Janda Fascial Balance and Crossed Syndromes

When it comes to pain, the most important factor is posture and balance. The syndrome of upper and lower crossed syndromes described by Janda makes a lot of sense in clinic practice.  In today’s society, we spend too much time at a computer or on a cell phone in inhibitory postures. When we stay in these positions, we put abnormal forces on our musculoskeletal system, and most specifically, the spine. Keeping your head over your shoulders and shoulders over your hips is important in preventing postures that can cause significant pain. Take a minute to look at what is inhibited and what is facilitated or overactive in the image above. 

How Do We Fix Fascial Imbalances

The point is that we need to perform exercises on a regular basis that will keep us balanced; in addition to, consciously practicing proper posture on a daily basis. Poor posture leads to fascial dysfunction, which results in pain and decreased performance.

In addition to practicing Pilates, our therapists at Tulane are experts in retraining your imbalance. Here is more information from Tulane Sports Medicine describing exercises that may be beneficial.


Janda appropriately describes what we see daily in clinic. Many have pain in the neck and low back, mostly attributed to poor posture. Patients who are hypermobile tend to have more extreme imbalances. Regular balancing exercises and body maintenance can help pain improve.