Neuromuscular reeducation is a therapeutic technique that is used to improve balance, coordination, posture, kinesthetic sense and proprioception.

Neuromuscular Reeducation is a hands-on technique / approach to the evaluation and functional treatment of soft tissue injuries that occur via trauma, repetitive motion, or chronic postural fatigue. Neuromuscular Reeducation works off the fact that every muscle in the body is surrounded by a smooth, fascial sheath. Each muscular fascicle and fibril is surrounded by this fascia, which can exert pressure of over 2000 lbs. per square inch. When an area is injured, whether is it muscle, connective tissue, fascia, tendon, or some combination of these elements (as most injuries are), the body handles this inflammatory response of the tissue to trauma the only way it knows how--through a hyperplasia of the injured tissue. This is followed by fibrous healing and the laying down of a less elastic second-grade, poorly vascularized scar tissue. This is also known as an adhesion. The body does this to protect the involved area to further limit tissue damage. Adhesions form whenever damage and inflammation have occurred but they limit both strength and range of motion.

As the muscle and tendon begin to stretch and encounter an adhesion, the muscle contracts to prevent any further stretching and to protect the area involved. The result is that muscles involved are not as strong, and the range of motion of the involved joint is limited. These adhesions can affect areas that are quite small and other times there can be a number of areas that are scattered throughout a muscle group or region of the body. Patients experience these adhesions as fibrous, knotty areas that create tension and pain.

The idea behind Neuromuscular Reeducation is that if you can locate the adhesion and scarred area, you can take the muscle through a functional range of motion while using manual deep pressure to break up the adhesion and restore full range of motion. This in turn allows the body to regain its normal movement pattern, thus decreasing pain and improving function.

Dr. Constandinos Shizas D.C. - Chiropractor, "the Source of Health", 1279 Route 46 East, Parsippany NJ, 07054 973-794-3762, 973.794.3763 (fax)