Don’t let the larger term “neuromuscular” scare you. It’s basically a fancy term used to describe pain that relates to both the nerves as well as the muscles. This type of neck pain can be either localized or over the entire neck region. Either way, it’s a bother and can many times affect your day to day life and activities. Luckily there is help! Between stretching and body work, neck pain can usually be easily controlled.
As long as there is nothing majorly wrong with the neck, general protocol for treatment is rest from any strenuous types of activities. Stretches, therapy, either manual or massage will also be a great benefit to assisting the healing process of the “pain in your neck” pain.
The techniques you can expect from a massage therapist or manual therapist are listed below. In this post I will explain each technique a bit more than I will in the following posts, just so you can understand exactly what the technique means and what the purpose of it is.
Myofascial Release:
This is pretty much a special form of stretch that involves no lotions or oils to assist in the therapists movements. This will generally be their first technique that the therapist will perform. There are 2 ways to perform a myofascial stretch. First being slow, long and fairly firm gliding motions along the muscle fibers of the affected area. This stretch is a very effective way to gain pliability with the muscle (loosen it up). The other form of stretching is a static and still stretch. This is done by the therapist placing both hands apart from each other close to each of the ends of the muscle. The therapist will then gently but firmly stretch and “spread” the muscle. This may not feel like much at the time, but is a very important and highly effective way of getting the muscles better prepared for the work. This technique is done wherever the stretching is needed. For this condition, the therapist will place their hands on the side of your neck, right below the ear and then on top of your shoulder, right near the joint and perform stretching. For the gliding motions, the therapist will use the backside of their hand, more near their fingers and perform long, slow strokes down the side of your neck from the ear down to the top portion of your shoulder.
Effleurage and Sweeping Crosfiber:
Effleurage is basically the same thing as the myofascial technique, only this is performed with lotion or oil. Slow gliding strokes in the same direction that the muscle runs. Cross fiber technique is the same as effleurage, only you are performing the technique ACROSS the muscle fibers. Generally in a diagonal direction. These techniques are performed in the same region and location as the myofascial strokes.
Deep Longitudinal Stripping
These are slow gliding strokes, a little deeper pressure than the effleurage strokes. Usually deep stripping is performed with the thumbs, knuckles, elbows and sometimes with a pressure tool. These storkes are bit more complicated as you are performing them a bit deepers, you need to be careful of the arteries, veins and other sensitive structres in the cervical region. These strokes will primarily be done on the erector spinae and extension muscles, which are more towards the back side of your neck.
Active Engagement Stretching
This is a little hard to explain in words. Basically this is done when the therapist will actively move your head/neck and also perform a deep gliding stroke along the muscle fiber. Adding movement with the strokes are a great way to get the knots, pain and tension out faster and more effectively. The therapist will instruct you to place your head in their hand and relax completely. They will then be moving your head/neck up and down (towards your chest and back to a flat position), as they are doing this they will perform the same style to strokes as they did in the deep longitudinal strokes. Actively engaging the muscles in this technique will help reduce tension, and pain as you are getting “deeper” into the muscle fibers as the muscles contract and release.
Static Compression
This is pretty much self explanitory. These techniques are just that, compression. The therapist will use pressure to engage the muscle to relax and reduce tension. It’s a very effective technique in both pain reduction as well as relaxation for the patient and the muscles. This could also be call trigger point work. There are many times where one spot hurts and no where else. By placing pressure on that one spot, just enough to where its a bit tender, the muscle will essentially “back down” and the spot will diminish.
Hopefully this information will help not only other therapists with a look at a few styles of modalities to perform on neck pain, but also people suffering from such pains and know what they could expect from a therapist/practicioner.
Have a good day and BE HEALTHY!!!