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

Is a 15 minute Neck & Shoulder Massage beneficial?
Fifteen minutes is a very short space of time, so I am often asked by potential clients if they will receive any benefits from such a short massage. Well the good news is that you do receive benefits, and its not just me saying that, or the subjective experience of other clients there is scientific evidence too.
- In 1996 Shulman, K.R. & Jones, G.E. in the Journal of Applied Behavioural Science, looked at the effectiveness of chair massage in reducing anxiety in an organisation. An on-site chair massage therapy program was provided to reduce anxiety levels of 18 employees in a downsizing organization. 15 control group s participated in break therapy. Subjects’ stress levels were measured with the State-Trait Anxiety Inventory, which was administered twice during pretest, post-test, and delayed post-test to achieve stable measures. The study concluded that significant reductions in anxiety levels were found for the massage group. 1
- In 1996 Field, Ironson, Pickens et al. in the International Journal of Neuroscience concluded that chair massage therapy offers benefits in not just alleviating the physiological effects of anxiety, but also in improving mental alertness.2
- In 1997 Cady et al. in Perceptual & Motor Skills evaluated the effectiveness of a 15 minute chair massage on reducing stress as indicated by blood pressure. 52 employed participants' blood pressures were measured before and after a 15 minute massage at work. Analysis showed a significant reduction in participants' systolic and diastolic blood pressure after receiving the massage. High Blood pressure is associated with anxiety and stress, this study supports the conclusion that chair massage is relaxing and reduces stress. 3
- KR Shulman and GE Jones, 1996, The effectiveness of massage therapy intervention on reducing anxiety in the work place, Journal of Applied Behavioural Science (32), p160 – 173
- Field T; lronson G; Scafjdi F; Nawrocki T; Goncalves A; Burman I; Pickens J; Fox N; Schanberg S; Kuhn C, Sep 1996, Massage Therapy Reduces Anxiety and Enhances EEG Pattern of Alertness and Math Computations, The International Journal of Neuroscience, 86 (3-4) p197-205Read More: http://informahealthcare.com/doi/abs/10.3109/00207459608986710
- Cady SH and Jones GE, Feb 1997, Massage therapy as a workplace intervention for reduction of stress, Perceptual & Motor Skills, (1) p157- 158Read More: http://www.ncbi.nlm.nih.gov/pubmed/9132704

Myofascia – part 2
Last week I explained what myofascia is and how it can become restricted from, for example, poor posture. How to identify Myofascial Restrictions? It is important to acknowledge that it is difficult to diagnose myofascial restrictions as they do not show up on standard tests (x-rays, myelograms, CAT scans, electromyography etc). Massage therapists utilise their palpation skills to find myofascial restrictions. For example fascial drag, this is a very light press & slow technique to allow the therapist to feel the restrictions in the fascia. Who treats Myofascial Restrictions?
- Myofascial Release – Originated in the 1940’s. It is a specialised physical and manual therapy used for the effective treatment and rehabilitation of soft tissue and fascial tension and restrictions. John Barns a physical therapist based in the US is one of today’s leading lights in the world of myofascial release.
- Rolfing – Dr Ida Rolf, started working with client in the 1930’s and by the 1950’s was teaching her work under the name of Rolfing . A physical therapy which aims to release stress patterns from the body. It is normally to require a series of treatment often up to 10.
- Massage – massage therapists utilise direct and indirect technique to address Myofascial restrictions.

The Impact of Sitting All Day – Part 2
In part 1, I looked at the impact of sitting on your muscles, but what happens in the rest of your body? Leg Disorders We are all familiar with the risk of deep vein thrombosis (DVT) if we take long flights. This is because sitting for long periods of time slows blood circulation, which causes fluid to pool in legs. This creates problems ranging from swollen ankles, varicose beings to dangerous blood clots. Soft Bones Osteoporosis is a disease marked by reduced bone strength leading to an increased risk of fractures, or broken bones. Bone strength has two main features: bone mass (amount of bone) and bone quality. Osteoporosis is often called a “silent disease” because it usually progresses without any symptoms until a fracture occurs or one or more vertebrae (bones in the spine) collapse. Weight-bearing activities such as walking and running stimulate hip and lower-body bones to grow thicker, denser and stronger. Medical researchers partially attribute the recent surge in cases of osteoporosis to lack of activity. Garrett, Brasure et al, 2004, Physical Inactivity Direct Cost To A Health Plan, American Journal of Preventative Medicine; Vol 27 No 4, Pages 304–309 See http://www.ajpmonline.org/article/S0749-3797%2804%2900191-6/abstract?cc=y Weight Gain As the body slows down while in a resting and seated positions, the metabolism naturally slows down. Calories are burned at a far lower rate, when you sit, you burn only about one calorie a minute!. For some people this can lead to weight gain becoming an issues. Being overweight is a known risk factor for many common chronic conditions including
- diabetes
- gallstones
- hypertension
- heart disease
- stroke

