My Dear Reader, If there is one region that keeps appearing behind modern postural pain, it is the pelvis . Not as a “tilt problem”, not as a mysterious bone that needs “realigning”, but as a load-transfer system  that has lost coordination. At JANMI Postural Pain Clinic in Marylebone, London , we’ve been studying a repeating clinical truth: when pelvic control becomes inconsistent, pain travels. What we mean by “pelvic misalignment” From an anatomical and biomechanical view,

My Dear Reader, There is a muscle I meet almost every day in clinic — and yet most people have never heard of it until something goes wrong. It’s the serratus anterior . When it works, nobody notices.When it doesn’t, the shoulder blade behaves like a shopping trolley with a dodgy wheel — noisy, unstable, and impossible to ignore. At JANMI Postural Pain Clinic in Marylebone , serratus anterior is one of our most consistent sleepers  in modern postural pain. What and where is s

My Dear Reader, Some muscles announce themselves loudly when they fail.Others disappear quietly — and let the damage travel upward. The tibialis posterior  belongs firmly to the second group. At JANMI Postural Pain Clinic in Marylebone , this muscle has become one of our most researched and consistently underperforming sleepers  in modern bodies. Not because it is weak by design — but because modern movement rarely asks it to do its real job. What and where is tibialis poster

My Dear Reader, There is a muscle I rarely need to point out on a chart, because most people feel its absence rather than its presence. It’s the transversus abdominis  — often called the deepest abdominal muscle — and at JANMI Postural Pain Clinic in Marylebone , it is one of the most common sleepers  we encounter in modern postural pain. What is the transversus abdominis? Anatomically, the transversus abdominis (TrA)  wraps around the abdomen like a wide belt.Its fibres run

My Dear Reader, There is a place I often look when someone arrives with knee pain, hip tightness, or a stubborn lower back that never quite settles. It’s not the knee.Not the hip.Not even the back. It’s the foot  — more precisely, the small intrinsic muscles inside it . At JANMI Soft Tissue Therapy in Marylebone , foot intrinsics are one of the most common sleepers  we find in modern bodies. What are the foot intrinsics? Anatomically, foot intrinsic muscles are small muscles

My Dear Reader, There is one muscle I meet every day in clinic — not because it’s tight, but because it’s tired, confused, and doing a job it was never meant to do alone. It’s the diaphragm . Most people know it as a breathing muscle.In reality, it is also one of the most important postural stabilisers in the human body . At JANMI Soft Tissue Therapy in Marylebone , the diaphragm is one of the first “sleepers” we assess when someone presents with modern postural pain. What a

My Dear Reader, If your head feels heavy by the end of the day, if your neck is always “on,” if your jaw clenches without you noticing, or if your shoulders slowly creep forward as the hours pass — this post is for you. In my daily work at JANMI Soft Tissue Therapy in Marylebone , one group of muscles keeps appearing in the background of modern postural pain patterns. They are rarely tight. Rarely painful themselves. And almost always overlooked. They are the deep neck flexor

My Dear Reader, If you work at a laptop, carry a bag on one shoulder, train hard on weekends, and sit like a folded deckchair on weekdays… welcome. You’re not broken. You’re just a modern human. At JANMI Soft Tissue Therapy in Marylebone , we see the same postural pain patterns on repeat. Not because Londoners are fragile—because the body adapts brilliantly  to whatever you do most. The problem is: it adapts with shortcuts . And those shortcuts create what I call: Brakes : th

Hello friends, For years I’ve watched a familiar story play out on the table. We release an overworked muscle, you feel lighter, you walk out happy… and then a week later something pulls you back out of shape. Not because the release “didn’t work”, but because its opposite  never woke up to share the job. So I built a simple, clinical answer that fits the way the body truly moves: Integrated Soft-Tissue Therapy Plus— the Agonist–Antagonist Reset™. It does two things in one se

My dear reader, If you have ever had a deep-tissue massage, sports massage, or JANMI Integrated Therapy session, you almost certainly know “that knot”  — the one hiding under the upper trapezius, right along the medial–superior border of the scapula . The therapist presses, your soul briefly leaves your body, and you think: “Ah yes… that spot.” It is the universal hotspot — the modern human signature. I treat CEOs, dancers, ultra-runners, stressed-out office workers, yoga tea

My dear reader, If you have ever felt that familiar lightning bolt of pain travelling from your lower back into your glute, then down the hamstring as if someone plugged your leg into an electrical socket, you have experienced sciatica  — the modern body's polite way of saying: “Excuse me… you are living in a posture your spine did not sign up for.” Sciatica is not a random villain that attacks people for fun. It is a mechanical story , a fascial story , and increasingly — a

My dear reader, There are moments in the clinic when a client raises their arm and says: “Paulius, I don’t understand… My hand tingles, my shoulder feels heavy, and sometimes my whole arm goes numb.” And I smile gently — not because it’s amusing, but because this pattern has become the national posture of modern civilisation . We call it Thoracic Outlet Syndrome (TOS)  — a fancy name for a simple reality: The nerves and blood vessels travelling from the neck to the arm are be

My dear reader, If there is a muscle that truly represents the confusion of the modern human body — the heroic little rhomboids sit proudly at the top of the list. They are the muscles people point to when they say: “Paulius, it’s always  tight between my shoulder blades.” or “I keep massaging it, but it comes back the next morning.” Yet here’s the paradox I share with clients at JANMI: Your rhomboids are often BOTH overstretched and  painfully tight — at the same time. Yes,

My dear reader, Of all the modern patterns I see in my clinic, there is one that has become so universal we almost forget it is a dysfunction: the forward head and rounded shoulders. It is the posture of laptops, deadlines, emails, stress, self-protection… a posture that quietly whispers: “I am surviving, but I am not breathing.” When your head moves forward just 2–3 centimetres, your myofascial system does something extraordinary — it reorganises itself to keep you upright.

My dear reader, If there is one condition that perfectly captures the mismatch between human evolution and modern living, it is patella pain  — sometimes called runner’s knee , patellofemoral pain , or patellar tendon irritation . Different names, same message: The knee is complaining about something the rest of the body has forgotten to do. People often arrive in my clinic pointing directly at their kneecap: “Paulius, it hurts right here. What’s wrong with my knee?” And I sm

My dear reader, If I asked you which muscles carry the most stress in your body, you might say the shoulders, the neck, the lower back…But there is one area that silently absorbs more tension than almost any other: Your jaw. The masseter, temporalis and pterygoids — once designed for chewing roots, raw meat, bark, and all sorts of Stone Age cuisine — are now dealing with deadlines, emails, screens, awkward selfies and the quiet panic of modern living. I see jaw tension every

My dear reader, If there is one muscle that has suffered more from modern civilisation than any other, it is the piriformis . A small, deep, quiet muscle… …turned into a modern-day martyr. I see it every week in my Marylebone clinic: runners, lifters, cyclists, office workers, “very active but very stiff” people — all pointing to that deep, annoying pain in the glute, sometimes radiating down the leg like a moody nerve with trust issues. Most of them blame: sitting running de

My dear reader, Two conditions walk into my Marylebone clinic almost every week: Tennis Elbow  (lateral epicondylitis) and Golfer’s Elbow  (medial epicondylitis). The funny part? Half the people who suffer from them don’t play tennis. The other half don’t play golf. Some do neither and still arrive clutching their elbow like a Victorian poet in emotional distress. The common question is always: “Paulius, why does my elbow hurt when I’m not really doing anything extreme?” My a

My dear reader, Today I want to talk about something very small and very underrated: The intrinsic muscles of your feet. The tiny ones. The ones nobody ever trains on Instagram. If the glutes are the engine of the lower body, the foot intrinsics are the keyboard and mouse of your movement system  – quietly sending information, stabilising, correcting, adapting. And in our modern world of flat pavements and cushioned shoes, they are slowly going to sleep. When they do, we don’

My dear reader, If I had a pound for every time a healthy, fit, hard-working Londoner lay on my couch and said: “Paulius, I do my steps, I lift, I stretch, I eat well… so why does my body still feel broken?” …I’d probably be writing this from my JANMI chateau in the Alps. You are not lazy. You are not weak. You are not “getting old at 35”. You are simply a Stone Age body trying to survive in a Wi-Fi world. For more than 15 years , I’ve had my hands on the muscles and fascia o