Why Your Osteopath Treats Where It Doesn’t Hurt

“My lower back hurts, but you’re touching my head?”

This is the question I hear most often from first-time patients.

You came in with shoulder pain, and I’m examining your ankles. Your knee hurts, and my hands are on your abdomen.

It looks odd — but there is a very good reason. Let me explain.

Your body is one continuous fabric

Imagine your favourite sweater. Pull hard on the hem — what happens? The pull doesn’t stay at the hem. It travels through the knitted fabric all the way up to the shoulders.

Your body works in a remarkably similar way.

Running through your entire body is a tissue called fascia — a thin, continuous membrane that wraps not only your muscles, but your bones, organs, blood vessels, and nerves. Everything is connected through this single fabric.

This is why a sprained ankle can eventually affect your shoulder. Why an old abdominal surgery scar might be related to your current lower back pain.

Your body has no isolated “parts.” Everything is connected.

Force travels from your ankle to your skull

When a patient comes in with a sprained ankle, I sometimes place my hands on their head.

“My foot hurts — why are you touching my head?”

When you sprain your ankle, the force of injury doesn’t stop at the ankle. It travels upward through the fascia — to the knee, the pelvis, the spine.

Your skull, spine, and sacrum (the triangular bone at the base of your spine) are connected by a single continuous membrane called the dura mater. A twist anywhere along this column affects the rest of it — just as kinking a garden hose changes the water flow throughout its entire length.

When I touch your head after an ankle sprain, I’m checking how far the force has travelled.

And it works both ways. An old bump on the head can contribute to years of lower back pain. Force travels up and down.

Force Transmission — Ankle to Skull Your body is connected. Force travels everywhere. Ankle Knee Pelvis Spine Skull Dura Mater A single membrane connecting skull to sacrum. A twist anywhere affects the whole. Fascia A continuous fabric connecting muscles, bones, organs, nerves — like a sweater. Force Transmission A sprained ankle’s force doesn’t stop there. It travels: knee → pelvis → spine → skull. ↑ That’s why we check the head too. It works both ways An old bump on the head can contribute to years of lower back pain. Kyoto Osteopathy Centre OQ | o-q.jp

A surgery scar from ten years ago can affect your back today

This is something that surprises many patients.

An abdominal surgery from a decade ago. A caesarean section scar. An old appendectomy. These can be related to today’s back pain or stiff shoulders.

When tissue is cut and repaired, it heals — but the repaired area becomes slightly stiffer than the original. Like fabric that’s been sewn — there’s a subtle pulling at the seam.

That pulling travels through the fascial network to distant parts of the body.

This is why we always ask new patients: “Have you ever had surgery?” Your body today contains your entire history.

A gardener, not a mechanic

There are two ways to think about treating the body.

A mechanic asks: “What’s broken?” They find the broken part and fix it. Back pain? Treat the back. Shoulder pain? Treat the shoulder. Simple and logical.

A gardener works differently. A gardener doesn’t just look at the wilting leaves. They walk the entire land and read the flow of water.

Our work is closer to gardening.

Think of a garden hose with a kink in it. Water can’t reach the end. You wouldn’t force more water through the tap, or pull on the nozzle. You’d find the kink and gently straighten it. The water flows again on its own.

Your body is the same. Blood, lymph, cerebrospinal fluid — many things flow constantly through you. We find what’s blocking that flow and remove it. We don’t push the flow. We remove what’s in its way. Then your body does the rest.

Two Approaches The Mechanic Find the broken part and fix it Pain here “Back hurts? Fix the back.” Broken part → Repair Logical, but the cause may remain The Gardener Read the flow across the whole land Obstruction (remove this) Pain (effect) “Back hurts? Let me read the whole body.” Obstruction → Removal The body begins to heal itself OQ’s approach = The Gardener — removing what blocks the flow

What a doctor said 150 years ago

About 150 years ago, American physician A.T. Still — the founder of osteopathy — said something that changed how I see my work:

“To find health should be the object of the doctor. Anyone can find disease.”

Even when the body is in pain, there are parts still working well — areas where flow hasn’t stopped, where tissues move as they should. We start from what’s still healthy and use it as a guide to find where things have stalled. Not “what’s broken?” but “what’s still working well?”

Still also left us another instruction:

“Find it, fix it, leave it alone.”

The painful spot is already known. But the obstruction causing that pain — the kink in the hose — could be anywhere. The only way to find it is to read the whole body.

Flexibility, not straightness

“Let’s fix your alignment” — you hear this a lot. But we think about it differently.

Consider a five-storey wooden pagoda in Japan. These towers have survived hundreds of years of earthquakes. One reason: they flex. When the ground shakes, each level sways slightly, distributing the force. The tower survives because it can bend.

Your body works the same way. Being able to bend and sway isn’t a weakness — it’s how your body absorbs the forces of daily life. The real problem isn’t being “crooked.” It’s being stuck.

So our job isn’t to make you perfectly straight. It’s to restore your body’s ability to move, flex, and adapt — to give it back its resilience. A slightly crooked but supple body is far healthier than a straight but rigid one. This is another reason we treat the whole body — not to straighten every part, but to restore your capacity to move freely.

Our promise

During treatment, something shifts under my hands. Breathing deepens. Tissue softens.

If you asked me to explain everything that happens in those moments, I’d honestly tell you: I can’t fully explain it all. What I can observe, I’ll explain carefully. What I don’t fully understand, I’ll say so. I won’t pretend to know more than I do.

But one thing I’m certain of:

The real healer isn’t me. It’s your body.

I’m here to create the conditions for your body’s own healing process to work.


Frequently Asked Questions

Will you ever treat the painful area directly?

Of course. We examine and work directly on the painful area when needed. But we don’t stop there — we also address distant areas that may be contributing to the pain.

Does it hurt when you touch my head?

We use very gentle pressure — about 5 grams, roughly the weight of holding a letter. Most patients feel no pain at all. Many tell us they fell asleep during treatment.

How can you examine the whole body in 40–60 minutes?

We don’t touch every square inch. We read the body — identifying the most significant obstruction and removing it. Over 25 years of clinical experience, our hands have learned to read efficiently.

Do you treat the same areas every session?

No. Your body changes daily. Once the primary obstruction is resolved, a different one may emerge. Every session, we work with what your body presents that day.


Yusuke Sakata, BSc(Ost)
Director, Kyoto Osteopathy Centre OQ
Est. February 2007 · Over 25 years of clinical experience