MUSCLE MAINTENANCE MASSAGE THERAPY
JD Dinnauer, NCTM LMT

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Clinical Services

In consultation with you, and if desired with your personal trainer, sports trainer, chiropractor or physician, we will design the appropriate massage therapy program to meet your needs.  Clinical massage therapy services include:

Deep Tissue
Deep tissue/deep muscle massage are administered to affect the sub-layer of musculature and fascia. These techniques require more advanced training and a more thorough understanding of anatomy and physiology. The muscles must be relaxed in order to effectively perform deep tissue massage, otherwise tight surface muscles prevent the practitioner from reaching deeper musculature. It helps with chronic muscular pain and injury rehabilitation, and reduces inflammation-related pain caused by arthritis and tendinitis. It is generally integrated with other massage techniques.

Body Mobilization
Body Mobilization is the systematic integration of stretches and range of motion techniques to literally unwind chronically tight or injured musculature. Techniques have been shown to increase mobility of all major joints and muscle groups.

Trigger Point
Is a category of pain-relief techniques to alleviate muscle spasms and cramping. The therapist locates and deactivates 'trigger points', which are often tender areas where muscles have been damaged or acquired a re-occurring spasm or 'kink' that worsens painfully when aggravated. The major goals are to reduce spasm inducing new blood flow into the affected area. The spasms are partly maintained by nervous system feedback (pain-spasm-pain) cycle. Spasms also physically reduce blood flow to the trigger point area (ischemia), reducing oxygen supplied to the tissues and increasing the spasm. Pressure is applied to trigger points, for a short time (between about 7 to 10 seconds per point), which can be momentarily painful but is greatly relieving. It is common to hit the same trigger points several times during a session, but you won't be leaning into a sore spot for several minutes. Often ice or another cooling agent is used to reduce nervous system response, making the area easier and more comfortable to work. Then the muscles are gently stretched to complete the relaxation process, hence the name 'spray and stretch'.
 
Myofascial Release
A three-dimensional application of sustained pressure and movement into the fascial system in order to eliminate fascial restrictions and facilitate the emergence of emotional patterns and belief systems that are no longer relevant or are impeding progress. First, an assessment is made by visually analyzing the human frame, followed by the palpation of the tissue texture of various fascial layers. Upon locating an area of fascial tension, gentle pressure is applied in the direction of the restriction. Myofascial release is an effective therapeutic approach in the relief of cervical pain, back pain, fibromyalgia, scoliosis, neurological dysfunction, restriction of motion, chronic pain, and headaches.

Facilitated Stretching
Proprioceptive Neuromuscular Facilitation (PNF) is a more advanced form of flexibility training that involves both the stretching and contraction of the muscle group being targeted. PNF stretching was originally developed as a form of rehabilitation, and to that effect it is very effective. It is also excellent for targeting specific muscle groups, and as well as increasing flexibility, (and range of movement) it also improves muscular strength.


Orthopedic Assessment
An orthopedic assessment provides information on muscles acting in an area of the body that you identify as a concern, and is performed with an active and passive range of motion tests, and manual resistive tests for muscle function.  It allows for an assessment of common soft tissue injuries of that area and suggested treatment options.

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