What is Neuromuscular Therapy (NMT)?

In layman terms, neuromuscular therapy is a type of advanced manual therapy best for chronic issues by re balancing after finding the source. Different modalities are used with hydrotherapy (use of water) to restore a musculoskeletal and nervous system balance. It’s meant for continuous sessions so your nervous system can reconnect to the source. Step by step, you’ll feel an overall change in the way you walk, sit, move, and stand… not to mention the most important reason …. an overall correction to these important systems. 

What conditions are common for Neuromuscular treatment?

Postural Distortion (spinal curvatures)

Spinal curves (lordosis, kyphosis, scoliosis) aka, your posture, can end up distorted when there’s an imbalance of the musculoskeletal system resulting in movement of the body off the coronal, midsagittal, or horizontal planes. Basically meaning, you are “out of wack” and using one side or one muscle group more which wears out the soft tissue and joints.  The body tries to compensate in an effort to maintain structural balance. The nervous system gets disconnected from the area and eventually soft tissue (deep muscles, ligaments, tendons, and lymphatic tissue). When this occurs, just like a lawn not fertilized or without sun and water, the cellular tissue will die or fatigue. 

Biomechanical Dysfunction (nerve damage)

Just like any other part of life, we can develop bad habits in our muscles after a surgery, injury, or nerve damage. Our body creates adaptive movement patterns that need to be corrected. Some examples of these bad habits are:

  • Poor posture
  • Poor upper/lower back support
  • Abuse of muscles
  • Immobility
  • Repetitive movement overload

Nerve Compression/Entrapment (pinched nerves)  

This results from pressure on a nerve by bones, inflammation, disc issues, and soft tissue damage. For example, Sciatica is a common condition although underlying issues may be the source.

Ischemia (fatigued muscle groups)

This is a deficiency of blood in a body part. It could be due to a functional constriction or actual obstruction of a blood vessel. Neuromuscular therapy relieves muscle spasms and frees constricted blood vessels. This allows normal blood flow to carry nutrients and oxygen to the muscles.

Trigger Points (muscle and soft tissue adhesion)

Disturbance of motor functions caused by trigger points include hypertonicity (basically, really high tension) of other muscles, weakness of involved muscle function, loss of coordination by involved muscles, and decreased work tolerance of the involved muscle.

Anxiety and Stress 

Disturbance of all functions caused by stress and anxiety will create the disconnection (like a wire that has been cut to a power source) to the brain via the spinal cord. Restoring this connection is the 1st step before all else can be accomplished. 

Five Stages of Neuromuscular Therapy Rehabilitation

Long-term muscle recovery depends on adherence to the sequence of each treatment stage and completion of each stage before going to the next.

1. Therapy to eliminate pain and create soft tissue regeneration

Repetative sessions of mixed therapies to start the process 

2. Correction of structural problems to restore all balance

Your body structure can end up distorted due to specific injury, disease process, or stress to an area from another cause. The NMT therapist performs a structural evaluation of the horizontal planes, brain and spinal cord connections, and overall mental awareness to determine where the force should be.

3. Restoration of flexibility and re-education of neurological pathways

By adding passive and active stretch techniques to these treatment plans, NMT increases flexibility and re-educates neuromuscular structure.

4. Restoration of strength

After the first three stages, the muscle group is ready for strengthening through techniques like band work, TPT, and ART. 

5. Building endurance

Endurance means the body is now reprogrammed and it’s now able to repeat on it’s own what was once guided. This stage helps prevent re-injury, build tone, and enhances the posture with sessions designed to fit the previous issue on a maintenance program.