What are Neuromuscular and Myofascial therapies?
What is Neuromuscular Therapy?
Neuromuscular therapy (NMT) is a precise, thorough examination and treatment of the body’s soft tissues using regionally oriented protocols that are taught in a step-by-step process. These time-tested, hands-on techniques are built upon a science-based foundation and guided by clinical evidence. NMT can integrate well into any practice setting and is frequently included in mainstream medicine, integrative medicine, chiropractic care, and multidisciplinary clinics worldwide.
In addition, NMT considers perpetuating factors that may be associated with the client’s complaints. For example, when a client presents with shoulder pain, the upper extremity protocol will be used as the primary examination. In addition to the muscles directly crossing the shoulder joint, muscles that attach the shoulder girdle to the torso would be included along with steps to help insure mobility of the scapula. Dysfunctions within the arm, forearm and hand often produce compensation patterns in shoulder movement, so examination of those regions should be included. Since innervation to the shoulder exits the spine at the cervical region, mobility and muscles of the neck will be considered; compression or entrapment of the nerves serving the shoulder should be ruled out.
Perpetuating factors can also include shoulder joint pathologies, postural positioning, habits of use, nutritional components, emotional wellbeing, allergies, neuroexcitants, neurotoxins, and other core elements that can masquerade as myofascial pain and dysfunction. Due to the diverse nature of perpetuating factors, astute NMT practitioners build a broad network of healthcare providers for referral of those clients whose symptoms suggest “red flag” warnings or underlying pathologies.
Most factors that cause pain and dysfunction can be easily grouped under three general headings of biomechanical, biochemical, and psychosocial factors, with the interface between these being profoundly related. Most practitioners apply strategies from only one of these categories, often resulting in improvement that plateaus before full recovery. However, a synergistic effect – often with significant relief – is obtained when all three categories are addressed. This may required a multidisciplinary approach.
NMT assessments and examinations primarily address
- ischemia (tight tissue with reduced blood flow)
- myofascial trigger points (hypersensitive points within muscles that give rise to referred phenomena, including pain)
- neural entrapment (pressure on nerves by muscles and other soft tissues), and nerve compression (pressure on nerves by osseous and other bonelike tissues, such as cartilage or discs).
- postural assessment (assessment of the position of the body as a whole)
- and dysfunctional gait patterns (manner of movement when walking)
- with constant consideration for many other perpetuating factors, such as hydration, nutrition, breathing patterns, and psychologic stress.
NMT is highly effective for clients who present with chronic pain and is often successful in reducing or eliminating even longstanding painful conditions. Some of the techniques can also be applied to acute injuries and for post-surgical care; many help to improve performance in sport or dance and to prevent injuries due to these activities.
What is Myofascial Therapy?
Myofascial Release is a safe and very effective hands-on technique that involves applying gentle sustained pressure into the Myofascial connective tissue restrictions to eliminate pain and restore motion. This essential “time element” has to do with the viscous flow and the piezoelectric phenomenon: a low load (gentle pressure) applied slowly will allow a viscoelastic medium (fascia) to elongate.
Trauma, inflammatory responses, and/or surgical procedures create Myofascial restrictions that can produce tensile pressures of approximately 2,000 pounds per square inch on pain sensitive structures that do not show up in many of the standard tests (x-rays, myelograms, CAT scans, electromyography, etc.)
The use of Myofascial Release allows us to look at each patient as a unique individual. Our one-on-one therapy sessions are hands-on treatments during which our therapists use a multitude of Myofascial Release techniques and movement therapy. We promote independence through education in proper body mechanics and movement, self treatment instruction, enhancement of strength, improved flexibility, and postural and movement awareness.