With Neuromuscular Therapy trigger points are identified and released. Trigger points are areas within the individual muscle fibers that become “stuck” in a contracted position. The areas become hyperirritable and give rise to referred pain in predictable patterns. Below are just a couple of illustrations of common trigger points. Knowing these patterns helps us, as therapists, to either identify and treat the pain, or rule out specific muscle involvement. There can be multiple trigger points causing a cascading effect and this must be taken into consideration when assessing and treating. The area of pain may be caused by a secondary trigger point within the referral area of a primary trigger point. Very often releasing these trigger points is all that is needed to correct the muscular imbalance.
When relief cannot be found with Neuromuscular work, CranioStructural Integration goes a step further and recognizes a hierarchy when dealing with musculoskeletal pain. Muscles are governed by joints which in turn are governed by the central nervous system. If a muscle is not neurologically functioning, forcing it to stretch will only give relief for a very short time. CSI uses the cranium to manipulate the dural membrane (membrane that covers the brain, spinal cord and extends out each spinal nerve) to release nerve entrapments that are creating dysfunction within the musculoskeletal system. The order of treatment is the key to success with this work. Before directly treating the muscle, the faulty position of the joint controlling that muscle must be corrected. To do this and correct the original pain issue, the distortion in the dural membrane is first released.