A few weeks ago, a student introduced me to the topic of DermoNeuroModulation. It's a concept that brings to light the importance of peripheral cutaneous nerves. Much of what Butler's current work on pain science surrounds involves thorough examination of the nervous system. While Butler's practice focuses primarily on the larger nerves, he does show the ability to stress the smaller superficial nerves as well. DermoNeuroModulation claims that we can use these superficial cutaneous nerves to alter our patient's pain perception and function. A couple years ago, I took a course on IASTM (Instrument Assisted Soft Tissue Mobilization). The mechanism through which IASTM was claimed to have worked was stimulation of peripheral nerves and altering the perception in the CNS. After looking at some of the information surrounding DermoNeuroModulation, likely we are affecting our patients via this mechanism, but with other techniques. Think about the function of IASTM, STM, trigger point release, etc. All are able to stimulate these nerves in theory and all can show success. Like many other theories, little substantial evidence has been found thus far, but in continuing research in the area, we may better be able to implement the proper treatment techniques. What have your experiences been with DermoNeuroModulation?
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