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JANMI Soft Tissue Therapy

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JANMI Soft Tissue Therapy

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Integrated Soft Tissue Therapy method by Paulius Jurasius

27/10/2026

JANMI PALPATORY ANATOMY LAB SERIES

LINK 1: FOOT AND ANKLE

Precise therapists learn to navigate anatomy with their hands.

At JANMI Palpatory Anatomy Lab, we start with reliable landmarks:

medial and lateral malleoli
calcaneus
navicular tuberosity
sustentaculum tali
cuboid
base of the fifth metatarsal

From there, we explore key structures including:

tibialis anterior
gastrocnemius and soleus
fibularis longus and brevis
Achilles tendon
tibialis posterior
flexor digitorum longus
flexor hallucis longus
plantar fascia
intrinsic foot muscles

The real skill is not memorising names.

It is learning how to position the client, follow tissue direction, estimate depth, distinguish neighbouring structures, use angle before force, recognise neurovascular boundaries and know when not to go deeper.

I demonstrate.
You palpate.
I correct your hands.
You practise again.

The aim is to develop more precise, sensitive and anatomically informed therapeutic hands.

JANMI Palpatory Anatomy Lab

3-hour hands-on workshop
JANMI Clinic, Marylebone, London
Maximum 4 students
£150 per student
Certificate of Attendance
Taught by Paulius Jurasius, Founder of JANMI

Hands-on practical session using living anatomy. No cadaver work.

Not a clinical diagnosis course.
No formal CPD points are claimed.

Available Monday to Sunday.
Start times from 10:00am, last start 5:30pm, subject to availability.

For massage therapists, sports massage therapists, soft tissue therapists, bodyworkers and relevant students.

Find it. Feel it. Work with it.

Book here: https://www.janmi.co.uk/book

23/10/2026

JANMI CLINICAL CASE STUDY

WHICH AREA IS REALLY DRIVING THE PATTERN?

A female journalist in her 60s, who plays a lot of tennis, presented with a clear asymmetrical pattern:

• one ankle felt markedly restricted
• calf muscles on that side were heavily guarded
• the opposite latissimus dorsi and upper trapezius were more overloaded
• cervical extensors were guarded on both sides

She also spends long periods sitting for work and drives significant distances most days.

So where is the “root cause”?

The

Tennis is a highly rotational sport. Force has to move from the ground, through the leg and pelvis, into the trunk, shoulder and arm.

If one ankle provides less comfortable movement, the body may find other ways to create rotation and stability further up the chain.

But the opposite may also be true: repeated rotational loading from tennis, combined with prolonged sitting and driving, may influence how the lower limb is being used.

The tighter opposite latissimus and upper trapezius therefore become interesting — not because they prove a cross-body compensation, but because they suggest the pattern extends beyond the symptomatic ankle.

At JANMI, the clinical reasoning was:

Foot/ankle → hip/pelvis → thorax → shoulder/scapula → neck

We assess which links appear relevant, treat the most useful areas, introduce movement support and then reassess.

If improving ankle mobility changes gait, rotation or calf guarding, that strengthens one hypothesis.

If thoracic or hip work changes the ankle strategy, that gives us different information.

The goal is not to invent one root cause.

It is to understand how the individual is currently organising movement and load.

Treat locally. Reason globally. See the person.

Inspired by a real clinical presentation; identifying details have been adapted for privacy. Clinical observations and treatment hypotheses do not establish causation. Educational content only, not medical advice.

New swelling, significant weakness, instability, neurological symptoms, unexplained night pain or sudden loss of function should be appropriately medically assessed.

22/10/2026

JANMI CLINICAL CASE STUDY

POSTERIOR SHOULDER PAIN IN A POWERLIFTER

A female executive who powerlifts three times per week presented with unilateral posterior shoulder pain, most noticeable during internal rotation and horizontal adduction.

Assessment showed:

• overloaded infraspinatus/posterior cuff
• increased tension through the pectorals and latissimus dorsi
• rounded shoulder position
• forward-head posture
• overloaded cervical extensors
• scapula resting in relatively greater upward rotation

That scapular position was an individual finding rather than a textbook assumption — real presentations do not always follow the expected postural pattern.

The JANMI question was not simply:

“Which muscle hurts?”

It was:

“Why might the posterior shoulder be carrying so much load?”

Heavy strength training can place significant demand on the rotator cuff and posterior shoulder, while prolonged desk work may reduce movement variability through the thorax, scapula and neck.

Our working hypothesis therefore considered the interaction between:

posterior cuff + pectorals + latissimus + scapula + thorax + cervical region + training load + desk exposure

Treatment did not focus only on the painful area.

Hands-on work was combined with movement support including scapular control, serratus anterior and lower trapezius activation, thoracic mobility and controlled rotator-cuff work where appropriate.

The aim was not to “correct posture”.

It was to improve comfortable movement options and how load was shared across the shoulder system.

Treat locally. Reason globally. See the person.

Inspired by a real clinical presentation; identifying details have been adapted for privacy. Clinical observations and treatment hypotheses do not establish causation. Educational content only, not medical advice.

Persistent weakness, instability, numbness or tingling, traumatic onset, significant night pain, clicking/catching or worsening symptoms should be appropriately medically assessed.

21/10/2026

JANMI 65+ — THE HIP & PELVIS LINK

As we age, the hips and pelvis often become less adaptable.

Hip extension and rotation may reduce, gluteal strength can decline, balance may become less confident, and people can gradually rely more on the lower back or knees during walking, stairs and getting up from a chair.

That does not mean the hip is simply “wearing out.”

At JANMI 65+, we look at the wider pattern:

foot and ankle → knee → hip and pelvis → spine

The aim is to understand how movement and load are being shared across the chain.

Treatment may combine gentler soft tissue work around the gluteals, hip rotators, thighs and surrounding tissues with mobility, balance and simple strengthening exercises.

The goal is not perfect posture or forcing more range.

It is to help maintain comfortable movement, confidence, stability and independence for as long as possible.

JANMI 65+ Mobility & Resilience

Treat locally. Reason globally. See the person.

Educational content only. New severe pain, trauma, unexplained swelling, significant weakness or sudden loss of mobility should be medically assessed.

21/10/2026

JANMI - THE MUSCLES WE FORGOT

PELVIC FLOOR

The pelvic floor is not one muscle, but a layered group at the base of the pelvis.

It helps support the pelvic organs, contributes to bladder and bowel control, sexual function, breathing, pressure management and trunk stability.

For the modern Technosapien, long sitting, heavy lifting, pregnancy, ageing, persistent pain and chronic bracing may all change the demands placed on this system.

And pelvic floor problems are not always about weakness. Sometimes there may be excessive guarding or poor coordination.

That is why "just do Kegels" is not always the answer.

JANMI looks at the wider pattern around the pelvis, including breathing, ribcage, abdominal wall, hips, gluteals and lumbar spine.

The pelvic floor is hidden, but it is not isolated.

Treat locally. Reason globally. See the person.

Educational content only. Pelvic pain, incontinence, numbness, bleeding or other concerning symptoms should be medically assessed.

20/10/2026

JANMI 65+ The Knee Link as We Age

The knee does not simply wear out with age.

What often changes is the system around it. Strength may decline, balance and proprioception can become less efficient, hip and ankle mobility may reduce, and people may gradually lose confidence in walking, stairs or getting up from a chair.

At JANMI 65+ we do not look at the knee in isolation.

We explore how the foot, ankle, knee, hip and pelvis work together, then combine gentle soft tissue therapy, mobility work and simple personalised exercises.

The aim is not to make an older knee young again.

The aim is to support better movement, confidence, strength and independence.

JANMI 65+ Mobility and Resilience

Treat locally. Reason globally. See the person.

Educational content only. New swelling, significant instability, trauma, persistent night pain or other concerning symptoms should be medically assessed.

20/10/2026

JANMI — THE MUSCLES WE FORGOT

PES ANSERINUS

Three muscles, one small meeting point on the inside of the knee

Pes anserinus is not a single muscle. It is the shared tendon insertion of three muscles:

Sartorius → Gracilis → Semitendinosus

They attach together on the upper medial tibia, just below the knee. Beneath them sits the pes anserine bursa, which helps reduce friction.

Why is it interesting?

These three muscles arrive from very different places:

Sartorius from the front of the pelvis
Gracilis from the inner thigh
Semitendinosus from the posterior thigh

Together, they contribute to knee flexion and help control rotation and medial stability around the knee.

This makes the pes anserinus an interesting crossroads between hip, thigh and knee mechanics.

The Technosapien question

Long sitting, repetitive gym work, running, reduced hip control or changes in foot loading can alter how forces are shared through the lower limb.

In some people, the medial knee region may become sensitive or overloaded.

But JANMI does not assume that tenderness at the pes anserinus means one muscle is “the cause.”

Instead we ask:

What is happening at the foot?
How is the knee tracking?
How is the hip controlling the femur?
Are the hamstrings or adductors working excessively?

How JANMI approaches it

Treatment may include careful soft-tissue work around the medial thigh, hamstrings and surrounding tissues, while avoiding aggressive pressure directly over an irritated bursa.

We then look at the wider chain:

foot → knee → hip → pelvis

Movement support may include:

foot and ankle control
knee tracking
hip abductor and external-rotator control
hamstring mobility
gradual loading

The aim is not to “realign” the knee.

It is to improve movement options, load sharing and control.

Treat locally. Reason globally. See the person.

Educational content only. Tenderness or movement findings do not establish causation. Persistent swelling, significant pain, locking, instability or unexplained symptoms should be medically assessed.

19/10/2026

WHEN THE SHOULDER MAY NOT BE THE WHOLE STORY

A man in his early 50s came to JANMI with gradually worsening pain at the front of one shoulder.

He works long hours at a desk, trains heavily in the gym three times a week, and had reached the point where lifting the arm overhead was difficult. He also reported occasional pins and needles into the arm.

His scan had not shown a clear structural explanation, and previous treatments had not given lasting relief.

During assessment, the painful shoulder appeared more rounded, the scapula rested in a more downward-rotated position, external rotation was limited, and there was marked guarding around the upper trapezius, rhomboid and anterior shoulder/biceps region.

This did not prove one “root cause.”

Our working hypothesis was that prolonged desk positioning, repeated heavy training and reduced shoulder/scapular movement options may have been interacting as a wider pattern.

JANMI treated the relevant guarded tissues, worked to restore more comfortable shoulder and scapular movement, and then reassessed overhead function.

The painful spot is the starting point — not automatically the whole story.

Treat locally. Reason globally. See the person.

Inspired by a real clinical presentation; details adapted for privacy. Clinical findings do not establish causation. Pins and needles or worsening neurological symptoms should be medically assessed. Educational content only.

19/10/2026

JANMI — THE MUSCLES WE FORGOT

TIBIALIS POSTERIOR
The deep muscle quietly helping to support the foot.

It runs deep in the lower leg, behind the medial ankle, and helps support the medial arch, control pronation and assist push-off during walking and running.

For the modern Technosapien, long periods of sitting, supportive footwear and sudden bursts of running or gym work can change the demands placed on the foot and ankle.

Tibialis posterior may then appear to work harder as part of a wider loading pattern.

That does not mean it “causes misalignment.”

JANMI looks at the whole chain: foot position, ankle mobility, calf tissues, knee, hip and movement strategy.

Treatment may combine targeted soft-tissue work with ankle mobility, foot control, calf raises, balance and progressive loading.

The goal is not a perfect foot position.

It is better movement options, control and load tolerance.

Treat locally. Reason globally. See the person.

Educational content only. Clinical findings do not establish causation.

18/10/2026

JANMI — THE MUSCLES WE FORGOT

DEEP NECK FLEXORS
The quiet muscles trying to keep a Technosapien’s head organised.

Longus colli and longus capitis sit deep in front of the cervical spine. They help with gentle neck flexion and fine control of the head and neck.

Why do they matter today?

Hours spent looking at phones, laptops and screens can change how the neck shares load. In some people, superficial muscles such as the SCM, scalenes, upper trapezius and suboccipitals may become more dominant, while deep control becomes less efficient.

That does not mean posture automatically causes pain.

JANMI looks at the whole pattern: neck movement, breathing, ribcage, shoulder blade behaviour and muscle guarding.

The goal is not perfect posture. It is better movement options.

Treat locally. Reason globally. See the person.

Educational content only. Clinical findings do not establish causation.

Address

Unit 4, Light Centre, 10 Portman Square
London
W1H6AZ

Opening Hours

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

Telephone

+447446133337

Website

http://www.janmi.co.uk/

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