So even though we compete within IASI for the ‘resource’ of students for practitioning, we band together in IASI to form a group for competing / cooperating with groups outside SI to enlarge the group of potential practitioners (and clients) interested in SI. These intergroup tournaments will improve the outcome of the new physical education and therapy on offer in the 21st century, paving the way for the movement component of health care, if and when we should ever collectively decide to trade in ‘sick care’ for true health care. Ultimately, we are part of the larger intergroup tournament with the medical system monopoly and the old ideas entrenched within it.

Our social health and (I believe) continued existence on the planet requires dismantling and successfully rebuilding our system of caring for and educating our Neolithic children in the human-constructed environment of the Electronic Age. We at Kinesis are an actively conscious part of that process. Conformity enforcement, diversity generation, inner judgment, resource shifting, and intergroup competition may not sound so attractive, and can sometimes be bloody in tooth and claw like Nature herself (it is Nature herself), but it is all part of improving our collective learning in the service of the human experiment.

Some Trinitarian Advice

July 9th, 2010

Someone in a good position asked me:

As an established expert in our field, if you could offer students and new, grads one piece of advice to further themselves, what would it be?

And I answered:

The one advice God answers as a Trinity:

1) Be clear in your intent. Knowing what you intend to do can inform your hands and inform the client / patient at a subtle level in such a way that makes up for your ignorance of exactly where everything is and what is going on in their tissues. The other side of that coin – mucking around hoping to find something that works (the ‘press and pray’ strategy) is occasionally a way of causing damage.

2) The contrary but still consistent advice is: experiment. When what you know is not working, make a conscious choice to explore in search of a new way. How else do you think all the things you know now were discovered? Most scientific discoveries are not made to the sound of ‘Eureka!’, but to the sound of ‘Hunh?’.

3) The 11th commandment: Thou shalt not bore God. If you are bored, you are doing something wrong. This is the most interesting profession going and it’s a largely unexplored area. If you’re bored, you got down a cul-de-sac, and you need to back out and go on in another direction. If all your sessions start looking and feeling the same, this is a good indication you are bored. Get help via mentorship or a new class.

Fascial Release

July 9th, 2010

With so much going on about fascia in general, Anatomy Trains in particular, and this site in the middle, I though I would share a clarifying piece of an email I just received from James Earls, the head of Kinesis in UK. He and I are coming out with a book soon on Fascial Release. So, are we doing fascial release, Anatomy Trains, of KMI? (KMI is our flagship training in a Rolf-evolved integrative bodywork).

Fascial Release is a technique, a way of getting malleable but tough tissue – the sinews that hold us together – to relent long enough for the movement pattern to change. There are lots of people using such techniques, and other techniques that can be incorporated into the fascial release domain. It’s this simple: some massage techniques done deeper, slower, and with an awareness of the ‘wave’ in the fascia become Fascial Release Technique – by definition, but not necessarily in origin. ‘There is nothing new under the sun of manipulation’, said Ida Rolf, and I still find this true 30 years and many brand names after her death.

Anatomy Trains is a model – a map of how the myofascia connects in longitudinal slings around the body. As a map, it is neither definitive nor exhaustive, and it certainly is not the territory of the lived, whole body. But it is a useful map with explanatory power, especially in long-term problems where postural compensation has set in.

KMI – SI is a process whereby we gently and progressively unfold the client’s pattern toward something more complete, more open, more aligned, and juicier. We use the Fascial Release techniques as a modus operandi, and we use the Anatomy Trains as an organizing map, but KMI is a modus vivendi – a way of bringing all this to bear on the art of life and living in a structured, moving body.

The future of the massage profession

April 27th, 2010

In historical terms, the modern resurgence of the massage profession is just getting underway, and the opportunities to earn more if you learn more are simply tremendous in the coming years. The principles and knowledge-base of the contemporary LMT will apply to many different clinical and educational settings in the new social environment which will follow the renewal of health care in America.

Three aspects that new and on-going therapists need to learn are:

1) Holistic anatomy: There’s no way around it – to sit at professional tables in this field you need to know the nomenclature. All the same, traditional anatomy (origins, insertions, etc.) is increasingly irrelevant as anatomy is revised in light of the new research on fascial remodeling and kinetic linkages like the Anatomy Trains Myofascial Meridians. So we need to know biomechanics, and we need to be on top of the new developments. This is what we are doing at Kinesis – winnowing the latest research and giving you the results. Being up on developments will raise your status in the eyes of other professionals and clients, and thus raise your income through increased referrals.

2) Client education: This is an ever-increasing requirement for all manual therapists: the ability to give specific, relevant, and informed ‘homework’ to your clients to help them enhance what they get from your good work. The days of just having a relaxing massage without follow-on care are largely gone already. The skill level of Pilates teachers, personal trainers, and movement teachers must be matched by the massage therapist –a great learning and earning opportunity to distinguish yourself from the pack.

3) Self-development: Nothing keeps your income up like excitement; when you are excited, it communicates and people are excited to be with you. Nothing excites you like learning new stuff. Sometimes that new learning can be a concept, like 1) above, or a technique, like 2) above, but honestly the most exciting things are emotional or spiritual. While we hope you buy our DVD’s or read our books, the most exciting things happen in our longer training classes , or in family life or on an adventure where your deep insides get changed.

Fall in love. Go on a challenging trip. Allow yourself to be changed by your life partner (fall in love again). Really go into your own spirituality or pain deeply. Any of these things will probably result in a short-term loss to your practice, but in a long-term gain.

Neil Armstrong said he never exercised because he believed that one ‘only has so many heartbeats’, so he didn’t want to raise the rate unnecessarily. The problem with this argument is that the raised heart rate of an exercise session results in a lowered heart rate for the rest the day – a net lowering. Same deal: sacrifice some income temporarily to take real care of yourself, and you will find your income grows when you’re back on the job.

An Alternative To The “Myofascial Pain” Construct?

April 13th, 2010

Now concerning this Bogduk article on my site: — I gotta say I respect his careful method but not his conclusions because I disagree with his assumption of where the ‘instant axis’ of movement is when you contract the psoas: the spine does not support itself or move around the bodies / discs, but rather around the neural arch / facet joints. But that’s my observation and intellectual conclusion, not a scientific finding.

SI Schools and Education

April 10th, 2010

An update to an earlier post:
Structural Integration Brands

I am often asked what is the difference between Kinesis and Rolfing, and some of this is already spelled out on our web site:



For what it’s worth, here’s my take on the subject: the Rolf Institute and other SI schools offer excellent education. Each school has its own flavour, and different students will be better suited to the different emphases. Some are more anatomically or clinically oriented, some more psychologically or spiritually oriented. 

My problem is I like it all, so we try to include all aspects in our training.

 There are, in any case, far greater differences among practitioners than among the schools, so you will find (and should search out) a practitioner who ‘fits’ you, just as with a school.

 All that said: Anatomy Trains is a map of interest to a wide variety of practitioners of many methods, manual and movement. KMI is one application of Anatomy Trains to human structural compensation patterns. KMI is definitely evolved from the pioneering work of Dr. Ida Rolf, and the principles of the KMI 12-series are to her credit, not mine. KMI is unique in basing the sessions around these myofascial continuities, the Anatomy Trains. This makes the method independent of “Ida said do this next” kind of thinking, and easier to explain rationally to other professionals.

 I like to think we build good perceptual skills – both hands and eyes – in our students, and that we are friendly to and inclusive of other methods rather than being aloof or exclusionary.

 But as I say, all the schools and all the practitioners I know are sincerely trying to do their best to educate people in changing structural and movement patterning. And it’s a rapidly evolving field.


Whimsey in Ulm

April 5th, 2010
Sue and Tom and Robert in Ulm

Sue Hitzman, Tom Myers, and Dr Robert Schleip vamping on the whimsical snaky chairs in the Biomechanics Lab at Ulm University, March 2010.

At the Ulm University Biomechanics Lab: Carla Stecco, Robert Schleip, Tom Myers, and James Earls