Form and function are a part of the natural world, evident to us in every moment if we only stop to see. Cultivating awareness is the first step toward patient improvement from pain and imbalance. Once you see, you can never not see again.

Advanced Myofascial Release and St John Certified Neuromuscular Therapy

What is Advanced Myofascial Release?

We use Advanced Myofascial Release in many treatments. Myofascial Release is performed directly on the skin without the use of oil or cream.  This is necessary to detect fascial restrictions.  Gentle, sustained pressure is applied to facilitate a release of restricted tissues due to postural imbalance, injury or surgery recovery. Our training in this technique is primarily with Til Luchau. Til is the lead instructor and Director of . He is a Certified Advanced Rolfer (TM) and a former faculty member and Coordinator of the Rolf Institute's Foundations of Rolfing Structural Integration program. Some video links are on our Learn page or click here to see a variety of treatment videos.

What is St John Neuromuscular Therapy?

St John Neuromuscular Therapy was founded by Paul St John. It is a comprehensive program of soft tissue manipulation techniques that balance the central nervous system (brain, spinal column and nerves) with the structure and form of the musculoskeletal system. NMT is based on neurological laws that explain how the central nervous system maintains homeostatic balance. These same laws dictate how the central nervous system initiates pain response.

There are five principles to Neuromuscular Therapy:
1. Postural Distortion
2. Biomechanical Dysfunctions
3. Trigger Points
4. Nerve Compression/Entrapment
5. Ischemia

Postural Distortion or muscular contraction occurs when there is an imbalance of the musculoskeletal system resulting from movement of the body off the coronal, midsagittal or horizontal planes. When the body tries to compensate in an effort maintain structural balance, muscle contraction, body distortion, and pain result. For example, lower limb-length inequality can cause a tilted pelvis, which usually results in a compensatory scoliosis that is maintained by sustained muscular effort.

Biomechanical Dysfunction is an imbalance of the musculoskeletal system resulting in faulty movement patterns. Repetitive strain of certain soft tissue result in adapted movement patterns that become muscular “habits” and must be reeducated.

Trigger Points occur when nerves fire impulses at a rapid speed into an area of the body other than that which has been traumatized. Because of trigger points, the cause of serious pain may often be far from the actual site of the pain. This, in turn, inhibits proper blood flow, which causes ischemia an often leads to more pain and discomfort.

Nerve Compression and Entrapment is pressure on a nerve by bone, cartilage or soft tissue. The role of the soft tissues in nerve compression is vital. Failure to treat the associated soft tissue often treats the symptom without eliminating the cause of the pain. Nerve entrapment is the most common type of pain and always causes ischemia. Ignored, it can produce associated trigger points.

Ischemia is a lack of blood supply to the soft tissues, which causes them to be very sensitive touch.


Differentiating the medial and lateral arch while stabilizing the calcaneous

Treating the deep rotators of the hip

Treating the deep rotators of the hip