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Monday 10am - 8:30pm Tuesday 10am - 8:30pm Wednesday 10am - 9pm Thursday 4pm - 9pm Friday 10am - 8:30pm Saturday 10am - 5:45pm Sunday 11am - 5pm

JANMI Soft Tissue Therapy, Unit 4, Light Centre, 10 Portman Square, London (2026)

14/03/2026

Stretching is not always the answer to chronic muscle tightness.

Many tight muscles are not simply short. They are protective.

At JANMI in Marylebone, I use integrated soft tissue therapy with precise MET techniques such as PIR and RI to help reduce chronic tension more intelligently.

PIR works by using a gentle contraction and release to encourage relaxation in the tight muscle.
RI works by activating the opposite muscle group so the overactive area can calm down.

This works especially well when the real issue is not only the sore muscle, but the whole postural chain around it. Tight upper traps, hip flexors or chest muscles often make more sense when you assess the wider pattern.

The body usually holds tension for a reason.
My job is to understand that reason and treat it with precision.

Paulius Jurasius
JANMI Postural Pain Clinic
Marylebone London

13/03/2026

Why does neck stiffness keep coming back even when you stretch every day

Today I saw a very common modern pattern in clinic. A female office worker with a very stressful and intense role had chronic neck tightness and stiffness, especially in the morning, despite doing regular stretching and mobilisation.

On assessment, I found very tight upper trapezius, suboccipitals, splenius capitis, thoracic spinal extensors, quadratus lumborum and hip flexors.

This is important because in many cases the neck is not the whole problem. It is often the final area complaining after the rest of the body has lost good load sharing.

When stress is high, breathing often becomes more shallow and upper chest dominant. The ribcage stiffens, the thoracic extensors brace, the shoulders lift, and the neck starts doing more work than it should. Add prolonged sitting, shortened hip flexors and a tense quadratus lumborum, and now the pelvis, ribcage and neck are all pulling on each other in the wrong way.

That is why some people stretch the neck every day and still wake up stiff. The body is not holding that tension for no reason. It is using it as a compensation strategy.

At JANMI Postural Pain Clinic in Marylebone, I always look beyond the painful spot and try to understand the full chain behind the problem.

Modern pain is rarely random. It usually has logic.

Disclaimer:
This post is for educational purposes only and does not replace medical assessment, diagnosis or treatment.

12/03/2026

Powerlifter in the evening. Desk warrior in the day. This is a very modern recipe for medial elbow pain.

This week I saw a client in his early forties with pain and stiffness around the medial elbow. At first glance it looked like a local overload of the flexor pronator tissues around the elbow. But the bigger clue was higher up. Weak serratus anterior and lower trapezius support meant the shoulder girdle was not sharing load efficiently. So the forearm was likely doing too much gripping, stabilising and compensating.

This is something I see often. The elbow complains, but the whole chain has been involved in writing the problem. Hours of desk posture during the day, then heavy lifting in the evening, can create a mismatch between posture, control and force production.

At JANMI Postural Pain Clinic Marylebone I always look beyond the painful point. The question is not only where it hurts, but why that tissue had to work so hard in the first place.

Disclaimer. This post is for educational purposes only and does not replace medical diagnosis or treatment by a qualified healthcare professional.

10/03/2026

SI pain after golf is often not just about one joint.

Last week in clinic I saw a busy female in her 50s with SI region pain after golf. Her pattern was a classic example of what happens when the body cannot rotate well through the proper links of the chain.

She had a stiff and flat lumbopelvic area, flat thoracic posture, forward head, rounded shoulders, tight hamstrings, soleus, quadratus lumborum and gluteus medius, plus calf and plantar fascia cramps. The opposite gluteal side was even tighter, suggesting a strong cross body compensation pattern.

Golf is a full body rotational event. When the feet are rigid, the calves are tight, the hips do not rotate properly, and the thoracic spine stays stiff, the SI region often ends up taking more load than it was designed for.

Sometimes arthritic change may be present. But very often the real story is in the chain around it.

At JANMI Postural Pain Clinic Marylebone, I look at these cases as full body compensation patterns, not just one painful spot.

Disclaimer

This post is for educational purposes only and does not diagnose arthritis or replace medical assessment.

09/03/2026

Many people think core means abs.

In clinic, I see something deeper than that.

Very often people come with lower back pain, pelvic discomfort, hip tightness, knee irritation, or even neck tension, and after proper assessment one thing keeps showing up. Weak core function.

The core is not just six pack muscle. It is the central support system of the body. It includes important muscles such as transversus abdominis, multifidus, diaphragm, pelvic floor, obliques, and re**us abdominis. Together they help stabilise the spine, support the pelvis, manage pressure in the trunk, and allow force to travel better through the kinetic chain.

When this system is weak or poorly coordinated, the body starts compensating. The lower back may overwork. The hips may grip. The knees may take extra load. Even the neck and shoulders may tighten because the trunk is no longer providing a reliable base.

That is why I never like looking only at the place that hurts. The painful area is often just the loudest complainer in a much bigger chain story.

At JANMI, core strength is not about looking athletic. It is about creating a more stable, intelligent, and efficient centre so the whole body can move and load better.

Disclaimer This post is for educational purposes only and does not replace medical advice diagnosis or treatment.

09/03/2026

A previous meniscus surgery does not always stay politely at the knee.

This week I saw a 45 year old female with anterior pelvic tilt, forward head posture and slightly rounded shoulders. But the real story was deeper than posture alone.

The body seemed to be organised around protection. Iliopsoas, gluteus medius, quadratus lumborum, upper trapezius, pectoralis minor and the occipital region were all working too hard. Meanwhile the quieter stabilisers looked less involved: foot intrinsics, diaphragm, serratus anterior, lower trapezius and deep neck flexors.

This is the kind of full chain logic that fascinates me.

When a knee has gone through a meniscus issue and surgery, the body can keep a subtle memory of caution. Load transfer changes. The pelvis starts borrowing tension. The ribcage becomes less free. The shoulders round. The head moves forward. One old local problem becomes a wider postural pattern.

That is why I do not like looking at neck pain, shoulder tension or lower back tightness as separate random problems. Very often the body is speaking in one long compensation sentence from foot to head.

In JANMI Full Chain Reset work, I look at how the whole chain is sharing load and where tension has become a substitute for stability.

Sometimes the body is not weak.
It is simply over organised around an old protection strategy.

Disclaimer This post is for educational purposes only and does not replace individual assessment, diagnosis or medical care.

08/03/2026

A previous meniscus surgery does not always stay politely at the knee.

This week I saw a 45 year old female with anterior pelvic tilt, forward head posture and slightly rounded shoulders. But the real story was deeper than posture alone.

The body seemed to be organised around protection. Iliopsoas, gluteus medius, quadratus lumborum, upper trapezius, pectoralis minor and the occipital region were all working too hard. Meanwhile the quieter stabilisers looked less involved: foot intrinsics, diaphragm, serratus anterior, lower trapezius and deep neck flexors.

This is the kind of full chain logic that fascinates me.

When a knee has gone through a meniscus issue and surgery, the body can keep a subtle memory of caution. Load transfer changes. The pelvis starts borrowing tension. The ribcage becomes less free. The shoulders round. The head moves forward. One old local problem becomes a wider postural pattern.

That is why I do not like looking at neck pain, shoulder tension or lower back tightness as separate random problems. Very often the body is speaking in one long compensation sentence from foot to head.

In JANMI Full Chain Reset work, I look at how the whole chain is sharing load and where tension has become a substitute for stability.

Sometimes the body is not weak.
It is simply over organised around an old protection strategy.

Disclaimer This post is for educational purposes only and does not replace individual assessment, diagnosis or medical care.

08/03/2026

Why stress makes the upper trapezius chronically tight

At JANMI Postural Pain Clinic in Marylebone, I see this pattern all the time. People come in with shoulders that feel heavy, stiff, loaded, and permanently half way to their ears.

Very often, the upper trapezius is not tight because it is a bad muscle. It is tight because the body has been under stress for too long.

When stress builds, the nervous system shifts into protection mode. Breathing becomes shallower, the jaw starts clenching, the ribcage stiffens a little, and the shoulders subtly rise. That small defensive shrug pattern keeps the upper trapezius working in the background for hours every day.

Then modern life adds more fuel. Desk work, phone use, poor sleep, emotional pressure, and forward head posture all push the muscle to do even more. It starts helping with posture, shoulder control, and even upper chest breathing.

No wonder it gets grumpy.

From a JANMI full chain point of view, this is rarely just a neck muscle issue. It is usually part of a bigger pattern involving the neck, ribcage, scapula, breathing mechanics, and nervous system tension.

That is why I do not see the upper trapezius as the villain. I see it as the messenger. It is one of the clearest places where stress becomes physical.

Disclaimer. This post is for educational purposes only and does not diagnose or replace medical, physiotherapy, or mental health care.

08/03/2026

Severe Hip Osteoarthritis and Full Chain Compensation Pattern

A woman in her fifties came to see me with severe right hip wear and tear and is now waiting for surgery. Her main complaint was not only the hip itself, but a pulling sensation on the right side from the upper lumbar area down towards the SI joint, especially when bending forward or stepping onto the right foot.

On assessment, the right soleus, right hamstrings and right side lower back stabilisers were working too hard, while the left deep glutes and IT band were also tighter. This is a classic compensation story. When the right hip can no longer absorb and transfer load properly, the body starts borrowing movement and stability from other areas.

The calf stiffens to help with support. The hamstrings grip to control the pelvis. The lower back and pelvic tissues brace to hold things together. Meanwhile the opposite side glutes and lateral thigh take on more support work because the painful side is no longer trusted properly.

This is why hip pain is rarely just about the hip. In JANMI Full Chain Reset logic, the body becomes one compensation pattern from foot to pelvis to spine. The painful joint may be the headline, but the surrounding soft tissues are often doing the overtime.

This post is for educational purposes only and does not replace medical or orthopaedic advice.

06/03/2026

Why does SI joint pain keep coming back in some people with scoliosis?

Because scoliosis is rarely just a side bend. It is often a three dimensional pattern with rotation through the spine and ribcage as well. That changes how the pelvis loads, and very often one side of the lower back and glutes starts working too hard.

In one recent case at my Marylebone clinic, the left quadratus lumborum, erector spinae and gluteal tissues seemed to be doing too much stabilising work. Over time, that constant bracing likely contributed to persistent pain around the left SI joint region.

This is why I do not just chase the painful spot. I look at the full chain and ask why that area became overloaded in the first place. Very often the answer is hidden in the relationship between ribcage, spine, pelvis and hip.

At JANMI Postural Pain Clinic Marylebone, I assess these patterns through full chain logic to help reduce asymmetrical load and calm the tissues that have been overworking.

Disclaimer: Soft tissue therapy is supportive care and is not a substitute for medical diagnosis or treatment.

05/03/2026

Quadratus Lumborum and Multifidus
Sharp lower back pain after a random floor lift

A man in his fifties lifted something ordinary from the floor. Two days later he had sharp pain around the sacrum and iliac crest.

In this pattern the hamstrings often over grip to brace the pelvis. The quadratus lumborum clamps near the iliac crest. The lower back flattens and movement becomes guarded. Glutes and deep stabilisers like multifidus may not contribute well at the moment of loading, so the back becomes the main lifter.

In JANMI thinking this is rarely just a lower back problem. It is a load sharing problem across the full chain from foot to pelvis to ribcage.

Disclaimer
Educational content only. This is not medical advice, diagnosis, or treatment. Seek urgent medical help if symptoms are severe or worsening, or if you have numbness, tingling, leg weakness, fever, unexplained weight loss, or any bladder or bowel changes.

04/03/2026

Deadlifts and High Hamstring Pain Why the Top Attachment Gets Overworked

Powerlifting deadlifts are amazing until that deep ache appears right under the glute fold the classic high hamstring area.

Why it happens
Deadlifts load hamstrings under big tension while they are lengthened at the hip. The hamstrings also act as both brakes on the way down and engine on the way up. If pelvis control or whole chain load sharing is off, the top hamstring attachment gets extra traction and starts complaining.

Common signs
Deep ache under the bum crease;
Sore when sitting or driving;
Pulling feeling high in the back thigh during hinges.

In JANMI Full Chain Reset I look beyond the hamstring and assess foot, knee, hip, pelvis ribcage, and scapula mechanics, because this is usually a chain problem, not a single muscle problem.

Disclaimer Educational content only, not a medical diagnosis.

JANMI Soft Tissue Therapy

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Monday	10am - 8:30pm
Tuesday	10am - 8:30pm
Wednesday	10am - 9pm
Thursday	4pm - 9pm
Friday	10am - 8:30pm
Saturday	10am - 5:45pm
Sunday	11am - 5pm