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Here is an overview of therapy at Neuromuscular Therapy of Vermont. If I am able to help you it will be because the root causes of pain or discomfort are musculoskeletal in origin. And if that's the case, then I expect to see measurable results from therapy fairly quickly.

In other words, within a couple of sessions (and sometimes as few as 1 session) I expect to see some discernible change in symptoms. This is one clear way to determine if a musculoskeletal therapeutic approach is appropriate for your situation.

 

What to Expect

The first session is about 1 hour in length to allow for intake, evaluation and initial treatment. Subsequent and ongoing treatments are 45 minutes in length.

The treatment session is done with the client wearing loose-fitting shorts and also, for women, a jog-bra or some equivalent. This facilitates the various physical positions (prone, supine, side-lying) that may be needed for evaluation and treatment.

Also, I will often perform a technique and then immediately have my clients get up and move around to see if there is an improvement. By testing various treatment strategies, I am able to more quickly gain valuable insight about the origin of the problem.

In some cases when treating back and shoulder pain, it’s helpful for the entire spine or shoulder to be exposed. In these cases the client would be treated face down and, if the client is comfortable doing so, disrobing on top. Every effort is made to insure that privacy and modesty are 100% respected.

 

The Initial Session

After a brief verbal intake, the initial session is part evaluation and part treatment. I use both visual evaluative techniques and also hands-on palpation in order to determine:

  1. The presence of structural imbalances in the body (such imbalances can cause strain patterns and muscular compensation which can result in pain)
  2. The presence of muscles spasms, myofascial adhesions, and/or myofascial trigger points, any of which can potentially cause pain

Understanding these conditions informs and directs what modalities I will use. For example, when muscles are in spasm, the gentle, detailed approach of neuromuscular massage is most appropriate. But when muscles are tight, short, stuck, and adhered, then deep tissue bodywork is what’s needed.

Often more than one modality will be required for a single problem. It’s not uncommon for me to employ three or four modalities in a single session. It all depends on the particulars of each individual case. We must consider…

  1. If there’s been a recent trauma
  2. If the problem has existed for a long time
  3. If the individual has had any other treatment and if the treatment helped or aggravated the condition
  4. The severity of the pain on the day of treatment

All of these things must be taken into consideration. When it comes to muscular pain and dysfunction, cookie cutter treatment is not only ineffective, but can potentially aggravate the problem.

Pain rooted in muscular dysfunction is very individual and must be treated as such.

 

How many treatments should I expect?

I do my utmost to try to resolve the issue, pain, or problem as quickly as possible and not have the client be dependent on the treatment. Sometimes an issue can be resolved in a few treatments. Many problems seem to fall into a range of 4-6 treatments for significant symptomatic reduction. More complex or long-term problems can require more than that.

If I'm able to help an individual at all, I expect to see measurable results fairly quickly (within 1 to 2 sessions).

If the root cause of the problem lies with muscles, trigger points, and myofascial imbalance, then I expect treatment to show progress right away and consistent improvement with each successive treatment.

Once the major pain cycle is reduced, we will then evaluate to see where we are and determine if we can 1) discontinue treatment or 2) spread out treatment to every other week or every three weeks between appointments.

Also, I often provide homework (as appropriate) in the form of Somatic Movement Therapy, Active Isolated Stretching and strengthening exercises. The client’s diligence with prescribed homework can also reduce the amount of therapy required.

 

What are the fees?

I'm afraid that I don't do any billing to insurance. However, I offer a sliding scale fee structure in order to accommodate as many individuals as possible.

My fee schedule is a sliding scale based on annual household income or resources. It’s purely an honor system; I never ask for financial information. You choose the category the best fits your situation and you pay accordingly. I have used this method for many years and it has worked quite well. Go to Fee Schedule.

 

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