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 the way you breathing causing your neck pain? – Part 1
If you have had a treatment with us, we may have talked to you about importance of deep breathing, if you have tension in your neck. Shallow breathing, thoracic breathing, or chest breathing is the drawing of minimal breath into the lungs, usually by drawing air into the chest area using accessory muscles rather than throughout the lungs via the diaphragm. This means that you over use some of the accessory muscles of breathing, including the scalenes and sternocleidomastoid muscles both of which are located in the side of the neck. The scalenes elevate the 1st rib during inspiration and the sternocleidomastoid raises the sternum. Unfortunately, these accessory muscles aren’t built for routine respiration, and they exhaust and eventually injure themselves which may result in pain and/or a reduced range of movement (i.e. inability to turn your head fully from side to side). People shallow breath when they are nervous, stressed, anxious, or when they concentrate. So simply stopping and taking one deep breath after you send each email, can reduce the over use of your scalenes and sternocleidomastoid.

What happens to your muscles when you sit?
Chair sitting is unique in that Gluteus maximi are totally relaxed at the same time as having an upright torso, and they are therefore not able to contribute to lumbar extension and back stabilization as they usually do. Without the help of the Gluteal muscles, the Erector Spinae muscles above become tired and painful in a very short time, and give up fighting to maintain the correct "hollow" in the lumbar spine.
The diagram on the left indicates what happens to three key muscles when you spend long periods of time sitting.
The Hamstrings (H) are shortened by sitting. Also, during sitting, the Gluteus Maximus (GM) is relaxed and unable to tension the lumbosacral fascia. This means the Errector Spinae (ES) muscle group must therefore perform the entire lumber extension workload.
This article discusses the link between lower back pain and the following muscle problems:-
- Shortening of the hamstring muscle.
- Overworking of the Erector Spinae muscle group and the development of trigger points.
- Overworking of the Iliopsoas muscle group and the development of trigger points.
- Diffuse achy - type pain radiating out from the groin area to the lower back, and possibly around to the side of the hip and the butt area. If the trigger points in the groin are not pressed, the pain is not sharp or stabbing.
- Relief of pain is often experienced by sitting down.
- Worse upon lengthening the iliopsoas, i.e. when one stands up, or straightens the hip joint.
- Worse for doing situps.
- Worsened by externally rotating the hip (i.e. making the knee cap look outward) when the hip joint is fully extended.
- In patients with sciatic nerve pain, lying flat on one's back with the legs out straight causes the trigger point tightened iliopsoas to compress the lumbar vertebrae together, with the result that the nerve roots of the sciatic nerve are compressed too.
- When lying flat on one's back, doing a straight leg raise reveals weakness on the affected side.
- In patients with sciatic nerve pain due to nerve root compression, lying flat on one's back with legs out straight stretches that trigger point tightened iliopsoas. The result is that the iliopsoas compresses the lumbar vertebrae together, and the the nerve roots of the sciatic nerve are compressed at the same time.

Introduction to Delayed Onset Muscle Soreness
Delayed onset muscle soreness (DOMS) also called muscle fever, is the pain and stiffness everyone is familiar with after strenuous exercises. It is noticeable worse 24 to 72 hours after exercise and it can occur anywhere in the body. However it is more memorable when it affects the lower body i.e. the legs, due to it being so inhibiting. For a long time the cause of DOMS was thought to be the build up of lactic acid and toxic metabolic waste in the muscles. However this theory has now been thoroughly rejected. While the cause of DOMS is not well understood, the current consensus is that DOMS is a result of inflammation triggered by microscopic tears in connective tissues that sensitise nociceptors and heighten pain. The pain of DOMS and the sever soreness may decrease capacity to perform in subsequent workouts. In addition to physical symptoms for some people it can decrease motivation to exercise. So is the pain worth the gain? The short answer is no. DOMS doesn't mean you will build more muscle although it may enhance it a little. References Brad J Schoenfeld, 2010, The mechanisms of muscle hypertrophy & their application to resistance training, Journal of Strengthening & Conditioning Research, vol 24, (10)

