Frequently Asked Questions
Answers to some frequently asked questions about Neuromuscular Therapy and Myopain Solutions. Learn about what happens during an NMT session and how it’s different from other massage therapy. If you have any questions, feel free to inquire at our Contact page.
What is modern Neuromuscular Therapy (NMT)?
Modern Neuromuscular Therapy is a form of problem-solving advanced massage therapy. It comprises comprehensive information gathering, followed by a detailed assessment.
This informs the design and purpose of the advanced manual techniques. We use active movement techniques along with some pain neuroscience education.
This combination helps pain sufferers understand and give meaning to their symptoms, enabling the healing process.
NMT considers the whole patient in context with their environment.
What is NMT good for?
NMT is good for most soft-tissue driven pain and dysfunction. It may be used in many ways. Firstly, it solves pain derived from soft tissue, including connective tissue.
NMT should be used before having a more invasive procedure, like surgery. It may be helpful for pre-operative pain and hard-to-explain post-op pain. It can be used for performance enhancement and healthy tissue maintenance.
It is particularly good at solving enigmatic pain puzzles associated with myofascial pain..
What are the principles behind NMT?
NMT relies on addressing six major components:
- Firstly, we address all forms of muscle injury from overload, overuse, misuse, disuse and abuse.
- We also think of the body in terms of neurological wellbeing, both cognitively and mechanically.
- Posture and subsequent movement are assessed.
- We always identify and deactivate all trigger point contributions to pain and dysfunction.
- Attention is paid to educating the patient on what is going on in their body. We call this pain neuroscience education.
- Lastly, we try to identify, modify or remove all relevant perpetuating factors. These factors can include ergonomics, sleep, nutrition and stress etc.
The overall result is a swifter recovery from pain and better movement.
What is Myofascial Pain Syndrome?
Myofascial pain is defined by the presence of active trigger points in the muscle. You can also have latent trigger points that, despite not causing spontaneous pain, can lead to performance deficits.
These very common latent points can revert to active ones leading to unwarranted pain.
Relieving the pain of MPS was the life’s work of trigger point pioneers Janet Travell MD and David Simons MD who co-wrote the seminal texts “Myofascial Pain and Dysfunction – The Trigger Point Manuals’.
What are Trigger Points?
Trigger points are discreet, painful spots found within dense bands of skeletal muscle.
They can be locally tender, but more often send pain to far distant parts of the body. For example, there is a spot in the calf muscle that can set off jaw pain.
I kid you not. They are also great masqueraders. They can mimic nerve pain and organ pain and numbness, tingling, and burning symptoms.
How does a NMT therapist compare to other massage therapists?
The standard of service is positioned to exceed the highest levels of massage training in the country.
No other massage therapists have the same qualifications or understanding of anatomy and physiology, pathophysiology, and pain science of the body.
With this base knowledge, the best hands-on therapy can be applied.
What happens in an NMT session?
The first session is what we call an Initial Evaluation. There is a lot of information gathering, a postural and dynamic assessment, followed by clinical reasoning, and treatment planning.
The treatment part will involve trigger point therapy, neuromuscular techniques, and nervous system strategies.
This advanced massage therapy restores musculoskeletal balance, symmetry, and conditioning.
Each subsequent session strategy is determined and modified after patient feedback. Seldom are any two successive sessions the same.
What makes modern neuromuscular techniques different?
All techniques have been compiled and road-tested over the years on thousands of patients.
They are based on current science. Stew has added pain neuroscience education to the manual techniques. These techniques are now more dynamic.
You will not be lying passively in the same position throughout the treatment. There will also be constant patient feedback to enable refinement and tolerance of the techniques.
How long has NMT been around?
NMT has origins in ayurvedic and chiropractic medicine. It’s been around in the US since the 1940s.
The grandfather of NMT is considered to be Raymond Nimmo DC who rejected the ‘bone out of position’ view of chiropractic medicine.
He believed that both tight muscles, and weak, inhibited muscles determined joint position and function. There is a European version of NMT that has been around since the 1930s.
The application is slightly different in that it uses short, repeated thumb strokes.
Who are the pioneers of NMT?
Stew stands on the shoulders of many giants.
The first person to popularize NMT in the US was Paul St John. He then taught Judith DeLany.
DeLany and Leon Chaitow have authored the 2 volume masterpieces ‘Clinical Applications of Neuromuscular Techniques’. (Stewart has studied with Paul, Judi and Leon, and taught for Judi from 2005-2009.)
Other pioneers in the field include Jan Dommerholt, Bob Gerwin MD, David Butler, and Adriaan Louw. These famous clinicians are also prolific authors.
About Myopain Solutions
Who is Stew Wild?
Stew began his practice in NZ in 1994. He likes to think of himself as a ‘soft-tissue detective’ – a therapist who embraces the challenge of searching for the roots of chronic, hard-to-explain pain.
He is double certified as a CNMT and Certified Manual Trigger Point Therapist (CMTPT).
He is also a certified personal trainer with NCCPT.
Stew combines life as a clinician along with being a senior instructor for Myopain Seminars.
He is also a conference and workshop junkie. (see bio)
Who does Myopain Solutions liaise with?
Stew networks with all branches of allopathic and complementary medical practices.
We have patients recommended for our services from pain clinics, orthopedic clinics, physiatrists, physical therapists, chiropractors, and other medical practitioners.
We liaise and co-treat with many practitioners to optimize recovery.
Does Myopain Solutions take insurance?
Short answer. No.
We do have success with flex spending accounts (FSA) and we do sometimes accept worker’s compensation cases.
What we can do is provide you with an invoice with details of your visits and provider codes, and you can approach your insurer yourself.
We welcome consumer-driven activism.
How long does it take to get better?
This is never easy to answer. We have people visit just once and improve dramatically.
We have people who have been seeing us weekly over many years because of the severity of their problems.
What we can say is that if your problem is driven by soft-tissue positive changes will happen in the first 3-4 treatments. If nothing changes we re-evaluate.