Are you looking for a way to improve your skills? Get patients better faster? Build a large referral base? Have a cash practice? Charge what you’re worth?
What is the answer to the ongoing problems with insurance companies, work comp, personal injury and the volumes of paperwork and billing required? How do you, the practitioner, actually get someone better quickly and efficiently and charge cash? How do you generate a “ waiting list” practice?
Neuromuscular Reeducationsm is a “stand-alone” hands-on technique/approach to the evaluation and functional treatment of 90+% of the soft tissue injuries a professional will see in practice. Every muscle in the body is surrounded by a smooth fascial sheath; every muscular fascicule and fibril is surrounded by fascia that can exert pressures of over 2,000 pounds per square inch. When an area is injured, whether it’s muscle, connective tissue, fascia, tendon or some combination of these elements (as most injuries are), the body handles this inflammatory response of the tissues to trauma the only way it knows how, through a hyperplasia of the affected tissue followed by a fibrous healing, the laying down of a less elastic, second grade, poorly vascularized scar tissue to protect the involved areas. Adhesions occur wherever damage and inflammation have occurred and they limit both strength and range of motion.
Once there is fibrous healing, these adhesions pull us out of a three-dimensional orientation with gravity. As a muscle tendon begins to stretch and encounters an adhesion, the muscle contracts to prevent any further stretching and to protect the area involved. The result is that the muscles involved are not as strong and the range of motion is limited in the involved joint. Adhesions can affect areas that are quite small, sometimes just a few muscle fibers and, other times, there can be a number of areas like that scattered throughout a muscle group.
So you think you know what Neuromuscular Reeducationsm is? When a patient comes in with an arm that doesn’t abduct and there is no bony involvement, can you name the three abductors of the arm at the shoulder joint? If working on those three muscles, supraspinatus, deltoid and long head of the biceps when the arm is externally rotated doesn’t make a difference, what one muscle would you work on next to have a 90% chance of success? Subscapularis!
“How could that be?” you might ask. “Subscapularis is an internal rotator of the arm at the shoulder joint.” And when you work on the subscapularis and, within a minute, their arm easily abducts up over their head, what do you do next?
Neuromuscular Reeducationsm got its start almost twenty years ago. Its developer, Dr. Gary Glum, worked on many of the top athletes in the highly competitive world of professional athletics: Football, baseball, track and field, weight lifting and more. People came to him needing fast relief from their problems and wanting to be “back on the field” in short order.
That’s where this particular technique sets itself apart. Doctors need an easy way to figure out which muscles are involved in the area of complaint and then an easy way to apply the technique. They need to be able to quickly evaluate and treat the involved area and generate RESULTS (read pain relief, ease of motion or increased flexibility), so that the patient is perfectly clear that they are in the hands of a highly skilled practitioner. After the first one or two visits, the doctor has narrowed down the involved musculature in the given area and a high percentage of patients experience, by their own record keeping, a 50%-80% improvement of their symptoms. Enough of a dramatic improvement to have them singing your praises…and coming back to have other parts of their body restored to the same level of flexibility as the newly restored area you just worked on. Do superb soft tissue work and then bring on the magic of a great, specific adjustment. There is no better combination and your patients will know it.
The actual technique requires a highly specific knowledge of the musculo-skeletal system and is taught through a seventeen-hour, hands-on seminar. That’s the best way to learn where, how and to what extent to apply the work.
Knowing the muscles of a given area, the origins, insertions, actions and synergists…that’s our bread and butter. We own that body of work…and a little review, particularly in this class, brings it all back quickly. The involved joint is gently moved through the entire range of motion, deep pressure is applied to specific areas of all of the muscles that cross the joint, not just where there is pain, and particular attention is paid to the origin and insertion points of each muscle as well as its function.
For more information and 2004 seminar schedule, go to www.neuromuscularreeducation.com or call Dr. Peter J. Levy, D.C. directly at 800-304-4NMR.