Why Fascia Matters: The Missing Link in Chronic Pain Treatment

Bob Tricomi
on
October 21, 2025

If you’re a massage therapist, physical therapist, chiropractor, or acupuncturist, chances are you’ve had clients who just don’t seem to get better, no matter how many sessions, adjustments, or exercises you provide.

You treat the muscles. You work the joints. You address nerve impingements. And yet… the pain lingers.

There’s a reason for that. And it often comes down to one overlooked system: fascia.

What Most Training Programs Leave Out

In most bodywork education, fascia is either glossed over or ignored entirely. It’s treated as an “extra”, something theoretical, abstract, or difficult to explain.

But in clinical practice, fascial restriction is one of the most common and stubborn contributors to chronic pain. It affects movement, circulation, posture, and even how the nervous system responds to stress and touch. And unlike muscles or bones, fascia doesn’t show up on traditional imaging, making it even easier to overlook.

Fascia: The Body’s Hidden Network

Blue wireframe illustration representing the body’s fascial network.

Fascia is the connective tissue that wraps every muscle, bone, organ, and nerve in the body. It gives structure while allowing for dynamic movement and communication between systems.

When fascia is healthy, it’s flexible and resilient. But over time, and often without us realizing, it can become stuck, dense, or dehydrated. That might happen from injury, repetitive motion, surgery, or just chronic tension. And when fascia tightens down, it doesn’t just create tension in one place, it creates a chain reaction.

Clients might come in with shoulder pain, but the root cause is a fascial restriction in the hip. Or they feel “tight all over,” even after a great massage. That’s not a muscle issue. That’s fascia doing its thing – poorly.

Stretching might feel good. Muscle work might help for a few days. But until the fascia is released, true mobility and lasting relief remain out of reach.

Why Fascia Gets Missed (Even by the Best)

To be fair, it’s not entirely our fault. Fascia doesn’t show up clearly on scans, and it doesn’t always follow the pain pattern you expect. And because most of us weren’t trained to look for it, or to treat it, it just isn’t on the radar early on.

Clients with fascial restrictions often describe vague symptoms: “I just feel stuck,” “It’s tight no matter what I do,” or “The pain moves around.” They sound like they’re overreacting… until you realize they’re describing a fascial issue, and everything clicks.

A Shift in Perspective: Treating the Whole System

Illustration of an abdominal wall cross section showing layers of skin, fat, muscle, fascia, and internal organs to highlight the location of fascia in the body.

Once you start seeing the body through a fascial lens, things change. You stop chasing symptoms and start looking for patterns: compensations, long-held restrictions, areas that don’t move like they should.

Instead of focusing only on isolated muscles or joints, you start thinking in terms of continuity and connections, how tension in the plantar fascia might affect the low back, or how a tight diaphragm might restrict shoulder function.

When you approach the body this way, the techniques you use change, too. It’s less about force, more about feel. You’re not just digging deeper, you’re working smarter.

Heat. Cupping. Gua sha. Assisted stretching. Long, slow, shearing pressure. These are all ways of working with fascia that go beyond traditional massage or manual therapy. Used thoughtfully, they can have a huge impact, especially in those complex, chronic cases we all see.

The Tricomi Method: Designed to Address This Gap

Hands providing gentle neck and shoulder bodywork under a warming lamp.

At Bodywork Masters, we created our training program to do what most continuing ed doesn’t: teach fascia-focused bodywork in a way that’s practical, hands-on, and results-oriented.

The Tricomi Method is an integrated system that combines:

  • Heat therapy to soften tissue and increase pliability
  • Deep tissue and joint work to address structure and function
  • Cupping, gua sha, and stretching to release restrictions and restore movement

It’s not a random mix of techniques. It’s a methodical way of treating the body that puts fascia at the center, because that’s often where real, lasting change happens.

Why This Matters for Your Practice

Client stretching pain-free outdoors, symbolizing restored mobility and ease.

When you understand fascia, and learn to work with it effectively, you start seeing better results. Clients who’ve been stuck start moving again. Pain that was “chronic” starts clearing up. And your work becomes not only more effective, but more fulfilling.

This doesn’t mean throwing out everything you’ve learned. It means adding a deeper layer, a missing piece that brings the rest of your skills into sharper focus.

Fascia isn’t a trend. It’s a system that matters more than most of us were taught to believe. And the more we understand it, the better we can help the people who come to us when nothing else has worked.

When you start working with fascia intentionally, you don’t just change your technique, you elevate your entire approach, and create real change.

Build a reputation for results, not repeat visits. Master Bob Tricomi’s fascia-first system and bring longer-lasting change to your clients, and your business. Explore the Training Program.

Bob Tricomi

Bob is the creator of the Tricomi Method®, a fascia-focused approach using heat and tools to release pain quickly and effectively. He works hands-on with clients and trains massage professionals through the Bodywork Masters Training Program.

Why Fascia Matters: The Missing Link in Chronic Pain Treatment

Macro close-up of fibrous fabric texture resembling fascia network.

If you’re a massage therapist, physical therapist, chiropractor, or acupuncturist, chances are you’ve had clients who just don’t seem to get better, no matter how many sessions, adjustments, or exercises you provide.

You treat the muscles. You work the joints. You address nerve impingements. And yet… the pain lingers.

There’s a reason for that. And it often comes down to one overlooked system: fascia.

What Most Training Programs Leave Out

In most bodywork education, fascia is either glossed over or ignored entirely. It’s treated as an “extra”, something theoretical, abstract, or difficult to explain.

But in clinical practice, fascial restriction is one of the most common and stubborn contributors to chronic pain. It affects movement, circulation, posture, and even how the nervous system responds to stress and touch. And unlike muscles or bones, fascia doesn’t show up on traditional imaging, making it even easier to overlook.

Fascia: The Body’s Hidden Network

Blue wireframe illustration representing the body’s fascial network.

Fascia is the connective tissue that wraps every muscle, bone, organ, and nerve in the body. It gives structure while allowing for dynamic movement and communication between systems.

When fascia is healthy, it’s flexible and resilient. But over time, and often without us realizing, it can become stuck, dense, or dehydrated. That might happen from injury, repetitive motion, surgery, or just chronic tension. And when fascia tightens down, it doesn’t just create tension in one place, it creates a chain reaction.

Clients might come in with shoulder pain, but the root cause is a fascial restriction in the hip. Or they feel “tight all over,” even after a great massage. That’s not a muscle issue. That’s fascia doing its thing – poorly.

Stretching might feel good. Muscle work might help for a few days. But until the fascia is released, true mobility and lasting relief remain out of reach.

Why Fascia Gets Missed (Even by the Best)

To be fair, it’s not entirely our fault. Fascia doesn’t show up clearly on scans, and it doesn’t always follow the pain pattern you expect. And because most of us weren’t trained to look for it, or to treat it, it just isn’t on the radar early on.

Clients with fascial restrictions often describe vague symptoms: “I just feel stuck,” “It’s tight no matter what I do,” or “The pain moves around.” They sound like they’re overreacting… until you realize they’re describing a fascial issue, and everything clicks.

A Shift in Perspective: Treating the Whole System

Illustration of an abdominal wall cross section showing layers of skin, fat, muscle, fascia, and internal organs to highlight the location of fascia in the body.

Once you start seeing the body through a fascial lens, things change. You stop chasing symptoms and start looking for patterns: compensations, long-held restrictions, areas that don’t move like they should.

Instead of focusing only on isolated muscles or joints, you start thinking in terms of continuity and connections, how tension in the plantar fascia might affect the low back, or how a tight diaphragm might restrict shoulder function.

When you approach the body this way, the techniques you use change, too. It’s less about force, more about feel. You’re not just digging deeper, you’re working smarter.

Heat. Cupping. Gua sha. Assisted stretching. Long, slow, shearing pressure. These are all ways of working with fascia that go beyond traditional massage or manual therapy. Used thoughtfully, they can have a huge impact, especially in those complex, chronic cases we all see.

The Tricomi Method: Designed to Address This Gap

Hands providing gentle neck and shoulder bodywork under a warming lamp.

At Bodywork Masters, we created our training program to do what most continuing ed doesn’t: teach fascia-focused bodywork in a way that’s practical, hands-on, and results-oriented.

The Tricomi Method is an integrated system that combines:

  • Heat therapy to soften tissue and increase pliability
  • Deep tissue and joint work to address structure and function
  • Cupping, gua sha, and stretching to release restrictions and restore movement

It’s not a random mix of techniques. It’s a methodical way of treating the body that puts fascia at the center, because that’s often where real, lasting change happens.

Why This Matters for Your Practice

Client stretching pain-free outdoors, symbolizing restored mobility and ease.

When you understand fascia, and learn to work with it effectively, you start seeing better results. Clients who’ve been stuck start moving again. Pain that was “chronic” starts clearing up. And your work becomes not only more effective, but more fulfilling.

This doesn’t mean throwing out everything you’ve learned. It means adding a deeper layer, a missing piece that brings the rest of your skills into sharper focus.

Fascia isn’t a trend. It’s a system that matters more than most of us were taught to believe. And the more we understand it, the better we can help the people who come to us when nothing else has worked.

When you start working with fascia intentionally, you don’t just change your technique, you elevate your entire approach, and create real change.

Build a reputation for results, not repeat visits. Master Bob Tricomi’s fascia-first system and bring longer-lasting change to your clients, and your business. Explore the Training Program.