When Your Fascia Lives in the Dark: The Sunlight Connection Chronic Pain Sufferers Need to Understand
- Physology

- Feb 11
- 8 min read
Updated: Feb 14

I've spent decades working with people whose bodies have become mysteries to them. They've tried everything, seen everyone, and still wake up with pain that no one can fully explain.
What I've noticed is that we often overlook the simplest variables. One of them is sunlight.
Your fascia—that continuous web of connective tissue wrapping every muscle, organ, and structure in your body—needs three things to function properly: breathing, hydration, and sunlight. When any of these elements disappears from your life, your tissue starts to change. And when your tissue changes, pain often follows.
This isn't about getting a tan or preventing rickets. This is about understanding what happens at the tissue level when your body operates in a state of chronic sunlight deficiency, and why that matters if you're living with persistent pain.
What Sunlight Actually Does to Your Fascia
Sunlight triggers vitamin D production in your skin. You've heard this before, but here's what you probably haven't heard: vitamin D receptors exist in your fascial tissue.
This isn't a minor detail. When researchers mapped vitamin D's influence across the body, they found it controls over 200 genes regulating cellular processes. At least 1,000 different genes governing virtually every tissue in your body respond to the active form of vitamin D.
Your fascia isn't exempt from this system.
Adequate vitamin D levels support fascial integrity and flexibility. When those levels drop, your connective tissue starts operating in a compromised state. The tissue that's supposed to glide smoothly, transmit force efficiently, and maintain structural relationships throughout your body begins to stiffen and lose its adaptive capacity.
Here's the mechanism: collagen is the most common protein in your body. It makes up your fascia, bone tissue, cartilage, and blood vessels. And it's formed in your skin with the help of sunlight.
When you remove sunlight from this equation, you're removing a primary ingredient in the very substance that holds your body together.
The Hidden Scale of Sunlight Deficiency
Around 1 billion people worldwide are vitamin D deficient. That's not a small subset of the population—that's a systemic pattern.
The research on sun avoidance is startling. The mortality rate for women who avoided sun exposure was two times higher than those with the highest sun exposure. Life expectancy for women who avoided sun was shorter by 0.6 to 2.1 years—comparable to smokers.
But here's what matters for chronic pain sufferers: people with vitamin D deficiency often have no obvious symptoms until it becomes severe. By the time it manifests as osteomalacia, it's frequently misdiagnosed as fibromyalgia.
Think about that for a moment.
You could be navigating the healthcare system, receiving a diagnosis, adjusting your entire life around a condition—when the underlying mechanism is actually a tissue-level deficiency that's been invisible to standard assessment protocols.
How Vitamin D Deficiency Creates and Maintains Chronic Pain
Vitamin D deficiency doesn't just correlate with chronic pain. It actively contributes to creating and maintaining a chronic pain state through multiple pathways.
The research shows vitamin D acts as a neuroactive steroid. It interferes with neurotrophins, influences prostaglandin action, affects inflammatory pathways, and inhibits nitric oxide synthase. These aren't minor background processes—these are fundamental mechanisms involved in how your nervous system processes and perpetuates pain signals.
Here's the specific mechanism that connects to fascia:
When vitamin D levels drop, your parathyroid hormone (PTH) levels increase. This elevated PTH impairs proper bone mineralisation, causing a spongy matrix to form under your periosteal membranes—the highly innervated tissue covering your bones.
This matrix absorbs fluid, expands, and creates outward pressure on those nerve-rich tissues.
The result? Pain that feels like it's coming from deep in your bones and joints, pain that's often dismissed as "just getting older" or "wear and tear."
In a study of 360 female patients with chronic back pain, vitamin D therapy produced symptomatic improvement in 96% of all patients. In those with the most severe deficiencies, the improvement rate was 100%.
That's not a marginal effect. That's a fundamental mechanism being addressed.
The Fascia-Pain Connection You Haven't Been Told
If you're someone living with chronic pain, you're statistically more likely to be vitamin D deficient than the general population. This isn't random—it's a pattern.
People with chronic pain often have:
Reduced sun exposure (because pain limits outdoor activity)
Lower physical activity levels (because movement hurts)
Diets low in vitamin D-rich foods (because pain and fatigue affect food choices)
Higher body weight (because inactivity compounds over time)
Each of these factors independently increases deficiency risk. When they combine—which they often do in chronic pain states—you end up in a self-reinforcing cycle.
Your fascia needs vitamin D to maintain its structural integrity. When it doesn't get enough, the tissue becomes less pliable, less responsive, and more likely to develop restrictions. These restrictions create compensation patterns throughout your body. The compensations create new areas of stress and strain. Those areas develop their own restrictions.
And suddenly, what started as localised discomfort has become a whole-system problem.
I see this pattern constantly in practice. Someone comes in with shoulder pain that's been present for months. When I assess their tissue, I find restrictions that extend down through their ribcage, into their hip, sometimes all the way to their foot. The original site of pain is just one point in a much larger network of fascial restriction.
Vitamin D deficiency doesn't cause all of this, but it creates the conditions where this kind of systemic restriction becomes more likely to develop and less likely to resolve on its own.
Why Standard Treatment Misses This Connection
Here's the problem with how most healthcare systems approach chronic pain: they're looking for disease, pathology, structural damage. They're looking for something broken that needs fixing.
Vitamin D deficiency doesn't show up on an MRI. Fascial restriction patterns don't appear on X-rays. The interconnected web of compensation that's maintaining your pain state isn't visible through standard imaging.
So you get told there's nothing wrong. Or you get told it's wear and tear. Or you get handed a prescription for pain management and sent on your way.
The research exists. We know vitamin D deficiency contributes to chronic pain states. We know fascia requires adequate vitamin D for proper function. We know that addressing deficiency can produce significant improvements in pain levels.
But there's a lag between what research demonstrates and what gets implemented in standard practice. That lag leaves people trapped in pain states that could be addressed if someone simply checked their vitamin D levels and understood the tissue-level implications.
Enter Infrared Light Therapy: What It Actually Does to Fascia
If sunlight deficiency creates problems at the tissue level, what happens when you introduce targeted light therapy?
Infrared light therapy isn't trying to replace sunlight. It's addressing a specific mechanism: the direct photobiomodulatory effect on cells and tissues.
Here's what happens when infrared light reaches your fascia:
Although infrared can directly reach only the epidermis, mechanical conduction of heat enables it to affect deeper layers of skin and fascia. Some studies report a penetration depth of up to 4 centimetres.
That's significant. That's deep enough to reach the fascial networks that are contributing to your pain state.
The mechanism works like this:
Infrared light in the 600 to 1300 nanometre range stimulates cellular activity. It enhances mitochondrial function, increases ATP production, and promotes cellular repair processes. For fascia specifically, this means stimulation of fibroblast activity—the cells responsible for producing and maintaining your connective tissue matrix.
Red light therapy increases intradermal collagen density. It stimulates tissue repair by affecting cells important to healing. It influences cell viability, proliferation, migration, and gene expression.
This isn't superficial. This is direct modulation of the tissue-level processes that maintain fascial health.
The Specific Effects on Pain and Restriction
When I explain infrared therapy to clients, they often ask: "But what does it actually do to the pain?"
Here's the detailed answer:
Direct pain signalling effects: Nociceptors—your pain sensors—exist in skin, organs, connective tissue, and on bone surfaces. These receptors respond directly to photobiomodulation therapy. The light ameliorates pain locally and reduces pain signal transduction to your brain. This works on all nociceptor types: mechanical, acidic, traumatic, temperature-sensitive, and multifunction.
Inflammation reduction: Infrared therapy stimulates your lymphatic system, which eliminates toxins and waste products from tissues. Enhanced lymphatic flow reduces inflammation and helps remove the chemical mediators that sensitise pain receptors.
Trigger point release: Myofascial trigger points—those tight knots within fascia that cause referred pain and restrict movement—respond to red light therapy. The therapy promotes release of these points, alleviating discomfort and enhancing fascial mobility.
Tissue repair acceleration: For conditions like plantar fasciitis, low level laser therapy showed promising results twelve months post-treatment, accomplished with only six treatments spread across three weeks. For myofascial trigger points, highly significant changes were observed immediately after treatment, with differences becoming even greater after fifteen minutes of therapy.
The clinical evidence shows infrared therapy decreased pain levels in patients with musculoskeletal disorders. Studies suggest it's beneficial as complementary therapy for fibromyalgia, osteoarthritis, and other musculoskeletal conditions associated with chronic pain.
Why This Matters for Your Specific Situation
If you've been living with chronic pain, you've probably tried multiple approaches. Some helped a bit. Some did nothing. Some made things temporarily better before the pain returned.
Understanding the sunlight-fascia connection gives you a different framework for thinking about what's happening in your body.
Your pain isn't just "in your head." It's not just "something you have to live with." It's not proof that your body is permanently broken.
It's a signal that something at the tissue level needs attention.
When fascia operates in a chronically deficient state—whether from lack of sunlight, inadequate vitamin D, or accumulated restrictions that haven't been properly addressed—it creates the conditions for persistent pain. The tissue becomes less adaptable, less resilient, more prone to developing and maintaining restriction patterns.
Infrared light therapy addresses one piece of this puzzle. It provides targeted photobiomodulation that supports tissue repair, reduces inflammation, and helps break the pain-restriction cycle.
But it's not magic. It's mechanism.
The light reaches the tissue. The tissue responds to the light. Cellular processes that were operating in a compromised state get the energetic input they need to function more effectively. Repair processes that were stalled get reactivated. Inflammation that was maintaining sensitisation gets reduced.
You still need proper manual intervention to address existing restrictions. You still need to understand the compensation patterns your body has developed. You still need to relearn movement patterns that have been distorted by years of pain avoidance.
But infrared therapy gives your tissue a better foundation to work from. It creates conditions where resolution becomes more achievable.
What the Research Shows About Long-Term Outcomes
The data on infrared therapy for chronic pain conditions is accumulating. Studies show decreased pain levels measured on visual analogue scales. Research demonstrates improvements in fibromyalgia symptoms, osteoarthritis pain, and chronic low back pain.
For recovery enhancement, far-infrared treatments using wavelengths of 8-14 micrometres—documented as the best wavelength for increasing cell growth and development—show benefits at multiple time points.
But here's what I want you to understand: the research shows possibility, not guarantee.
Infrared therapy works through specific mechanisms. If those mechanisms are relevant to your particular pain state, you're likely to see benefit. If your pain originates from structural damage, active disease process, or systemic pathology beyond tissue restriction, infrared therapy alone won't resolve it.
This is why understanding matters. When you know how something works, you can make informed decisions about whether it's relevant to your situation.
Bringing It Together: Sunlight, Fascia, and Your Path Forward
Your fascia is a living, responsive tissue that requires specific inputs to maintain health. Sunlight—or more precisely, the vitamin D production sunlight triggers—is one of those essential inputs.
When that input disappears, your connective tissue operates in a compromised state. It becomes less flexible, less resilient, more prone to developing restrictions. Those restrictions create compensation patterns. The compensations create new areas of stress. The cycle perpetuates.
Chronic pain isn't just about the site where you feel discomfort. It's about the whole-system changes that have occurred over time, often invisible to standard assessment but very real at the tissue level.
Infrared light therapy provides targeted intervention at that tissue level. It stimulates cellular repair, reduces inflammation, promotes fascial mobility, and helps break pain-perpetuation cycles.
Combined with proper manual intervention to address existing restrictions, education about anatomical causality, and lifestyle factors that support tissue health, it becomes part of a comprehensive approach to resolution rather than just management.
To recap: your fascia needs sunlight, and when it doesn't get enough, tissue-level changes create conditions for chronic pain. Infrared therapy addresses those tissue-level mechanisms through photobiomodulation, supporting repair processes and reducing pain signalling. Understanding the connection between light, tissue health, and pain gives you a framework for making informed decisions about your care pathway.


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