What is NMT or Neuromuscular Technique?
NMT (Neuromuscular Technique) is a soft tissue technique developed in the 1930’s by Dr Stanley Lief. NMT is the application of quasi-static pressure perpendicular to the skin with the aim of releasing pain and tension in muscles (normally in skeletal muscles).
Neuromuscular Technique is used by
- Physiotherapists
- Osteopaths
- Chiropractors
- Massage Therapists
A lot of clients will be familiar with NMT techniques from having either a sports massage, deep tissue massage or seated acupressure massage with Vitality Therapy. We commonly use NMT when we treat
- muscle spasms
- muscle tension
- aches & pains
- trigger points
When we have identified the problem area in your muscle, we apply pressure with our fingers, knuckles or elbows. We often hold the static pressure for between several seconds to up to two minutes. What we look for are non-verbal and verbal signals that the pain and tension are releasing.
Is NMT Painful?
When we apply the pressure, we aim for a “good pain” where you feel the right level of pressure is being applied to create the release. Sometimes I ask clients to rate the pain on a scale of 0 to 10 to ensure that it is bearable and hence a “good pain”.
Related Posts
Massage Therapy and Neck Pain
One of the most common conditions we treat is neck pain which can range from a simple stiff neck, to inability to turn your head to either the right or left.
So in this blog post I wanted to discuss the recent scientific research regarding massage therapy for neck pain in people with neck arthritis.
Background
- 1 in 5 people who visit a massage therapist do so because of neck pain
- 28% of people with neck pain due to neck arthritis are likely to book a massage
Until the most recent research the scientific literature on the effects of massage therapy on neck arthritis pain was mixed. In this study an attempt was made to enhance the effects of weekly massage therapy by having the participants massage themselves daily.
Methods
Forth eight participants from a medical school, suffering from neck arthritis pain, were randomly split into two groups, one that received massage treatments and a wait list control group. The first group received a course of four 30 minutes weekly moderate pressure massages and supplemented this with 15 minute daily self-massage. The control group started the same course of treatments after four weeks without massages.
The effectiveness of the treatments were measured through self-reports and range of motion assessments, completed after massage treatments on the first and last days of the monthly study period.Results
The group that received the monthly course of weekly massage treatments, showed significant reductions in pain and improvements in range of motion. These ROM changes occurred specifically for nodding your head (flexion) and right and left lateral flexion motions. Between the first and last day of the course of treatments showed on average a 50% decrease in pain during flexion. Conversely the control group reported increases in pain and reductions in range of movement while waiting for massage treatments.
The study Field T, Diego M, Gonzalez G and Funk C G (2014) Neck arthritis pain is reduced and range of motion is increased by massage therapy, Complementary Therapies in Clinical Practice 20(4): 219 - 223 supports my subjective experience that massage therapy helps reduced neck pain and increase clients range of movement when it has been compromised.What is the difference between sports and deep tissue massage?
Deep tissue is a very descriptive name and is self-explanatory. The confusion comes when it is compared to sports massage. The big difference is the focus. Sports massage is dedicated to
- improving sports performance
- prevention of and treating sports injuries
- You work out religiously, but aren't as relgious about stretching
- You cycle or run to work and don't think to stretch
- You play sports but don't cross train so have specific trouble spots
- Your performance (in a particular sport) has dropped
- You have a history of injuries and want to reduce the likely hood of further injuries
- You work at a computer all day and your neck, shoulders & back are chronically sore
- You are so tense your back feels like concrete
- You have tired achy legs
- You are in pain
- You are stiff (or are unable to move your neck/arm/leg freely)
- You are stressed or anxious
- You have a knot or a muscle spasm
Headaches Treatment & Prevention – Part 3
Having looked at how to describe and classify headaches & migraines in my introduction, I then moved on to look at how massage can help sufferers in part 1. Then in part 2 I looked at how nutrition and Bowen technique could help. I want to continue to explore the impact of complementary therapies on headaches. Cranio-Sacral Therapy Cranio-sacral therapy is a system of alternative medicine intended to relieve pain and tension by gentle manipulations of the skull regarded as harmonizing with a natural rhythm in the central nervous system. Cranio-sacral therapists suspect the occipito-atlanteal junction at the top of the neck may contribute to the cause of headaches especially migraines. If the first vertebrae and the occipital condyles at the base of the skull become jammed together or fixed, which effects the vagus nerves, throwing the parasympathetic nervous system into dysfunction. Cranio-sacral therapists report releasing the occipital condyles nearly always results in the reduction of migraines patterns in clients. Acupuncture Acupuncture is a treatment derived from ancient Chinese medicine in which fine needles are inserted at certain sites in the body for therapeutic or preventative purposes. There is some scientific evidence acupuncture has a beneficial effect on headaches and migraines (see >> http://www.nhs.uk/Conditions/Acupuncture/Pages/Evidence.aspx)
