Cristina Shupe, PT -- Physical Therapist and Fascial Counterstrain Provider in San Francisco: Specializing in the treatment of chronic pain, injuries and conditions

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Muscle Pain? It May Actually Be Your Fascia!

Muscle Pain? It May Actually Be Your Fascia

We often blame muscle soreness on tired muscles or stiff joints, but sometimes, the culprit is a lesser-known part of the body: fascia. This extensive connective tissue network plays a vital role in every movement you make, yet it’s frequently overlooked.

What Is Fascia?

Fascia is a continuous, three-dimensional network of connective tissue that surrounds and interconnects every structure in the body, including muscles, bones, nerves, blood vessels, and organs. It is not just a thin casing but a dynamic and responsive system that supports, protects, and integrates body functions. Fascia contains a high density of sensory nerve endings and plays a key role in proprioception, force transmission, immune response, and communication between cells. The layers of fascia are separated and lubricated by hyaluronan, a gel-like substance that allows tissues to glide smoothly past one another. When fascia becomes dehydrated, inflamed, or injured, it can lose its fluidity and elasticity, leading to tension, restricted movement, and pain.

How Does Fascia Cause Pain?

Healthy fascia feels soft and flexible. However, adhesions, areas where tissue layers stick together, can develop due to:

  • A sedentary lifestyle

  • Repetitive motion

  • Physical trauma such as injury or surgery self.com

These adhesions can lead to trigger points, tender knots within muscle tissue. These points may cause myofascial pain syndrome, characterized by pain during movement, when applying pressure, and in seemingly unrelated areas (referred pain)

Fascia vs. Muscle or Joint Pain

It can be tricky to tell if discomfort stems from muscles, joints, or fascia. Try this:

  • Muscle or joint pain often worsens with activity.

  • Fascial pain, however, tends to improve with movement and is responsive to heat, which helps restore fascia elasticity

Why Fascia Matters

Untreated fascial adhesions can worsen over time, compressing muscles and increasing discomfort. These adhesions may also distort muscle alignment, setting the stage for chronic pain and limited mobility. Catching and treating fascial issues early can prevent persistent problems .

Tips to Keep Fascia Healthy

  1. Stay active all day – especially if you have a desk job, take brief (2-minute) stretch breaks each hour.

  2. Mix up your workouts – avoid repetitive strain on one muscle group.

  3. Stretch regularly – increases flexibility and reduces inflammation.

  4. Maintain good posture – a neutral spine prevents fascia from tightening due to chronic slouching

Simple Ways to Relieve Fascia Pain

  • Heat therapy: A heating pad or warm bath relaxes fascia.

  • Yoga therapy: Work with an expert to target specific pain areas using therapeutic poses.

  • Professional massage: Skilled therapists can locate and ease trigger points.

  • Acupuncture: Needles in trigger points may help release tense fascia

  • Fascial Counterstrain: A gentle, hands-on technique that identifies and releases tension in the fascial system by positioning the body to relieve strain and restore normal function.

Final Thoughts

Fascia plays a powerful yet understated role in how we feel and move. Healthy fascia supports freedom of movement and reduces pain. Be proactive: stretch, mix up your routines, heat treated areas when tender, and seek therapy if needed.

By paying attention to this often-ignored tissue, you can unlock smoother movement, reduced aches, and better overall well-being.

Adapted from “Muscle Pain: It May Actually Be Your Fascia,” from Johns Hopkins Medicine .

Cristina