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.

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 🤓👍

The original Adelphi centre with cinema circa 1930 !
26/05/2020

The original Adelphi centre with cinema circa 1930 !

Very Cape Town..
23/07/2019

Very Cape Town..

A Chiroquackters patient visits a Physiotherapist....... chiro fans be warned this could save you money! Almost everything said by the Patient is straight fr...

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