Pain Neutralization Technique
– Eliminate Pain in Seconds –
One Of The Most Easiest and Effective Ways To Eliminate Pain
PNT IS FOR EVERYONE
An exciting new technique in pain relief! Combining Reciprocal Nerve Inhibition, Trigger Point theory, Acupuncture theory, Aruvedic theories and Chinese Meridian theories.
Bring them all together - You have Pain Neutralization Technique!
No chiropractic adjustment.
A combination of muscle and nerve stimuli to shut off pain.
Here is how the concept Works
Areas of reduced circulation in muscles are called trigger points. They are painful when pressed. They cause or aggravate many types of pain disorders, including low back pain, sciatica, headache, migraine, TMJ syndrome, neck pain ileotibial band syndrome, frozen shoulder, 18 some forms of unexplained abdominal pain, post-surgical pain, chronic pelvic pain, etc. Cervical and lumbar disc syndrome pain is often caused or aggravated by myofascial trigger points. For our purposes, we call any area a trigger point in muscle, tendon, ligament, or bony prominence that is excessively tender to pressure when compared to the surrounding tissues. This is a much broader use of the term "trigger point" than usual.
If you were to lift a dumbbell over your head during a workout and the weight was too heavy for you, your triceps would give out; the dumbbell and your arm would plummet towards the table. By using more weight than you could handle, you had triggered the clasp knife reflex (a.k.a., the Golgi Tendon Organ [GTO] reflex), inhibiting the triceps and making your arm drop. By doing this you had neurologically inhibited the muscle, and the dumbbell would fall like a… steel weight! If you could discover a way to turn muscles off like this on purpose, you would be able to turn off trigger points (areas of tenderness and pain) and muscular pain as well.
The GTO Reflex
The GTO reflex protects muscles; it can also be used to turn off a trigger point neurologically, in seconds. When the tension along a muscle becomes too great, the muscle relaxes. It "lets go." This is a defensive mechanism in that if you pick up too heavy a weight, the motion doesn't tear your arm muscle. It has several names: the inverse myotatic reflex, the clasp knife reflex, or the GTO reflex. If you applied a specific force to a muscle with a trigger point, the activation of the GTO/clasp knife reflex would cause a tender trigger point to immediately become less tender when pressed. Once this is applied pain can be turned off in seconds..
Why Painful Trigger Points Should Not Be Treated Repeatedly, but Eliminated, Using Light Pressure on Targeted Neuromuscular Reflexes
If the correct reflex for a trigger point is initiated, within seconds, the point will no longer be painful when pressed. Often, the patient's symptom associated with that trigger point will clear up as well. Sometimes, the symptom will improve immediately; sometimes, it will resolve after several treatments.
Pain Neutralization Technique™ (PNT) is completely different from previous methods for treating trigger points or areas of pain e.g., ischemic compression, myofascial release, massage, strain counterstrain, etc. In fact, the aim here is not even to treat a trigger point at all but to eliminate it. PNT does not use mechanical force to treat areas of pain, as do other methods, but uses neurological reflexes to turn them off. If the reflex is correct for the involved point, that point will not be tender within a few seconds. The pain will be gone. Patients are consistently amazed that tender areas are immediately pain-free.
The Three Types of Pain
There are three types of pain:
- Palpatory pains are areas, often in muscle bellies, that are excessively tender when pressed. They're usually a few inches away from the area of complaint. Many or most tender areas will respond instantly to the proper PNT reflex.
- Pain on movement occurs when the patient moves the hurt muscle, joint, neck, etc. Many times, pain on movement is caused by trigger points and will resolve when the trigger points are eliminated.
- Spontaneous pain is the pain the patient is aware of, the pain that brings the patient into your office: the headache, the low back, or joint pain, etc. This is the symptom.
Some Commonly Overlooked Activities That Cause Trigger Points to Recur
In my experience, the majority of trigger points will improve after each treatment and be undetectable after three to five visits. Even though most trigger points will respond, occasionally, a patient's symptoms don't completely improve. Not all pain is due to trigger points; eliminating the trigger point will often, but not always, eliminate the symptom. Many patients do things that perpetuate their trigger points, such as the following:
- Snapping their own necks
- Sleeping face down
- Falling asleep when sitting and watching TV (their head drops and overstretches their neck)
- Holding a cell phone between their ear and their shoulder
These activities need to be stopped. Sometimes just getting a patient to stop cracking his/her own neck or back often results in marked clinical improvement.
How Pain Signals Travel to Your Brain, and How to Block Them In Seconds. Permanently.
Practical Application of the Nobel Prize Nominated Gate Theory of Pain in the Chiropractic Practice.
Note: the following procedures are not for pain management only. In many cases the underlying cause of chronic pain is eliminated, as well as the pain, and healing of chronic syndromes occurs. Most chiropractors deal with patients in chronic pain on a daily basis. Surveys of many audiences show that over 75% of D.C.s themselves suffer from chronic pain! Using the techniques in this paper, many doctors attending training classes have gotten long lasting relief from pain syndromes lasting for decades. At a recent seminar one doctor got relief after 30 years of constant back pain; another had instant restoration of full shoulder movement without pain, after 36 years of being unable to move his arm more than 20°
Nobel Prize Level Discovery Applied to Chiropractic
The Gate Control Theory of Pain was first described by Ronald Melzack, Ph.D., a Canadian psychologist, and Patrick Wall, a British M.D., in 1965 in an article in the journal, Science. The article has been cited almost a thousand times by other authors, and the theory has been described as "the most influential ever written in the field of pain". Wall was nominated several times for a Nobel prize in medicine for the gate theory. The gate theory led to the development of the whole pain management specialty in medicine, including epidural steroid injections for severe back pain and the TENS unit.
We'll describe here some new applications of the gate theory to heal chronic myofascial pain instantly, in many cases. The gate theory provided a theoretical framework from which we were able to devise soft tissue manipulations, without any type of devices, that consistently reduce or eliminate pain, often permanently. This has been demonstrated repeatedly to more than 1500 D.C.s at state association conventions and other seminars.
Pathways of Pain, and Non Pain
Briefly, the pain gate theory states;
1. Pain is conveyed to the brain through the spinal cord by small type C fibers, that convey impulses relatively slowly.
2. Type A Beta fibers are larger and faster- they convey non painful stimuli such as touch, light pressure, etc. This is known as epicritic sensation.
3. If the larger, faster type A touch fibers are stimulated properly by specific, unique stimuli, they can inhibit the smaller, slower type C pain fibers. The net result, under the right circumstance: no pain!
4. Pain impulses thus pass through a spinal gate: if the gate is OPEN, pain signals pass through to the brain. If there are inhibitory impulses (e.g. from touch fibers), the gate is closed and pain is not felt.
The gate theory explained why massage, acupuncture, hypnosis, and TENs units could sometimes overpower and turn off pain sensations. Rubbing your elbow when it hurts can temporarily make you not feel the pain. However, the effect is so minimal and short lived that it's not actually therapy; it's just an observation. We've developed a clinical use for this observation.
What's Needed is The Right Stuff
The gate theory predicts that the right stimulus to non pain fibers would overpower and shut out the transmission of pain from pain fibers. Most methodsin practice up until now have attempted to use electricity, rubbing, acupuncture etc. to block pain but not very effectively.
- Even if TENS is effective, it takes hours of application, and the results are short lived. It requires a device and may actually be painful.
- Acupuncture requires needles, which many patients dislike. Results are often not immediate, or long lasting.
- Massage is often temporary, and doesn't usually produce lasting results.
A Method of Turning Off Objective Signs of Pain
The gate theory implies that specific stimuli should directly turn off pain- NOT JUST the subjective pain, but also turn off objective indicators such as palpatory pain (tender areas or "trigger points") and pain on motion (for example, it hurts when you turn your neck or raise your arm.)
In other words, on examination the doctor finds tender areas or myofascial trigger points related to the patient's pain, or painful limitation of motion. He then does one of the procedures which we've found often instantly eliminates the painful area or painful movement. These techniques include:
1. A pain elimination grid: stimulating tissue in a very specific vector around a trigger area often produces an immediate, lasting resolution of all tenderness and pain.
2. Tissue bending: stimulating distal but related nerve pathways for 10 seconds often immediately eliminates pain.
3. The epicritic technique: very light stimulation of mechanoreceptors (activating epicritic or light touch fibers) above an area of pain often not only resolves pain but has even been found to reduce inflammation in sinus problems, ear infections, etc.
4. Gently stimulating the soft tissue above spinal nerve roots in a specific fashion often causes instant erasure of related pain, as described previously in The American Chiropractor. In our experience, in almost all cases one of these techniques will erase the tenderness of a painful area within seconds. About 40% of the time the correction will be long lasting after one treatment. Most patients after several treatments will no longer have tenderness in the trigger area. Most patients will also have a marked reduction or elimination of their symptoms, even if they had them for many years. Thus this practical application of the Gate Theory of Pain is not just for pain management but also reduces inflammation and restores normal function.
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