As SI practitioners, we are constantly assessing the mobility of the connective tissue layers between muscles and tendons. Less talked about, but equally as important, are adhesions in the connective tissue layers surrounding and suspending the organs of the pelvic, abdomen and the pleural cavities. In clinic and in our daily practices, we are continually confronted with the impacts that emotional strain, systemic inflammation, injury and disease have upon these connective tissue envelopes and the organs contained within them.

Hiatal strain and adhesions between connective tissue layers suspending the stomach (near the hiatal opening of the diaphragm) are extremely common, and can impact our client’s ability to digest and breathe fully. Adhesions in the connective tissue surrounding the large and small intestines are also the norm, and will affect our client’s ability to assimilate and digest food. Adhesions in and between the connective tissue layers suspending the ileocecal valve will impact the valve’s ability to open and close fully, and adhesions in the connective tissue layers suspending the common bile duct, will affect the flow of bile.

The impact of multiple pregnancies and of hysterectomies upon the muscles and fascial layers of the pelvic floor, and upon the fascial layers lining the pelvic basin, cannot be overlooked when attempting to understand lower back and sacral instability in our female clients. Additionally, the impact upon our client’s core mobility and ability to discharge emotional strain becomes painfully clear when assessing the mobility of the pelvis and the core’s ability to transfer motion.

The vast majority of our clients will walk into clinic will their head and neck forward of the body’s vertical center, and with their shoulders held in elevation and flexion. The strain these postures place upon the pleural and pericardial fascial linings can be enormous and are rarely addressed. Additionally, these postures will shift the alignment of the cranial base, floor of the mouth, plural dome and respiratory diaphragms, which will in turn significantly impact our clients’ structurally stability and their ability to ground (dissipate emotional strain) and stay centered (transfer motion through their core).