JANMI Soft Tissue Therapy

30/04/2026

25/04/2026

Most pain is not where the problem starts.

Today’s pattern:
Tight hip flexors pull the pelvis forward and compress the lower back.

In JANMI we look at the full chain:
Foot → Knee → Hip → Ribcage → Scapula → Neck

Fix the chain → pain reduces naturally.

I teach this in a small group (3–5 people) every Saturday at JANMI clinic in Marylebone.

If you want to understand the body deeper, message me “JANMI”.

Paulius Jurasius
JANMI Specialised Postural Pain Clinic- draw iliustration for this post for instagram

22/04/2026

Today at JANMI Specialised Postural Pain Clinic in Marylebone, I saw a man in his late 50s with unusual discomfort around the rhomboids, radiating into the anterior ribcage. Busy executive. Always on the move. Training five times a week with weights, running, cycling, climbing and Pilates. A strong man on paper, but the body was quietly showing signs of overload and compensation.

On assessment, I found slightly reduced left shoulder flexion, some scapular winging, forward head posture, posterior pelvic tilt, a flatter and tighter back, and sensitivity around both quadratus lumborum areas.

The main soft tissue restrictions were around the infraspinatus, subscapularis, pectoralis minor and major, cervical extensors, SCM, upper trapezius and shortened suboccipital muscles.

In JANMI Method, I do not see the rhomboids as the main villain here. They are more like the tired employee covering for a badly organised office. When the scapula is not stabilising well, and the serratus anterior and lower trapezius are not doing enough, the neck and upper traps often start working overtime. At the same time, if the pectoral and ribcage region becomes tight, the shoulder loses freedom and the load is no longer shared well.

This can create exactly the sort of pattern where discomfort is felt around the rhomboids but also radiates into the front of the ribcage. The body is one connected chain, not six separate departments pretending not to know each other.

At JANMI, I look at the full postural chain:
foot
knee
hip
ribcage
scapula
neck

Pain in one link is often the result of compensation across all six.

Our treatment plan is to improve soft tissue balance, reduce tension in overworking areas, restore better ribcage and scapula mechanics, and support a more efficient full chain posture strategy.

This is JANMI Integrated Therapy. Not just chasing pain, but understanding why the body started whispering, then grumbling, then finally complaining.

Paulius Jurasius
JANMI Specialised Postural Pain Clinic

Disclaimer: This post is for educational purposes only and is not medical advice, diagnosis, treatment, or a substitute for an individual assessment.

22/04/2026

A client in his 40s came to JANMI Specialised Postural Pain Clinic in Marylebone with many discomforts, misalignment and one very human question:

Can you help me understand what is happening in my body?

He is a businessman. He travels often, works under pressure and lives in that modern rhythm where the laptop is always open, the phone is always awake, and the body quietly becomes the unpaid assistant.

During assessment, I found a clear JANMI pattern:

Left quadratus lumborum overcontracted
Right diaphragm tight
Right lower ribcage twisted lower and slightly forward
Right levator scapula guarding
Groin pain when moving the hip and leg

To me, this was not random.

In JANMI Method, I do not look at groin pain only as a groin problem. The body is not a collection of spare parts from an old bicycle. It is one living chain.

Foot, knee, hip, ribcage, scapula and neck all share the same story.

When the left QL locks, the pelvis can lose freedom.
When the right diaphragm tightens, the ribcage can rotate and drop.
When the ribcage twists, the hip may lose clean movement.
When the hip loses space, the groin can start to complain.
When the ribcage is not supporting well, the levator scapula may become overprotective around the neck and shoulder blade.

At JANMI, the solution is not to attack the painful area like a medieval knight with too much enthusiasm.

The solution is to understand the pattern.

The JANMI approach would focus on soft tissue assessment and treatment of the left QL, right diaphragm, ribcage mechanics, hip flexors, adductors, deep hip muscles, levator scapula and postural chain.

The aim is to help the body move from defensive holding into better alignment, better load sharing and calmer movement.

Because sometimes the body does not need more force.

It needs someone to read it properly.

Paulius Jurasius
Founder of JANMI Method
JANMI Specialised Postural Pain Clinic, Marylebone

Disclaimer: This educational post is not medical advice, diagnosis or treatment, and does not replace individual assessment by a qualified health professional.

17/04/2026

Heel Fat Pad Pain in Runners Is Often a Full Body Story

A female client in her early 30s came to see me at JANMI Specialised Postural Pain Clinic in Marylebone with heel fat pad pain. She works as an executive during the day and runs long distances on weekends. Strong mind, strong routine, but the body was already showing signs that the chain was no longer sharing the load well.

On assessment I found a higher pelvis on one side, slight scoliosis, forward head posture, strong overcontraction around the quadratus lumborum, and tension appearing much higher up around levator scapula on the opposite side. This is what I often see in modern runners who spend many hours sitting and then ask the body to perform hard at the weekend.

The painful heel was not the whole problem. It was the end point of a longer compensation story.

When the pelvis is not level and the trunk is pulled into asymmetry, load travels down through the hip, knee, ankle, and foot in a less efficient way. Then the heel pad starts taking more stress than it should. Add sleepy foot intrinsics that are no longer doing their quiet supportive job properly, and the foot loses part of its natural spring and control.

My JANMI solution was not to chase only the painful spot. It was to read the full pattern, calm the overworking tissues, improve balance through pelvis and ribcage, release compensations higher up the chain, and help reactivate the sleeping foot intrinsics so the foot could support the body more intelligently again.

This is how I see many modern postural pain cases. The pain speaks locally, but the body problem is often global.

Paulius Jurasius
JANMI Specialised Postural Pain Clinic
Marylebone, London

For educational purposes only. This post is not medical advice, diagnosis, treatment, or a substitute for an individual assessment.

13/04/2026

Some running bodies do not complain with drama. They complain with quiet tiredness.

Today at the clinic I saw a very modern pattern in a very determined woman in her mid 40s. Busy executive. Long distance runner. Strong mind. Disciplined routine. But the body was whispering that the left and right sides were no longer speaking the same language.

On one side, the gluteus medius and deep glute muscles were gripping hard, as if trying to hold the pelvis together alone. On the other side, the iliopsoas, re**us femoris and TFL were pulling with that familiar front of hip dominance we see so often in people who run, sit, work, rush, and then run again to stay sane.

This is where the body becomes clever, but not economical.

One side stabilises too much.
The other side drives too much.
The pelvis loses its quiet rhythm.
And the person does not always feel sharp pain first.
Very often she feels tiredness, stiffness, heaviness, and that strange sense that running is becoming more effort than freedom.

In JANMI way of thinking, this is not just a tight muscle story. It is a chain story. A load sharing story. A story of compensation between deep glutes and hip flexors, between lateral hip control and forward pulling mechanics. The body still performs, but it pays for that performance with hidden tension.

Modern people are very good at continuing.
The body is very good at adapting.
But adaptation is not always balance.

Sometimes what looks like fitness is just well organised compensation in expensive trainers.

This is why I always look at the logic of the pattern, not only the loudest area. Because stiffness is often a message from the side that is overworking for the side that has changed its role.

The body has its reasons.
We just need to learn how to listen before the whisper becomes an argument.

Paulius Jurasius
JANMI Specialised Postural Pain Clinic
Marylebone, London

For educational purposes only. This post is not medical advice, diagnosis, treatment, or a substitute for an individual assessment.

11/04/2026

Why Shoulder Pain Sometimes Ends in the Jaw

Today a man in his late twenties came to my clinic with discomfort that began around the rhomboid area, climbed into levator scapula, spread into the arm, then travelled further into the neck and even the TMJ area.

At first glance many people would call this a shoulder problem.

But in JANMI logic, this is a chain problem.

He had a very pronounced head forward position, very tight upper trapezius, and a posterior pelvic tilt. Stressful office job. Regular weight training a few times a week. A modern body trying to perform well while slowly losing its natural postural logic.

When the pelvis falls into posterior tilt, the spine loses part of its natural support. The upper body then starts searching for stability higher up. The head moves forward. The neck extensors and upper trapezius become overactive. Levator scapula begins to act like a stressed rope between neck and scapula. Rhomboid area becomes irritated from constant load sharing. Then the jaw joins the story, because the body under stress does not separate neck tension from TMJ tension very well.

This is why pain can travel.

It is rarely random.

It is the body speaking in a long sentence, while most people only listen to one word.

And then gym training is added on top. Not bad in itself, of course. But if you load a compensating structure again and again, you do not create freedom. You often create stronger compensation.

At JANMI I do not just look at where it hurts. I look at how the whole chain is holding itself together.

Pelvis. Ribcage. Scapula. Neck. Jaw.

Because very often the painful shoulder is only the middle of the story.

JANMI Specialised Postural Pain Clinic
Marylebone, London

For educational purposes only. This post is not medical advice, diagnosis, treatment, or a substitute for an individual assessment.

08/04/2026

Why Your Knee Hurts When You Start Running And Why It Is Not the Knee

Today I saw a runner in his early 40s. Office-based life, disciplined, active, doing everything that should keep the body healthy.

Yet every run started with discomfort in the right knee.

Not severe. Not dramatic. But persistent.

When I assessed him, the knee was not the problem. It was simply the place where the body decided to complain.

Right vastus lateralis was overactive and sensitive. There was a subtle knee valgus pattern. But the real issue revealed itself when he stood on his left leg.

No control. No balance.

Left side pelvis was overworking hard to stabilise. Quadratus lumborum, gluteus medius, iliopsoas all trying to do a job they were not designed to do alone.

Add to that tight adductors on both sides, and the system becomes compressed and inefficient.

This is classic JANMI chain logic.

When the left side cannot stabilise, the body shifts load to the right. The right leg becomes the worker. The knee becomes the victim.

And then we blame the knee.

Modern life creates this pattern quietly.

Too much sitting. Flat surfaces. Straight line movement. Lack of natural variation. The body adapts, but the adaptation comes with a cost.

At JANMI, I do not chase symptoms. I follow the chain.

Foot. Knee. Hip. Pelvis. Ribcage.

Because pain is rarely the beginning of the story.

JANMI Specialised Postural Pain Clinic
Marylebone, London

For educational purposes only. This post is not medical advice, diagnosis, treatment, or a substitute for an individual assessment.

07/04/2026

A few days ago at JANMI in Marylebone I had one of those moments that reminds me why the body should never be judged too quickly.

A client in his early fifties had lived for years with very restricted left shoulder flexion. He could barely lift the arm even halfway. After around five minutes of focused deep work on pectoralis minor, he suddenly lifted the arm into full range.

This is exactly why I look beyond the place that seems guilty at first glance.

Pectoralis minor may be a small muscle, but when it becomes tight and overprotective, it can pull the scapula forward and disturb the whole shoulder rhythm. Then the arm does not move freely, not because it is weak, but because the mechanics are trapped.

Modern life is full of this pattern. Stress. Travel. Sitting. Screens. Forward posture. Shallow breathing. The body starts living in defence mode, and the shoulder quietly forgets how to reach.

At JANMI I see these cases through full chain logic. Ribcage, scapula, neck, posture, breathing, movement history. Often the answer is not more force. Often the answer is finding the one structure that has been holding the whole system hostage.

Sometimes the body is not broken.
Sometimes it is simply stuck in a clever but costly compensation.

JANMI Specialised Postural Pain Clinic
Marylebone, London

For educational purposes only. This post is not medical advice, diagnosis, treatment, or a substitute for an individual assessment.

31/03/2026

A few days ago I saw a female client in her early thirties who bent to pick something up from the floor and suddenly the whole lumbo pelvic area seized up.

Everything felt frozen.
Lower back.
Upper glutes.
Hamstrings.
Even the simplest trunk movement became painful.

She was frightened and thought she may have done something serious to her spine or discs. I understand that reaction. When pain comes suddenly and strongly, the imagination runs faster than the facts.

But in clinic, this looked much more like a classic lumbago pattern in modern people. In JANMI logic, this is often not just a spine story. It is a chain protection story.

Quadratus lumborum starts gripping.
Erector spinae start guarding.
Upper glutes tense to hold the pelvis.
Hamstrings tighten as part of the same posterior chain defence.

The body freezes not always because it is badly damaged, but often because it is trying too hard to protect.

This is why I see lumbago so often in busy modern professionals. Too much sitting. Too little movement variety. Hips not sharing the load well. Breath too shallow. Stress already living in the body. Then one small bend becomes the final straw.

I treated her with Integrated Therapy and the next day she sent me a thank you message saying it already felt much better.

Pain can be dramatic.
That does not always mean the damage is dramatic.

Paulius Jurasius
JANMI Integrated Therapy
Marylebone London