Neuromuscular Re-Education (NMR) is a movement-based soft tissue therapy that treats problems associated with muscles, tendons, ligaments, fascia, and nerves. Headaches, neck pain, back pain, wrist pain, shin splints, shoulder pain, plantar fasciitis, hip pain, knee pain, and tennis elbow are just a few of the many conditions that can be treated with NMR. All of these conditions have one important thing in common: they are often a result of overused muscles.

    Overuse injuries occur when the muscles, joints, tendons, ligaments, and fascia undergo stress without adequate time for repair. Overuse of muscles and joints is usually the result of micro-traumatic injuries that wear down the body. Micro-injuries are small movements repeated on a regular basis for extended periods of time that fatigue and break down the body. Examples include typing on a keyboard, gardening, improper form during exercise, or even prolonged sitting.

    People spend 8-18 hours a day, 5-7 days a week performing repetitive movement patterns, thus causing an imbalance in the musculoskeletal system resulting in the overuse of certain muscle groups. When one muscle group is overused, an opposing muscle group becomes underused due to compensation. For example, if you have chronic overuse in the bicep muscle of your arm, the opposing triceps muscle may become weak. When this imbalance programs itself in the musculoskeletal system, the body does not move efficiently, leading to inflammation and pain.

    Chronic inflammation can lead dense scar tissue to form in the affected area. This scar tissue binds up and ties down tissues that need to move freely, resulting in decreased range of motion. When muscles are short and tight, they lose strength, power, and efficient function. NMR addresses these short and weakened muscles by combining precisely directed tension with very specific patient movements.

    Following up with proper exercises following a Neuromuscular re-education session is vital in the healing process. These specific exercises are particularly beneficial in rehabbing unhealthy movement patterns that tend to persist following injuries.

    Neuromuscular re-education exercises can help you achieve a variety of goals, including improving balance, coordination, posture, and proprioception.

Proprioception is the ability to sense stimuli arising within the body regarding position, motion, and equilibrium. Even if a person is blindfolded, he or she knows through proprioception if an arm is above the head or hanging by the side of the body.

    Injuries, repetitive use, poor posture, and unhealthy biomechanics can make your movement patterns become inefficient. The broad goal of neuromuscular re-education and exercises involves restoring a natural mind-body connection by coordinating your mental perception with physical behavior. Neuromuscular re-education exercises aim to restore natural and energy-efficient movement patterns, optimize joint biomechanics, and reduce pain that may result from neuromuscular deficiencies.

    Pure Health Services is a wellness center in Red Bank that specializes in NMR. Additional services offered include SOT® Chiropractic, Chiropractic Craniopathy, Physical Therapy, Massage, Ayurveda, Nutrition, and Yoga. For more information, call (732) 747-0083 or visit