Tensor Fascia Lab

Applied Structural Thinking for the Human Body

Structural Integration & ScarWork help the body organise tension, move with more ease, and recover from stress, injury, and scarring.

Structural Integration
STRUCTURAL INTEGRATION

Anatomy Trains Structural Integration is a progressive hands-on process developed by Tom Myers, designed to work with the fascial network and reorganise how the body is held and moves. Offered as a 12-session full series or 3-session foundation series.

Structural Integration may be helpful for:

  • Chronic tension
  • Postural strain
  • Recurring training injuries
  • Movement restriction
  • Performance and longevity
Posture Imbalance Restricted Movement Chronic Pain Recurring Injuries
ScarWork Therapy
SCARWORK THERAPY

ScarWork is a gentle hands-on method developed by Sharon Wheeler, designed to work with scar tissue and support its integration with the surrounding fascial network.

ScarWork may be helpful for:

  • C-section – postpartum surgical scars
  • Cosmetic surgery
  • Keyhole procedures
  • Orthopaedic surgery
  • Injury or burns

Hypertrophic and keloid scars are also accepted. As these vary in complexity, an initial assessment is required before the first session.

For abdominal scars such as C-sections, Visceral Manipulation may also be used where the scar affects the surrounding organs and connective tissue.

C-section Hypertrophic Scar Keloid Visceral Manipulation

Start Here

Not sure which service is right for you? Start with your main concern, history, and goals.

Structural Integration

Choose this if you want to address how your body is organised as a whole — not just a symptom. The work moves through the fascial system progressively, shifting long-held patterns in posture, movement, tension, and structural support.

ScarWork

A good fit if you have a fully healed scar from surgery, injury, burns, or medical treatment, and want to improve comfort, mobility, or tissue integration.

Not Sure Yet

Reach out with a short summary of your current issue, any scar or injury history, and what you want help with. I can guide you toward the most appropriate starting point.

Structural Integration

Anatomy Trains Structural Integration (ATSI) is a progressive, whole-body process rooted in the work of Ida Rolf and developed by Tom Myers. Rather than focusing on isolated symptoms, it works with how the entire body is organised: how tension is distributed, where support is missing, and how long-held patterns affect movement, breath, and comfort. The goal is not to correct you into an ideal posture, but to help your body find its own natural balance.

Structural Integration works with fascia, but the work is never just fascia. It also influences muscles, connective tissues, joint relationships, and the nervous system.

Full Series · Recommended

12-Session Structural Integration Series

The 12-session series is a progressive process, with each session building on the last. Sessions are approximately 75 minutes, typically done in underwear or swimwear, and move through three phases:

Sessions 1–4: The Sleeve (Superficial layers of the body)

Sessions 5–8: The Core (Deeper stabilising structures)

Sessions 9–12: The Integration (Whole-body coordination)

The aim is that the new organisation becomes part of how you move, not something you have to consciously maintain.

The 12-series is a process of gradual uncovering: working through layers of long-held compensation until the body can move the way it was designed to.

See the full session-by-session breakdown →

Good Starting Point

3-Session Foundation Series

The 3-session series is a focused introduction to Structural Integration. Each session addresses a different region of the body, giving you a tangible experience of how the work feels and what it can shift, without committing to the full series.

Session 1: Feet, Legs and Pelvis (Ground up support)

Session 2: Ribcage and Breath (Free the breath)

Session 3: Spine and Neck (Bring it all together)

Sessions may follow the sequence below, or be tailored around a specific concern you want to address.

For those who feel ready to go deeper, the 12-session series continues from here.

Pricing

Structural Integration

75–90 min per session
  • Single session S$220
  • 3-session series S$660
  • 12-session series Best value S$2,488
Why the 12-Series? A personal account of what this journey actually involves →

ScarWork

Billed by session length
  • 60 min S$145
  • 90 min S$220
  • 2 hours S$290
Portrait of Kiki Ruan Kiki Ruan with Tom Myers, founder of Anatomy Trains Kiki Ruan performing Structural Integration on a client's hip Kiki Ruan, founder of Tensor Fascia Lab, Structural Integration and ScarWork practitioner in Singapore

About Kiki Ruan

Kiki Ruan is the founder of Tensor Fascia Lab, an Anatomy Trains Certified Structural Integration Practitioner and ScarWork therapist based in Singapore.

Approach

Her work approaches the body as a system: where tension, load, and restriction are distributed, not isolated. Rather than focusing on a single point of discomfort, she works with how patterns develop across the body over time.

Focus

She focuses on how the body adapts under stress, and how these adaptations can lead to recurring discomfort or movement limitations. What presents as pain or restriction is often linked to broader structural patterns.

Sessions

Her sessions are structured to work with these patterns, with the aim of improving how the body moves, supports itself, and adapts to load.

ScarWork

Where relevant, she incorporates ScarWork, particularly when scar tissue continues to influence movement or contribute to restriction beyond its immediate location.

Who She Works With

She works with individuals experiencing recurring discomfort, movement limitations, or unresolved issues following injury or surgery.

Case Studies

Structural changes documented across a course of treatment.

Before and after comparison of scar tissue showing improvement after ongoing ScarWork treatment ScarWork on Hypertrophic Scars
Before and after posture comparison, side view showing structural changes after treatment Structural Integration combined with ScarWork
Before and after posture comparison, side view showing structural changes in an adolescent after Structural Integration treatment Structural Integration on adolescents

FAQ

ScarWork – Frequently Asked Questions

Why might a scar benefit from treatment even if it looks healed?

Scar tissue forms as part of the body’s natural healing process after surgery, injury, or trauma. Even when a scar appears fully healed on the surface, the tissue beneath can remain restricted or less mobile than the surrounding tissues.

These restrictions may influence how nearby tissues move and how tension travels through the body. In some cases this can contribute to discomfort, altered movement patterns, or a feeling of tightness around the scar.

ScarWork is a gentle hands-on approach that works with the quality and mobility of the scar tissue, helping the area integrate more comfortably with the surrounding tissues.

What kinds of scars can ScarWork help with?

ScarWork may be applied to a wide range of scars once the tissue has fully healed. This includes scars from surgery, injuries, burns, and other forms of trauma.

Common examples include caesarean section scars, surgical scars, arthroscopic procedure scars, and scars from accidents or burns. Each scar is assessed individually to determine whether the approach is appropriate.

When can ScarWork begin after surgery or injury?

ScarWork can usually begin once the scar has fully closed and the tissue has completed the initial stages of healing. The scar should not be open, inflamed, or showing signs of infection.

In some situations, particularly after major surgery or medical treatment, obtaining clearance from your healthcare provider may be recommended before beginning treatment.

For individuals with a history of cancer or radiation-related scarring, consulting your physician or oncology team before receiving ScarWork is advisable.

Are there situations where ScarWork may not be appropriate?

ScarWork should not be performed on scars that are still healing, inflamed, infected, or not yet fully closed. In some situations, medical clearance may be recommended before treatment begins.

If you are uncertain whether ScarWork is appropriate for your situation, discussing your scar with a healthcare professional before booking is advisable.

Can ScarWork help with older scars or keloid scars?

Yes, ScarWork can be beneficial for scars of many ages, including those that formed months or years earlier. Even long-standing scars may continue to influence surrounding tissues and movement patterns.

Keloid scars require more careful evaluation. Because keloids involve excessive scar tissue growth, treatment suitability varies from case to case, so it is best to discuss this before booking.

What changes might I notice after ScarWork?

Many people notice changes in the texture and mobility of the scar tissue, such as a softer feel or improved movement in the surrounding area.

Some individuals also report increased comfort, reduced sensitivity, or improved ease of movement in nearby joints or tissues.

Is ScarWork treatment painful, and how many sessions are usually needed?

ScarWork is generally performed using gentle and precise techniques. Most clients experience the treatment as comfortable, although mild sensitivity may occasionally be felt when working with restricted areas.

The number of sessions varies depending on factors such as the age, size, location, and quality of the scar tissue. Some scars respond quickly, while others benefit from a more gradual process over several sessions.

Structural Integration – Frequently Asked Questions

What is fascia?

Fascia is a connective tissue network that surrounds and connects muscles, bones, organs, and other structures throughout the body. It plays an important role in how forces move through the body and how we maintain posture and movement.

How is Structural Integration different from massage?

Structural Integration focuses on how tension and support are organised across the entire body rather than working only on isolated areas of discomfort.

The approach looks at how different regions influence one another within the body's structural system and works with the fascial network to improve overall organisation and movement.

What can I expect during a session?

Sessions typically involve hands-on work combined with observation of posture and movement. Clients may occasionally be asked to move or change position during the session so different structural relationships can be assessed and addressed.

How often should I come, and when might I notice change?

When working in a series, sessions are typically spaced one week apart, close enough to maintain momentum and far enough for the body to integrate what has changed.

When you might notice change depends on the individual. Some people notice shifts in posture, breathing, or comfort after the first session, while for others the changes develop more gradually as the work builds over time.

Does the 12-Series Structural Integration work last?

The structural changes from the 12-Series tend to be lasting because they reflect how the body has reorganised itself, not just temporary relief from a single session. Most people find the changes hold well over time.

Some return for occasional sessions as their body continues to evolve, but this is a choice rather than a requirement.

Do you have to commit to the full 12-Series before starting?

The 12-Series works as a progressive process, so commitment matters. The deeper changes come from working through it in sequence.

However, we always begin with a first session. This gives you the chance to experience the work firsthand, and gives me the opportunity to understand your situation and confirm that I am the right fit for what you are looking for. No commitment to the full series is needed before that first conversation.

Contact

If you have questions about Structural Integration, ScarWork, or whether this work may be appropriate for you, feel free to get in touch.

Book an Appointment

or send a general enquiry

Please note: ScarWork is only suitable once the scar has fully healed.

Cancellation Policy
Please give at least 24 hours notice if you need to cancel or reschedule. Cancellations with less than 24 hours notice will be charged at 50% of the session fee, and no-shows at the full amount. This helps ensure availability for everyone.