Dermoneuromodulation (DNM) is an innovative approach that leverages the skin as a medium to interact with the nervous system and effect change. This term, coined by Diane Jacobs, a Canadian physiotherapist with a focus on pain science, represents a significant evolution in how we understand and treat painful conditions.
Jacobs was inspired by two key figures in pain science: Dr. Ronald Melzack, who developed the "Neuromatrix" model central to modern pain science, and physiotherapist Michael Shacklock, known for his work on the movement of nerves and nerve trunks. In 2007, Jacobs conducted a groundbreaking study revealing how peripheral cutaneous nerves divide into branches that connect to the underside of the skin. This discovery suggested a new model for manual therapy, particularly beneficial for massage therapists.
dermoneuromodulation
What sets DNM apart?
DNM is not a rigid set of techniques but a flexible, critical way of thinking about manual therapy. Therapists who learn DNM gain an updated understanding of the nervous system, the causes of pain, and how to apply this knowledge in hands-on work. This approach promotes pain-free, gentle methods to help clients resolve pain, regain function, and feel better, emphasizing relaxation and client education.
the science behind dnm
Nerves travel from the spinal cord to the skin through small gaps or "tunnels" in various tissue layers. These layers shift and move, and shear forces at these junctions can impinge nerves, causing localized ischemia and nociception, often referred to as tunnel syndromes. This can lead to pain, increased muscle tension, and other protective responses.
By understanding and applying the principles of neurodynamics, therapists can help restore nerve health and function. Since tunnel syndromes frequently involve cutaneous nerves, resolving most musculoskeletal pain becomes possible by moving the skin into which these nerves are embedded. This method involves gentle techniques such as body positioning, skin stretching/gathering, and soft movements, avoiding pressure that could harm underlying tissues.
Embracing a New Paradigm
For massage therapists, adopting DNM means embracing a paradigm shift. It's about integrating a deeper knowledge of the nervous system and pain mechanisms into existing techniques. This approach not only enhances therapeutic outcomes but also fosters a more informed and compassionate interaction with clients.
By promoting relaxation and focusing on the nervous system's role in pain, DNM offers a science based and pain free path for effective, gentle, and informed manual therapy.
Ready to try DNM as part of your massage treatment? Book your appointment today!