"When the Primary Complaint is Pain, the Treatment of Pain should be Primary" ~ Barrett Dorko PT

What is Dermoneuromodulation?

Dermoneuromodulation ( DNM ) is a structured, interactive approach to manual therapy that considers the nervous system of the patient from skin cell to sense of self.  Techniques are slow, light, kind, intelligent, responsive and effective.  Positioning of limbs and trunk affects deeper nerve trunks, and is combined with skin stretch directed toward cutaneous fields of nerves that branch outward into skin.

Manual handling of a patient's physicality is only a small part of developing a complete therapeutic context for change - while optional , it can also be optimal.  Included are simple ways of explaining the nervous system and pain mechanisms to patient prior to treatment

Dermoneuromodulation is a method for handling the human body and, most of all, its nervous system, in order to facilitate change, particularly in terms of it pain and motor outputs.  It provides the participant with a novel approach to handling that is patient - and nervous system - friendly.

DNM is based on Melzack's Neuromatrix model of pain, the most clinically useful pain model in existence from an interactive manual therapy standpoint.  DNM is a fully interactive treatment model: unlike a strictly operative model, in which, for example biomechanical "faults" must be found, then "corrected",  DNM considers biomechanical expression as a defense, not a defect.

By putting "pain" first, i.e., we put the nervous system of the patient ( not their anatomy ) front and center in the treatment encounter. Subsequent improvement in motor output is assessed and regarded as a sign that the nervous system now works with less intrinsic stress.

DNM is a pain-free technique that places little physical demand on the client.  It may be blended into relaxation massges and therapeutic sessions, or combined with specific modalities such as Active Isolated Stretching, myofascial release, orthopedic massage, strain-counterstrain techniques, and other.


It is important to understand that pain and tight muscles are not evils to be banished, but are instead protective responses produced by the nervous system.  Of these protective responses, the motor aspects are flinching and muscle tightness ( "bracing" ), and the sensory experience is pain or other discomfort.


How does it work?

The skin is full of innervation, much of it right at the skin's surface.  Hilton law states, " The nerve supplying a joint supples also the muscles that move the joint and the skin covering the articular insertion of those muscles".  1 Noting this, it would make sense then that whatever we do to skin affects motor output indirectly ( reflexively )


"The Elegance of Dermoneuromodulation",  Touch rooted in modern neuroscience.  By Jason Erickson


Depending on location & severity of your pain, Dermoneuromodulation can be added to your massage session or be a complete session by itself.  We will discuss your current health concerns, evaluate your pain status and come up with a treatment plan.