Answers to the questions I hear most often — whether you're new to Structural Integration or comparing your options.
Structural Integration is a systematic form of hands-on bodywork that reorganizes the connective tissue (fascia) throughout your body. Rather than treating isolated symptoms, it works with the entire body's structure to create lasting changes in posture, movement, and pain levels. It was developed by Dr. Ida Rolf and has been refined over decades by practitioners like Tom Myers, whose Anatomy Trains approach Mark practices.
Traditional massage primarily addresses muscles to create temporary relaxation and relief. Structural Integration works with fascia — the connective tissue that wraps every muscle, bone, and organ. The changes are more structural and longer-lasting. Most massage therapists work session by session; structural integration is typically done as a planned series. The goal is permanent improvement, not ongoing symptom management.
Rolfing® is a trademarked brand of Structural Integration developed directly through Dr. Rolf's institute. Mark practices Anatomy Trains Structural Integration (ATSI), which is based on Tom Myers' updated understanding of fascial anatomy. Both are forms of Structural Integration with the same underlying principles — the approaches differ in their maps and some techniques, but share the same goal: lasting structural change. Learn more about Structural Integration →
This depends entirely on your goals and history. Structural Integration is typically done in a series of 9–12 sessions for best results. For more targeted work — a specific injury, maintenance, or a particular symptom — 3–6 sessions may be sufficient. At your first session, we'll discuss what's realistic for your situation and what a sensible treatment arc looks like.
The work can be intense at times — we're working with connective tissue, which can be sensitive. But "hurt so good" is different from "hurts and I want to stop." I work within your tolerance and ask for feedback throughout. Most people find the work deeply satisfying and relaxing overall, even if specific moments are intense.
Craniosacral Therapy (CST) is a gentle, light-touch approach working with the craniosacral system — the membranes and fluid surrounding the brain and spinal cord. With extremely light pressure, a trained therapist detects and relieves restrictions that affect the nervous system and the whole body. It's particularly effective for headaches, TMJ, anxiety, trauma, and nervous system dysregulation. You remain fully clothed during CST sessions. Learn more about Craniosacral Therapy →
Neuromuscular Therapy (NMT) is a precise clinical approach to soft tissue dysfunction. It addresses trigger points (hyperirritable spots in muscle tissue that refer pain elsewhere), nerve entrapment, and circulation patterns. NMT is highly systematic — your pain pattern is mapped to find the actual cause, which is often not where you feel the pain. It's particularly effective for sciatica, plantar fasciitis, and nerve-related pain patterns.
Yes, Treatment Massage is currently accepting new clients. You can schedule online through the Schedule page or call the office directly at 206-234-9929. No referral needed — just book and show up.
Treatment Massage is located at 4500 9th Ave NE, Suite 358, Seattle WA 98105 — in the University District near the University of Washington. The office is in a professional building with elevator access. Street parking is available on 9th Ave NE and surrounding streets. Several Metro bus routes (45, 65, 67, 73) stop within two blocks. See full directions and transit info →
Structural Integration sessions run one to two and a half hours depending on what is being worked on. Craniosacral sessions are 60–90 minutes. The first session always includes a detailed intake assessment and postural evaluation, so budget a little extra time for that initial appointment.
For massage and structural integration, you'll undress to your comfort level — most people are in underwear, similar to a standard massage. You are always appropriately draped with a sheet; only the area being worked is uncovered. For Craniosacral Therapy, you remain fully clothed, so wear loose, comfortable clothing that allows for some movement. See the New Client Information page → for more detail on what to bring to your first appointment.
Yes. Both competitive and recreational athletes find structural integration and neuromuscular work valuable for injury prevention, performance, and recovery. Athletic bodies carry specific compensation patterns from training loads and past injuries — patterns that respond well to systematic structural and neuromuscular work. Many athletes find that addressing these patterns improves both their performance and their longevity in their sport.
A Licensed Massage Therapist (LMT) has completed state-required training (typically 500–600 hours) and is licensed to practice massage. A Structural Integrator has completed additional post-graduate training (750+ hours) specifically in fascia work, structural assessment, and the systematic reorganization of connective tissue. Mark holds both credentials — he has been a licensed LMT since 1999 and is a Board Certified Structural Integrator through IASI (International Association of Structural Integrators).
Yes, specialized therapeutic bodywork can significantly support post-surgical recovery. After surgery, scar tissue forms rapidly and can restrict movement and create new pain patterns that outlast the surgery itself. Gentle, targeted work can address adhesions, help restore normal tissue mobility, and support return to function. Timing and approach depend on the surgery and healing stage — Mark always coordinates with your surgical team. See the Injury & Surgery page →
Structural Integration is particularly well-suited for: people with chronic pain that hasn't responded to other treatments; those with significant postural problems; people recovering from injuries with lasting compensation patterns; athletes seeking structural efficiency and injury prevention; and anyone who feels their body is "stuck" in a pattern that other approaches haven't changed. A free 10-minute phone consultation is the best way to assess whether it's the right fit for your situation.
Please call the office at 206-234-9929 or check the Rates & Policies page for current information on insurance, L&I, and HSA/FSA coverage. Policies can change — the most up-to-date information is always available by phone.
You can book online through the Schedule page, where the FullSlate booking system allows you to choose your session type and time 24/7. Or call the office directly at 206-234-9929 during business hours. First-time clients are welcome — no referral needed. If you're not sure what type of session to book, the free 10-minute phone consultation is a good starting point.