Sorriso

NeuroMuscular Therapy

by Peter Lane

 

Integrative NeuroMuscular Therapy (NMT) is a comprehensive system of soft-tissue manipulation techniques that were developed in the 1930s in England by Dr Stanley Lief. Lief trained in the United States as a chiropractor and naturopathic physician. The integrative discipline that he developed, with additional insights from bodywork professionals Leon Chaitow, Raymond Nimmo, John Upledger, Janet Travell and others, balances the central nervous system with the structure and form of the musculoskeletal system.
     NMT is based on neurological laws that explain how the central nervous system maintains homoeostatic balance, and in many cases, eliminates the cause of a person’s acute to chronic myofascial pain and dysfunction. Through the application of modern-day integrative NMT procedures, which include cranio-sacral therapy, myofascial release, positional release and trigger point therapy, homoeostasis is restored between the nervous and musculoskeletal systems. Integrative NeuroMuscular Therapy enhances the function of joints, muscles, and the biomechanics of the body, and speeds healing by facilitating the release of the body’s natural pain killers, endorphins.

Applications of NMT

     Patients who suffer from acute to chronic pain resulting from occupational, sports and/or automobile injuries, benefit from receiving integrative NeuroMuscular Therapy. Specific types of dysfunctions and repetitive motion and accumulative traumas respond well to this treatment, including sciatica, rotator cuff dysfunction, carpal tunnel and thoracic outlet syndrome, temporomandibular joint dysfunction and migraines. Integrative NeuroMuscular Therapy is also utilised in certain types of physical and sexual abuse-related traumas.
     Integrative NeuroMuscular Therapy approaches healing from a holistic perspective (mind/body) creating long-term results. One of the premises governing NeuroMuscular Therapy is that the procedures utilised should stimulate the body to heal on its own. Once this healing has begun, NeuroMuscular Therapy can be used to stimulate soft-tissue repair in specific areas, while simultaneously addressing some of the perpetuating factors causing the patient’s pain. In this manner, a whole body approach to healing is achieved.

Treatment

     Specific tools that a NeuroMuscular Therapist uses are the thumbs, fingers, elbows and pressure bars. Pressure bars are effective instruments for the release of deeper constrictions along the erector spinae musculature and at tendonous attachment sites throughout the body. NeuroMuscular Therapy addresses the release of tissues in layers, superficial to deep, and is performed at a moderate speed with light lubrication. Treating origins and insertions, as well as the belly of a muscle is also of critical importance. It doesn’t require a great deal of pressure to be effective, which is a benefit to the patient. In the proper application of NMT, a “dig it out” mentality is never appropriate.
     The ability to palpate and effectively treat trigger points is an additional tool that is effective in treating myofascial pain and dysfunction. A trigger point is an area of elevated neurological activity located in fascia and the bellies of muscles that may refer pain in a localised or peripheral manner. When a trigger point is active, it can cause a substantial increase in a patient’s myofascial pain locally or, in what seems to be a totally unrelated area of the body. If left untreated, a trigger point can prevent muscles from fully healing and ultimately have adverse long-term effects on other systems.
     The proper and judicious use of pressure, which includes the ability to feel constrictions and trigger points and know at what angle your thumb, finger or pressure bar might be best used, is critical in the effectiveness of the therapy. When NeuroMuscular Therapy is applied in this manner, it is very effective in releasing trigger points and tracking down the cause of a patient’s pain. In my NeuroMuscular Therapy training workshops, I tell my students that in order to become superb NeuroMuscular Therapists, they must also become excellent “muscle detectives” and to be able to “dance with the muscles.”
     Another means of increasing the effectiveness of NeuroMuscular Therapy is through the use of empowerment, in other words, getting the patient involved in his or her own wellness. In America, and particularly in the Southwestern United States, we say that “you can lead a horse to water, but you can’t make it drink.”
     So it is with people who are in pain. A therapist can suggest ways to help a person heal, using a number of tools, but if the patient refuses to actually use the tools, the therapist can’t force the patient to feel better. Consistent consumption of water, multivitamins, B-12, B-6, stretching and a balanced diet, combined with effective hands-on therapy, will greatly enhance healing and reduce the amount of time the patient needs to undergo actual therapy. When the patient feels that he or she is truly in control of wellness and understands the mechanisms of their condition, long-term healing can occur.