Q: What does Neuromuscular Therapy do?
Neuromuscular Therapy (NMT) interrupts the syndrome of:
NMT NMT resolves the problem of pain utilizing advanced concepts in the science and art of using manual pressure to interrupt the chain of events resulting in pain. Through this interruption you will find relief.
Q: What happens first?
The first thing is a thorough postural assessment which is charted with your specific characteristics. This chart is used before and after each session to track your progress and show you how your body is responding to muscle manipulation.

The initial assessment reviews posture, body mechanics and habitual actions and how these may have been affected by trauma, occupational demands, or repetitive activities. The aim is to ensure the causes—not just the symptoms—of pain, discomfort and compensatory behaviors are identified and addressed.

In addition, a thorough assessment is made of all trigger points in the general area of complaint as well as silent trigger points in the common referral zones to determine which triggers are contributing factors to tension and pain. The therapist will note on the chart each area of painful muscle, ligament and tendon that will require therapy.
Q: How is NMT practiced?
With consideration to the area of painful condition the therapist will use the thumb, hand, elbow or small soft-tipped pressure bar to manipulate tissue and apply pressure to the involved connective tissue. Pressure is usually maintained for approximately eight to twelve seconds to obtain maximum release.

Precise application of soft tissue manipulation will restore muscular tone and balance, improve blood flow and encourage nourishment of the tissues, and decrease abnormally high neurological stimulation in an area of spasm. Which results in > PAIN RELIEF.
Q: Does it hurt?
Mild discomfort is necessary to interrupt the nervous systems’ dysfunctional “holding pattern.” The experience is often described as “good pain” which is accompanied by an opening and relaxing of the muscles.

Discomfort experienced is usually greatest during the first session. Mild pressure (approximately 10 pounds of pressure into 1 square inch of soft tissue) does not elicit pain in normal healthy tissue. Therefore the presence of pain during the physical manipulation of tissue is a valuable guideline. Pain from mild pressure indicates those areas where adhesions, muscular spasms, trigger points and cellular toxins are located.

All neuromuscular therapists work within the clients’ level of pain tolerance. On a scale of 1 (no pain) to 10 (extreme pain), NMT therapists work at a level of 5 (mild discomfort.)

Each time the therapist returns to area of concern, pain level should decrease and tolerance should increase. Constant feedback from the client is encouraged to insure that the therapy is conducted with the minimum degree of pressure necessary to carry out the process successfully and achieve the maximum results.
Q: What should I expect after a session?
The Neuromuscular technique reduces the intensity of nervous activity within the tissue and mechanically forces out toxic irritants that have accumulated at nerve receptor sites. Musculature is relaxed, circulation is increased and the body returns to normal neuromuscular integrity and balance. As a result of your NMT work it is not uncommon to experience:
  • Relaxation of the connective tissue
  • Postural balance
  • Increased mobility
  • Reduction or cessation of pain
  • Increased flexibility
  • Increased tissue warmth
  • Softening of the nodular mass at the trigger site
Q: What can I do after an NMT deep tissue session?
No aggressive activity for 24 hours.

Generally NMT is a deep tissue manipulation. The nervous system and musculoskeletal system need 2 to 3 days between manipulations to recover from the micro trauma and micro tearing done during the session.

We ask that after an NMT session individuals perform only “light” stretches, yoga, meditation, hiking, (one on one) Pilates etc.

Other deep tissue massages should not be scheduled in the same day. If a client insists then massage therapists should be informed where the Neuromuscular Therapist worked on the clients’ body to avoid repeating deep pressure.

Do not schedule stress tests by exercise physiologists and NMT on the same day.
Q: Can I have several NMT sessions one day after another?
Sessions, one day after another can be performed, but the therapist needs to be aware of multiple sessions closely succeeding one another. The therapists will then be able to plan the areas to be addressed accordingly.
Q: How long does the therapy last?
As a rule, Neuromuscular Therapy clears the nervous system and affected tissue for rapid results. However healing is a biological process which takes time. Factors influencing this process are history of trauma, surgeries, occupations, life style, stress, length of time condition has existed, state of individuals’ health.

All of these are determinants in the process that is as individual as you are. Generally, however, most patients reach their goals within 4-8 sessions.
Q: Will one session be enough?
One 90 minute session can begin neuromuscular re-education of the nervous system. Many instances pain is relieved, the muscular system starts correcting itself and returning to a balanced state. Because most musculoskeletal disorders have accumulated over time and through misuse, more therapy sessions may be needed to assure nervous system facilitated abnormal pathways are permanently reversed.
Q: What are the benefits of NMT?
To list a few: (Each benefit is linked to the fuller discussion in the first section of the site – How We Alleviate Pain)

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Patterns of Life
Pain Relief & Prevention