Thomas E. Sabalaske DO
A term you may hear me refer to during treatment is fascia. Fascia is a thin but very
tough layer of connective tissue in the body that serves many purposes. It is a three
dimensional continuous sheet of tissue that surrounds all of the bodies bones, muscles,
ligaments, vascular/nerve structures and organs. It is important to consider the fascia to
achieve long lasting relief of a dysfunction area because if it is left with dysfunction, it will
pull the muscles and bones back into the same pattern present before treatment.
This is one of the reasons why some body workers require patients to come back
frequently. I often say if a 300 pound man pulls on one side of a vertebrae, and a 100
pound man pulls on the other, even if you snap the vertebrae into straightness and
normal motion, it will go back to the 300 pound man side if the soft tissue is left untreated.
The fascia is wrapped in a twisting spring-like fashion around the body and often gives
common patterns of dysfunction which are seen in many people. As an example, in the
pelvis, there is commonly a little posterior rotation of the left side and anterior rotation of
the right. This is normal until a there is a dysfunction (ie. abnormal tightening) of that
area OR if another area of the fascial band connected to the pelvis (anywhere in the
body) gets dysfunctionally tight, then you can create abnormal forces that can affect the
local situation from a problem somewhere else.