Center for Neuromuscular Therapy

05/14/2025

We are pleased to inform you that The Veteran's Health Administration (VHA) Office of Integrated Veterans Care has approved the credentialing application from Center for Neuromuscular Therapy as part of an active Veteran Care Agreement (VCA) with our local VHA facility.

08/30/2024

RICE (Rest, Ice, Compress, Elevate) has been used to treat injuries since the 1970s when it was first coined by Dr. Gabe Mirkin, MD in his best-selling Sportsmedicine Book, published in 1978. However, we have learned that method is likely not the best way to facilitate healing the fastest, in fact, resting can delay healing and increase pain. Don’t believe me? Dr. Mirkin himself has renounced RICE. He writes about it here. This video also provides a nice summary.

Discussing the research (or lack thereof) behind the use of the R.I.C.E. method for injuries.References:Bleakley C, McDonough S, MacAuley D. The use of ice i...

08/25/2024

01/22/2024

Tight scalene muscles can contribute to thoracic outlet syndrome (TOS) by compressing the neurovascular structures that pass through the thoracic outlet—a narrow space between the collarbone and the first rib. The scalene muscles, located on the sides of the neck, can become tight and hypertonic, leading to several mechanisms that contribute to TOS:

1) Compression of Nerves: The brachial plexus, a network of nerves that control the arm and hand, passes through the thoracic outlet. Tight scalene muscles can compress these nerves, leading to pain, tingling, or numbness in the arms and hands.
2) Vascular Compression: Tight scalene muscles may also compress blood vessels (subclavian artery or vein) in the thoracic outlet, affecting blood flow to the arms. This can result in symptoms such as cold hands, discoloration, or swelling.
3) Postural Changes: Scalene tightness can contribute to poor neck and shoulder posture, further narrowing the thoracic outlet. Prolonged compression on the structures passing through this space can lead to TOS symptoms.

Addressing tight scalene muscles through Neuromuscular Therapy (NMT) involves softening and loosening tight muscle tissue, and posture correction to relieve the compression on nerves and blood vessels.

01/22/2024

The subscapularis muscle plays a significant role in frozen shoulder syndrome (adhesive capsulitis). This muscle is one of the four rotator cuff muscles located in the shoulder. In frozen shoulder syndrome, there is inflammation and thickening of the joint capsule surrounding the shoulder joint, leading to pain and stiffness.

The subscapularis muscle, being located on the front part of the shoulder blade, can contribute to the restriction of movement in frozen shoulder. Tightness or dysfunction in the subscapularis may exacerbate the condition by limiting the range of motion in internal rotation of the shoulder.

Neuromuscular Therapy (NMT) targets the subscapularis to improve flexibility and reduce the impact of frozen shoulder symptoms by softening and relaxing the dysfunctional muscle tissue.

01/22/2024

Quadriceps and hip flexor tightness can contribute to back pain by affecting the alignment and posture of the spine. When the quadriceps (front thigh muscles) and hip flexors (muscles connecting the hip and thigh) are tight, they can tilt the pelvis forward, leading to an increased arch in the lower back. This exaggerated arch, known as lumbar lordosis, can put additional stress on the spine.

Tight hip flexors can also contribute to an anterior pelvic tilt, further influencing the curvature of the spine. The imbalance in muscle tension can lead to poor posture and increased pressure on the lumbar spine, potentially causing discomfort or pain.

Addressing quadriceps and hip flexor tightness through Neuromuscular Therapy (NMT) may help alleviate this strain on the lower back and contribute to better spinal alignment, reducing the likelihood of associated back pain

01/22/2024

Neuromuscular therapy (NMT) is a specialized form of manual therapy that addresses muscular pain and dysfunction through the strategic application of pressure to trigger points. It aims to balance the central nervous system with the musculoskeletal system, often involving the identification and release of muscle knots or areas of tension. NMT is commonly used to alleviate chronic pain, improve flexibility, and restore proper muscle function by targeting specific areas related to nerve impulses and muscle response.

12/23/2023

With a for-profit health care system, there is no incentive to cure any disease, only to treat symptoms. Think about that.

08/14/2023

Healthcare in the US is exceptional - for the Insurance Industry