VIVIAN CHAN.

 

managing director, Muai Thai. founder Painfix. therapist. SINGAPORE.

 

BEYOND FIXING.

People rarely come to me asking to be well.

They come because something has stopped working as it used to. Sometimes it’s pain. Sometimes it’s exhaustion that doesn’t lift, no matter how much they rest. Sometimes it’s the feeling that their body is holding on to something they can’t name. Most of the time, it’s a combination of physical discomfort and a quiet mental fatigue that has been building for years.

By the time they arrive, many have already tried multiple approaches: scans, reports, exercises, and advice. What they often lack is not more information but coherence—a way to understand what their body is doing rather than as separate problems.

This is where the idea of “well” begins to matter—not as a distant goal but as an ongoing process.

Patients usually arrive in a state of ‘fragmentation’. They talk about a shoulder, a lower back, a neck. They talk about sleep, digestion, and headaches. But as they speak, a broader picture emerges: long work hours, emotional strain, unresolved stress—bodies that have adapted to pressure so long that tension feels normal.

Many are still functioning—working, parenting, exercising—but at a cost. Pain has become something they manage rather than resolve. Fatigue has become part of their identity.

What they ask for is often simple on the surface: “Can you help reduce the pain?” “Why does this keep coming back?” “Is something wrong with me?”

What they are really asking is whether their body can still return to a state of trust, feel predictable again, and stop being a source of constant negotiation.

The kind of wellness patients seek is rarely about peak performance. They want to sleep without waking up tense. They want to move without bracing. They want their minds to quiet when their bodies rest.

Mental and physical states are inseparable in practice. Chronic stress manifests in the nervous system, which in turn shapes muscle tone, breathing, circulation, and pain perception. Many patients don’t describe themselves as anxious—but their bodies remain constantly alert.

For them, wellness is not excitement or motivation. It is steadiness: the ability to get through the day without feeling drained before it even starts.

I don’t start with techniques. I start by watching.

How does someone sit when speaking? Do they hold their breath while explaining their symptoms? Are they rushing to be understood or minimizing what they feel?

These details matter. The body communicates long before it is examined.

Before any physical work, I try to understand the timing and context: When did this start? What was happening in their life then? What helped, even briefly? What made it worse?

Pain that seems to appear “suddenly” is often the final signal of something that has been building quietly. When treatment ignores that timeline, relief may be temporary.

Once we begin working in person, the approach is responsive rather than fixed. Some bodies need to feel safe before they can release tension. Others need direct engagement first, allowing the mind to settle afterward.

I pay attention to how the body responds—not just during the session but also days afterward. Healing doesn’t always happen on the table. Often it happens afterward, when the nervous system realizes it doesn’t need to stay guarded.

Traditional Thai medicine doesn’t separate the body into isolated parts. It considers balance, circulation, heat, digestion, movement, and the relationship between internal state and the environment.

Rather than asking only what is injured, it asks what is obstructed, depleted, and excessive.

Compared to conventional medicine—which excels at identifying structure and pathology—Thai medicine focuses more on function and flow: how the body lives day to day. Compared to Traditional Chinese Medicine, Thai medicine is less systematized in diagnosis and more experiential, relying heavily on observation, touch, and response.

It is practical rather than theoretical. It adapts to the person in front of you.

Importantly, it does not replace other medical systems. It complements them. Many patients already have diagnoses. The work then becomes about helping the body regain capacity, not about relabeling the condition.

Structure is essential, but rigidity isn’t.

Sessions are paced to allow the body to respond rather than perform. Progress is measured not only by pain reduction but also by changes in breathing, posture, sleep, and emotional tone.

I space sessions to allow integration. Constant intervention can make the body dependent rather than resilient. Wellness requires time to settle.

There is also a craft element to this work. Just as with making something by hand, you adjust to the material. Some bodies soften quickly. Others resist—not because they are stubborn, but because holding tension has kept them functioning.

Working well means respecting that history.

The most important shifts often occur outside the treatment room. Patients begin to notice how they breathe while waiting, how they hold their shoulders when stressed, and how their bodies respond to rest. Wellness becomes something they participate in, not something done to them.

This is where “doing it well” matters—not perfectly, but attentively.

Eating well, moving well, and resting well are not about discipline. They are about listening and responding before the body needs to shout.

When wellness is framed this way, it becomes sustainable. It stops being another task and becomes part of how life is lived.

To work “well” is to slow down enough to see patterns, but not so much that nothing moves. It is to combine experience with restraint, knowledge with humility.

Well-being is not something achieved once and kept forever. It is something practiced, adjusted, and returned to—again and again.

In the end, being well is not about fixing the body. It’s about learning how to stay in conversation with it.

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VIVIAN CHAN.

 

managing director, Muai Thai. founder Painfix. therapist. SINGAPORE.

 

BEYOND FIXING.

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