Neuromuscular Re-Education

One of the major techniques used by physical therapists is neuromuscular re-education. Fundamentally, this method is applied to restore normal body movement patterns.

Why Is Neuromuscular Re-Education Significant?

You or some people you know might experience difficulty moving their bodies due to various reasons, such as a fall, an injury from a vehicular accident, or simply aging. The neuromuscular re-education technique can help injured patients get their bodies back to their maximum range of motion.

The nerves and muscles can be damaged by traumatic injuries. Such injuries can also lead to various medical and neurological conditions that can negatively impact the muscle movement of different parts of the body. This is when neuromuscular re-education plays a pivotal role. Physical therapists use this method to help patients return to their normal movement patterns and go back to living the way they used to.

How Does Neuromuscular Re-Education Work?

To produce movement, your nerves, bones, ligaments, tendons, and muscles must work together. The nerves send signals between the muscles and the brain, and the speed at which nerve signals trigger the muscles determines when and how fast the movement occurs.

Any part of your body can be prone to injury, and when this occurs in the tissues, your body will deal with swelling in that particular tissue. Naturally, fibrous healing will then occur, and the scar tissue will rapidly build up to protect the injured regions. Even after many years have passed since the actual injury happened, adhesions to the scar tissue may persist. They can hinder the muscle's strength as well as its range of motion and, subsequently, cause impaired movements and pain.

Neuromuscular re-education can be done to prevent aches and pains in various parts of the body, including the back, neck, and joints. This non-invasive treatment focuses on the rehabilitation of soft tissues. This energetic soft tissue technique is not a pain-free or relaxing massage. In fact, very firm pressure is often used in therapy. This is to reach the adhesions and scar tissue in the muscle fibers and break them down. Slow and controlled strokes are also used; hence, patients may feel tenderness and pain after the treatment. However, the pain should be tolerable, not unbearable. In any case, if the pain becomes unbearable, the patient should let the therapist know and ask them to apply less pressure during the treatment. Since the technique concentrates on detecting and breaking up the cross-fiber adhesions in the injured soft tissues, a skilled chiropractor should be able to feel for their location and direction. After locating the adhesions, they should start to manipulate and massage the soft tissues. This is how the tissues can be restored to their normal tension, texture, and length with the help of neuromuscular re-education.

What Are the Exercises for Neuromuscular Re-Education?

The three major methods that are used in neuromuscular re-education are manual techniques, activities that can promote balance and core control, and therapeutic exercises.

  • Some of the exercises done in neuromuscular re-education are:
  • Standing balance exercises
  • Seated stability exercises
  • Postural retraining (postural re-education)
  • Isometric muscle contractions
  • Feldenkrais
  • Proprioceptive neuromuscular facilitation
  • Electromyography (EMG) biofeedback
  • Desensitizing techniques

To sum up, neuromuscular re-education is of great significance when it comes to restoring your body's movements after an injury.

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Brittany Mahe

⭐⭐⭐⭐⭐ a month ago

Dr. Nenshi has been invaluable during my pregnancy and postpartum journey, as well as treating my little baby girl. During pregnancy, she was able to help with low back and pelvis/hip pain, which significantly improved my quality of life during those last months. Postpartum she has been incredibly helpful with the aches and pains I have had due to breastfeeding, as well as improving the actual process of breastfeeding by waking up my nervous system. In regards to my newborn, she was able to help with some serious gas and digestion problems - which improved her mood and sleep tremendously! While treating her for those pesky tummy problems, she also noticed that she was favouring turning her neck to the left side and struggling with turning to the right. She was able to fix that as well, before it turned into more serious problems. Overall, I highly recommend Dr. Nenshi for almost all pains during your prenatal, postnatal and newborn journey :). She gives great care to her patients (young and old), and can usually see you with short notice. She is now seeing multiple members of my family.

Reid Hansen

⭐⭐⭐⭐⭐ 2 months ago

My lovely bride of 36 years developed painful sciatic, hip, and foot pain that eventually became almost debilitating to her. 3 months with Dr. Nenshi ( 4-5 visits?) and she is now pain free. We are so grateful to her, it’s been a quality of life miracle.

Kootenay Maui Fam

⭐⭐⭐⭐⭐ a year ago

I just want to mention how wonderful Dr. Nenshi is! She is more than just a chiropractor. Her neurological knowledge is exceptional! She was so thorough in her assessment during our first meeting that it took a couple of hours. Her caring, commitment and compassion goes beyond the normal standard of care. She truly wants to help get you better and she won't give up! I can't say enough good things about Dr. Nenshi and I would be remiss if I didn't mention her amazing assistant Rachelle, who is just awesome as well! Ryan


⭐⭐⭐⭐⭐ 2 years ago

Dr Nenshi continues to save my life time and time again with her chiropractic care. She is very knowledgeable, nice, and a pleasure to be around. She is passionate about her work and cares very deeply for her clients health and well being. I’ve referred my Dad and my fiancΓ© who are now both very happy clients of hers as well. She’s the best in the business and you won’t regret going to Dr Nenshi for your chiropractic needs.

Moumita Paul

⭐⭐⭐⭐⭐ a year ago

We met Dr.Nenshi first time on November 17, 2020. It was in regards to our son's concussion. She truly knows magic. The way she helped our son to go one step at a time patiently and took true care of him it was amazing. Best part was she always had some solution for his problem. It was a long process and she held our hand to go through that rough phase. Not only concussion, she treated my son later for his partial ligament tear and some neck and shoulder pain too. She is amazing and she will never give up. Thank you so much Dr.Nenshi for giving us back our son as he was before the injury. Anwit loves you and depends on you. We truly appreciate her professionalism with personal touch.