Frequently Asked Questions

Yes, although it is brief and usually takes only 5–10 minutes. Consultations can be done by email, text, or phone and give us an opportunity to answer your questions and determine whether Structural Integration is appropriate for you.

No. You are welcome to begin with the first session and continue through the initial sessions before deciding whether to complete the full series. Many clients start this way to experience the work and determine whether it is the right fit.

Structural Integration involves working with the connective tissues and applying pressure throughout the body, including around bony landmarks. Because of this, SI is not appropriate for individuals with advanced osteoporosis or other conditions that significantly compromise bone integrity. If you have concerns, we can discuss them during your consultation.

Fascial work can be both safe and effective during pregnancy; however, standard Structural Integration series work is contraindicated during pregnancy and is not performed.

Instead, prenatal clients receive Prenatal Connective Tissue Massage (CTM), which supports the changing body through gentle fascial work designed to help maintain balance and adaptability as pregnancy progresses.

Prenatal CTM may help relieve common pregnancy-related discomforts such as back pain, sciatic symptoms, restricted breathing, and tension associated with postural changes. Standard SI series work can be resumed after pregnancy when appropriate.

Please arrive with clean, dry skin and avoid applying lotion beforehand.

Men: Briefs are preferred. Boxer briefs are acceptable, though long compression shorts are discouraged.

Women: A comfortable non-underwire bra (sports bra, bandeau, etc.) that is not overly restrictive around the ribcage is ideal, along with full-coverage underwear such as briefs, bikini, or boyshort styles.

Sessions are approximately 90–110 minutes and include intake, table work, movement education, and discussion as needed.

Weekly sessions are standard, though timing can be adjusted depending on scheduling needs. Some clients choose to progress through the 10-Series more quickly by coming twice per week, which also works very well.

Because each session builds on the previous one, waiting longer than about three weeks between sessions is generally discouraged, as it may reduce continuity within the series process.

Movement cues and educational guidance are provided during sessions and are intended to be practiced between appointments. Reinforcing these patterns outside the treatment room can help support integration and strengthen the mind-body connection.

Structural Integration works through a progressive process of fascial and structural change. Because of this, receiving multiple forms of hands-on therapy simultaneously may influence or compete with the process.

Another consideration is that when several manual therapies are being received at the same time, it can become difficult to understand what changes are coming from which intervention. Reducing the number of variables often provides a clearer picture of how your body is responding and adapting.

For this reason, we generally recommend limiting overlapping manual therapies during a series, such as massage therapy, chiropractic care, or physical therapy when possible.

Energy-based therapies such as acupuncture, craniosacral therapy, and Reiki are generally compatible.

Most people are ready for advanced work approximately 2–4 months after completing the 10-Series.

Advanced work is commonly received as a 3-Series or 4-Series, though the appropriate recommendation depends on your structure, goals, and how your body has adapted since the initial series.

Over time, many clients find they need work less frequently as their system becomes more organized.

Possibly.

Some practitioners follow the traditional 10-Series model while others work symptomatically or use different approaches. If you have not completed a traditional 10-Series—or are unsure whether you have—it may still be recommended.

If you have already completed a series and your work is relatively recent, advanced work may be more appropriate.

Structural Integration works with fascial restrictions, body organization, and movement patterns, and many people with scoliosis experience improvements in comfort, mobility, and function.

In my experience, milder cases have sometimes straightened completely. Moderate and more complex cases often experience changes in length, posture, movement quality, and overall comfort, even when the scoliosis itself remains present. Some visible straightening is common, though results vary.

Because scoliosis is complex and not necessarily purely structural, more involved cases often require additional work and a broader whole-person approach.

Structural Integration is generally not covered by health insurance, although most FSA and HSA plans reimburse treatment costs.

We do not submit insurance claims directly but can provide invoices upon request.