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What is a Neuromuscular Therapist?

By Amy Hunter
Updated May 17, 2024
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A neuromuscular therapist is are a type of massage therapist specializing in alternating applications of pressure on various muscles and muscles groups. A neuromuscular therapist may receive training and practice with or without certification. In order to qualify for certification, the therapist must attend a training program before testing.

A neuromuscular therapist must understand not only massage therapy, but also have advanced knowledge about physiology, as well as the muscular, skeletal, and nervous systems. The goal of neuromuscular therapy is to remove pain and increase flexibility. It treats issues caused by one or more of five specific issues. Neuromuscular therapists believe that these five issues create tightness, pain, and impair balance.

Ischemia is a term used for an interruption or lack of blood supply to the soft tissues of the body. This can create hypersensitivity and difficulty tolerating touch. Trigger points are areas that are irritated, located in muscles, which lead to pain referred to other parts of the body. Pressure on a nerve can lead to nerve compression or nerve entrapment. The pressure comes from soft tissue, bone or cartilage.

Two other issues that a neuromuscular therapist addresses are postural issues and biomechanical problems. Postural issues are imbalances in the muscular system. These issues lead to improper movement that can create tightness and pain. Biomechanical problems are often the result of repetitive movement done incorrectly, whether it is a tennis swing or typing.

A neuromuscular therapist receives training in massage techniques to address these issues specifically. They use a combination of massage techniques, varying the pressure applied at each point of the affected area. A neuromuscular therapist will use their elbow, knuckles, and fingers to massage the area.

Neuromuscular massage involves applying pressure for a period of time, generally at least 10 seconds, but less than 30. This relaxes the muscle and allows the release of lactic acid from the area. Neuromuscular therapy devotees believe that this allows the return of oxygen and blood flow to the affected area. According to proponents of this massage technique, participants should notice a significant improvement within 36 hours of treatment. The results should linger for several days and up to two weeks.

Neuromuscular therapy is just one of the many types of massage therapy available. Successful massage therapists often specialize in several forms of therapy so that they can best meet the needs of their clients. A neuromuscular therapist may also perform deep tissue massage, reflexology, or sports massage. Each form of massage requires different techniques, and attracts different types of clients.

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