Atlantic Physiotherapy & Pilates

Atlantic Physiotherapy & Pilates Physiotherapy & Pilates based in Sea Point and in the CBD of Cape Town. Home visits by arrangement. Open Saturday mornings.

We are a highly skilled team of physiotherapists able to treat a wide variety of musculoskeletal injuries. Specializations include dry needling, craniosacral therapy, myofascial/viscerofascial bodywork and treatment of chronic endurance running injuries.

21/04/2026
18/04/2026
11/03/2026

Imagine your gut microbiome as a garden: It’s full of trillions of different microbes (flowers) that like different types of food (fertilizer).

A study analyzed the stool samples of 21,000 people in the United States, United Kingdom, and Italy. The results suggest that "good" and "bad" bacteria are associated with different diets and that a colorful and diverse plate can help your gut thrive.

Read what scientists are learning about the gut microbiome: https://on.natgeo.com/qXM8QH

08/03/2026

What’s the best one you’ve heard? 👇

04/03/2026

I keep seeing scar care marketed with big mechanical stories. ‘Breaking adhesions.’ ‘Releasing restrictions.’ ‘Re aligning fibres.’ Sometimes it is wrapped in fascia language, sometimes it is sold as a signature protocol, but the message is the same, your scar is mechanically stuck and this specific method can fix it. That level of certainty is not supported by the wider evidence, and it can push clients into the wrong story about their own bodies. ⚠️🧠

A more realistic starting point is that scars vary. Many are painless and behave normally. Some feel tight, numb, itchy, sensitive, or unpredictable. When a scar is painful or itchy, it is not automatically because the tissue is thick or ‘bound down’. Often the better explanation is sensitivity. That can include local nerve irritation, altered sensation in the area, and the nervous system staying protective after surgery or injury. This is why a small scar can be very reactive and a larger scar can be quiet. The appearance does not reliably predict the experience. 🔥🖐️

This is also why there is no single scar method that owns the evidence. Scar research is inconsistent. Studies use different techniques, different pressures, different dosages, different scar types, and different outcomes. Even when results look positive, it is often difficult to separate the effect of the technique from everything else that happened in care, attention, reassurance, time, and the person’s expectations. So when a branded protocol is presented as uniquely effective, it is worth slowing down and asking what the study design can actually prove. 🔎📚

Many research and scientific papers are a good example of why this matters. Often the first publications are service evaluations, which are basically, people received the service and reported how they felt, or feasibility protocols, which test whether a trial is doable and acceptable, not whether the method is superior or how it works. These designs are not wrong, they are just limited. If there is no robust comparator, no blinding, small sample sizes, and mostly self reported outcomes, improvement can reflect many things, natural settling over time, expectation, therapeutic alliance, and simply being listened to and cared for. Those are real ingredients of care, but they do not validate strong claims about specific mechanisms or unique tissue effects. 🧩🤝

This is not just a scars issue. It shows up across the hands on therapy world. A named method is created, a training pathway is sold, and then a paper appears with the brand in the title. At that point, research can start functioning like marketing. The publication becomes a badge, not evidence. It gets quoted to justify confident claims, higher fees, and therapist authority, even when the study design cannot separate the named technique from the non specific parts of care that help most people anyway. 🏷️📣

That marketing drift matters because healthcare standards are higher. In healthcare, claims should be proportionate to the quality of evidence. If you are going to say a method is unique, you need independent research, credible comparators, transparent reporting, and outcomes that do not depend mainly on the patient knowing they received the ‘special’ intervention. Without that, the public is not getting informed choice. They are getting persuasion. ✅⚖️

It also matters because clients are not marketing material. Many people seeking help are anxious, in pain, post surgery, or worried about their bodies. If the story they are sold is ‘your body is stuck and you need this branded method’, you risk increasing threat and dependency. If the evidence is weak and the language is strong, that is not healthcare, it is commercial positioning dressed up as clinical certainty. 🧍‍♀️🧍‍♂️🛑

The ‘breaking up scar tissue’ claim is a good example of where language runs ahead of biology. If you literally break tissue, you are re injuring it. That is not a treatment mechanism. It also risks encouraging heavy pressure and the idea that soreness equals progress. With scars, that can backfire. A sensitive area does not need to be forced, it needs to be guided. In modern scar management, change is more plausibly linked to time, tolerable input, and gradual adaptation, not a dramatic moment where fibres get ‘released’. ⏳🧴

None of this is anti hands on care. Touch can still help, and many people value it. The difference is the explanation and the honesty. Good scar care often looks like paced, respectful contact that improves comfort, reduces guarding, and helps someone trust movement again. It can support tolerance to touch, stretch, pressure, and everyday load. Those are meaningful outcomes, and they do not require a story about special hands doing special things to deep tissue layers. 🙌🌿

This is where language matters as much as technique. If you tell someone their scar is ‘stuck’ and needs an expert to fix it, you can increase worry, make the area feel fragile, and create dependency on appointments. If you explain that scars vary and sensitivity can often settle with graded exposure, calm reassurance, and simple self care, you support agency. 🗣️➡️💪

If you want one clean line to use with clients, it is this. ‘I’m not here to break anything up. I’m here to help your scar area feel safer with touch and movement again, and to give you a plan you can use at home.’ ✅

09/02/2026
23/01/2026

I recently watched Carla Stecco’s webinar on ‘The role of Fasciae in Body Perception’ from the Fascia Research Society.

I considered her presentation from two perspectives, the curious clinician who wants better explanations for what we feel under our hands, and the educator who knows how quickly a few loose phrases can turn into a whole mythology online.

First, the good stuff. The reminder that fascia is not inert packaging is useful. Whatever technique camp you sit in, it is hard to argue against the idea that connective tissue is richly innervated, mechanically diverse, and closely linked to how we experience movement and load. If you are trying to teach therapists that ‘tissue sensation’ is really ‘nervous system interpretation of input’, this kind of material can support that, if we are careful with our language.

Where I think the webinar needs more precision is in the way it talks about how the brain represents the body. The slide uses ‘body image’ in a context that sounds much more like body schema. In plain terms, body schema is the mostly nonconscious, always updating map that helps you organise posture, coordinate movement, and know where you are in space. Body image is more the conscious, emotional, and cognitive experience of your body, how you think and feel about it, how it seems to you. These ideas overlap, but they are not interchangeable. If we want therapists to stop making big claims, we must model accuracy in small words.

The bigger issue, and the one I know many of you, if you watched the webinar, will have noticed, is the ‘fascia holds the memory of stress’ storyline. I do not think Carla is trying to say ‘trauma is stored in fascia’ in the popular social media and historical claims sense. But the wording, especially when paired with ‘subconsciously’, lands that way for a lot of people.

If we are being responsible, we need to separate three different things that often get blended into one dramatic sentence.
🔹 Stress changes physiology. Autonomic state shifts vascular tone, breathing, muscle tone, and attention.
🔹 Tissue can adapt over time. If loading patterns change, if activity drops, if inflammation or metabolic conditions persist, connective tissue can remodel. That is biology, not magic.
🔹 Memory and meaning are nervous system functions.

Trauma memories, emotional learning, prediction, and threat appraisal are not stored in collagen like files in a cabinet. The brain recreates and updates models in synapses, forming the perception of the world and the body, using inputs from everywhere, including skin, muscle, fascia, and viscera, to keep those models running.

So a fair, evidence minded version of the idea is this. Stress can change autonomic output and behaviour, that can influence how we load tissues and how we perceive sensation, and over time tissue state can change. Those tissue state changes may then contribute to ongoing sensory input that the brain interprets through the lens of context, expectation, and past learning. That is not ‘stress memory in fascia’. It is a whole system story, with the nervous system doing what nervous systems do, predicting and protecting.

Why does this matter clinically? Because therapists copy the words we use. If we say ‘the fascia remembers’, clients will hear ‘my trauma is stuck in my tissues’ and therapists will want to ‘release’ history with their hands. That is not only scientifically shaky, it is a safeguarding and scope problem.

I enjoyed Carla’s webinar, she is an excellent presenter. As a therapist, my takeaway is, take the useful anatomy and neurophysiology, and tighten the interpretation. Keep the humility. What was presented is the raw data from fascia through the nervous system to the brain. The brain scrutinises and samples afferent information and creates a story or interpretation leading to perception. Perceptions don't only use this input, they are also based on previous experiences, belief, culture, the current state of the organism and context, amongst others.

⭐⭐Fascia can be part of the input, but it is not the home of the story. ⭐⭐

The story lives in a person, doing its best to predict, protect, and cope. If we can teach that with better language, we move the profession forward without feeding the myths that keep it stuck.

09/01/2026

🌍 Feet on the Ground, Heads Out of the Clouds
Listening carefully to big ideas about fascia and consciousness

I recently watched a conversation on the Anatomical Gangster podcast hosted by Sue Hitzmann, featuring Carol Davis, John Sharkey, Jean-Claude Guimberteau, and Stuart Hameroff. It is an ambitious discussion that moves across fascia research, embryology, consciousness studies, quantum theory, and clinical observation. It is also the kind of conversation that many therapists will find compelling, provocative, and affirming of things they have intuitively felt for years.

Big questions are being asked. Is consciousness confined to the brain, or is it distributed throughout the body? Does fascia play a role beyond structure and support? Could microtubules, quantum processes, and cellular organisation be part of how awareness arises? These are not silly questions. They reflect genuine curiosity and a desire to understand the human organism more fully.

👂 There is value in listening to conversations like this. There is value in hearing different disciplines think out loud together. Progress does not happen by staying inside tidy, already settled boxes.

But listening with interest is not the same as accepting everything we hear as established fact.

🧠 What the conversation brings to the table

Several core themes run through the discussion. One is the idea that fascia is not passive tissue, but an active, responsive, sensory rich network that interacts continuously with the nervous system. Another is the proposal that microtubules, particularly within neurons but also within other cells, may be central to consciousness through quantum processes, as described within the Orch OR framework.

These ideas are then woven together. Because microtubules exist in many cell types, not just neurons, and because cells are embedded within the extracellular matrix, the suggestion is made that consciousness itself might be a whole body phenomenon, not just something that happens in the brain.

At a conceptual level, this is intriguing. At a scientific level, it is where we need to slow down.

🧩 What we already know, without quantum explanations

There is strong evidence that the body shapes experience. Fascia is richly innervated. It contributes to proprioception and interoception. It interacts with the autonomic nervous system. Changes in tissue tone, hydration, inflammation, and load alter sensory input to the brain and influence how safe, threatened, calm, or alert a person feels.

All of this is well supported. None of it is controversial. None of it requires quantum explanations.

Where caution is needed is when physical properties are presented as explanatory mechanisms. Collagen can show piezoelectric behaviour. Hydrated tissues have complex electrical and mechanical responses. These facts alone do not justify claims that fascia functions as a body wide signalling network for consciousness, or that it operates as a biological semiconductor in any meaningful functional sense.

A property is not the same as a pathway.

🧪 Local and global consciousness, and where interpretation creeps in

The discussion introduces the idea of local versus global consciousness, with examples such as wide awake surgery, where a person remains alert while sensation from a region is chemically silenced. This is interesting language, but it is not new biology. Peripheral nerve blockade and central integration already explain this phenomenon very well.

Adding an additional layer of tissue level consciousness does not improve the explanation unless it adds predictive power or clarity. At present, it does not.

Jean-Claude Guimberteau’s observations of living tissue and cellular behaviour are genuinely fascinating. Watching cells move, cluster, and respond within the extracellular matrix naturally invites questions about coordination and organisation. But organised behaviour is not the same as consciousness. Structure, responsiveness, and adaptation do not automatically imply awareness.

🔬 On claims that consciousness lives in fascia, or transfers between organs

One part of the conversation that deserves particular care is the suggestion that consciousness, memory, or aspects of identity might live in fascia or be transferred between organs. This appears most clearly in references to cellular memory, trauma imprints, and anecdotal reports following organ transplantation where recipients describe changes in preferences, emotions, or behaviour.

It is important to acknowledge why these ideas persist. They are not pulled from nowhere.

Organs are not inert. They contain dense autonomic innervation, immune cells, endocrine signalling pathways, and complex sensory feedback loops. Transplantation involves profound physiological stress, long term medication effects, immune modulation, altered autonomic signalling, and major psychological adjustment. Changes in mood, perception, and behaviour after transplantation are therefore not surprising. They are expected.

Memory, however, as understood in neuroscience, is not stored in tissues or organs as discrete transferable units. There is currently no credible evidence that memories, preferences, or conscious traits are encoded in fascia, collagen, or non neural cells in a way that could survive transplantation and integrate into another person’s identity. Anecdotal accounts are powerful, but they are not evidence of mechanism.

Similarly, the idea that consciousness lives in fascia risks confusing influence with origin. Fascia undoubtedly influences experience. It shapes sensory input, interoceptive signals, autonomic tone, and emotional state. These inputs affect how the brain constructs perception and meaning. But influence is not the same as generation.

Why do these ideas take hold so easily?

Partly because we do not yet have a complete theory of consciousness. Gaps invite narrative. When science does not yet offer satisfying explanations, metaphor steps in. Fascia becomes an attractive canvas for meaning because it is everywhere, continuous, difficult to define, and poorly taught. It feels like a cloak that surrounds and connects, which makes it symbolically compelling as a home for consciousness.

There is also a language problem. Reductionist explanations often fail to capture lived experience. People feel emotions in their chest, gut, throat, and tissues. Trauma is experienced bodily. Touch can evoke memory and feeling. When biology struggles to explain experience in a way that feels human, stories fill the gap.

But stories are not mechanisms.

⚖️ Where I land, and where I draw a line

I listen to this conversation with interest. I respect the perspectives offered by all involved. I am glad these discussions are happening.

But I also think we need to be firmer than polite curiosity at the end, because therapists will take ideas like these and repeat them as if they are established science.

It is reasonable to say that embodiment matters. The body shapes perception. Tissue state influences nervous system processing. Experience is not disembodied cognition floating above biology. That message stands on solid ground.

What does not stand on solid ground is the casual slide from ‘fascinating hypothesis’ into ‘this is how it works’. Claims that fascia participates in quantum signalling, or that fascia functions as a coherence field, or that consciousness might live in fascia, are not conclusions. They are speculative frameworks. They may one day be supported, but right now they are not supported at the level implied.

The same applies to grand statements like fascia being ‘the foundation of life’. It is poetic. It is memorable. It sounds profound. But it is also vague. If everything is fascia, then nothing is fascia, and we have stopped doing biology and started doing branding. Fascia is essential connective tissue, yes, but it is not the only essential thing. Nervous tissue, vascular tissue, immune cells, endocrine signalling, epithelial barriers, and metabolic systems are not supporting actors. They are equal partners.

And here is the key point for therapists. When quantum language enters clinical conversation without clear definitions, measurable predictions, or direct evidence, it does not elevate our profession. It makes us easier to dismiss. ‘Quantum’ becomes a costume word, not a mechanism. If we cannot explain what we mean in plain biology, we should not use physics terms to make it sound more credible.

So yes, let’s listen.
Let’s stay curious.
But let’s keep our feet on the ground, and our heads out of the clouds.

Because curiosity without rigour does not move a profession forward. It just gives it better stories.












Watch the podcast here. https://youtu.be/02bAidTpO8Q?si=gSnoz2RT5FiuY45k

13/11/2020

Great post by Shrey Vazir from :
"❤️ The rehab world loves to treat the human body like a car - to find a simple "fix" 🙅‍♂️⁣

Well let me tell you this 👇⁣

❗You can have perfect alignment and posture, but still be in a lot of pain⁣

❗ You can also have the "worst" posture and alignment + "damaged parts" and be in NO pain. 🤷‍♂️⁣

📍 That's because current growing research shows that posture/alignment/MRI findings correlate very poorly to pain. 👎⁣⁣

🔹 On a more personal note, I was told by 5 doctors/HCPs that my fibromyalgia pain was caused by my posture...⁣

🔹 I initially believed it, and did everything to "fix" my posture. ⁣

🔹 Well, did it work? 🤔 ⁣

🔹 Nope. In fact, it made me more rigid, stiff and in more pain 🤦‍♂️⁣


📍 So why are posture, alignment and symmetry so readily blamed and targeted? 👇⁣

🔹 Because it's the easy diagnosis to make!! ⁣

🔹 Unfortunately, pain is a complex issue... Especially chronic pain - there is never just ONE reason. ⁣

🔹 I still don't know what the exact reason for my pain is (fibromyalgia is the closest thing that explains my symptoms) 👇 ⁣

🔹 BUT.. that's okay, because I am still living a good life and have found ways to cope with my back pain! 👇⁣

📍 And fixing my posture and alignment was NOT part of my treatment plan. ❌⁣


3 Key points here:⁣

💡 Humans are not strictly mechanical objects, like cars. ⁣

💡 PLEASE stop telling patients that their posture/alignment needs to be fixed to treat their chronic pain ❌ ⁣

💡 Humans are complex beings with thoughts, emotions and beliefs - which all need to be supported. ⁣🙏

📍 Get me? ⁣

⁉️ Rehab professionals out there, what do you think? Comment below 👇 ⁣


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For more posts like this, follow 👇 ⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣
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If you want to learn more on Mindfulness, check out Shrey Vazir's lecture 🤓👍

Address

The Artem Centre, 128 Main Road, Sea Point
Cape Town
8005

Opening Hours

Monday 08:00 - 19:00
Tuesday 08:00 - 19:00
Wednesday 08:00 - 19:00
Thursday 08:00 - 19:00
Friday 08:00 - 19:00
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