1. Functional Dry Needling is a technique used to treat myofascial pain. The technique uses a “dry” needle, or a need without medication or injection, inserted through the skin into areas of muscle, known as trigger points. Dry needling is NOT acupuncture, a practice based on traditional Chinese medicine and performed by acupuncturists. Dry needling is a part of modern Western medicine principle, and supported by research. A trigger point is a taut band of skeletal muscle located within a larger muscle group. Trigger points can be tender to the touch and touching a trigger point may cause pain to other parts of the body. Therapists use a thin filiform needle to penetrate the skin and stimulate the underlying myofascial trigger points and muscular and connective tissue. The needle allows us to target tissue we cannot reach with our hands directly. Emily Herndon, DPT, CLT-LANA and Noah Bray, DPT have both been trained in this treatment technique since 2013, by Kinetacore, and have found it to be essential for treating many of their patient’s pain and dysfunction.

For more information on training and research see www.kinetacore.com

2. Primal Reflex Release Technique (PRRT) is a manual-therapy approach for evaluating and relieving musculoskeletal pain. PRRT is based on the premise that over-stimulation of body’s primal reflexes creates pain and keeps painful pattern occurring again and again. The reflexes – startle, withdrawal, and the protective joint reflexes are hardwired into the nervous system of the body for the purpose of survival. When a person experiences a pain or startling event, these reflexes are triggered in an attempt to protect the body. Unfortunately, these flexes often persist in a state of hyper-readiness long after the triggering even has passed. When sustained over time, active reflex responses lead to pattern of pain that are reproduced, repeated, and maintained, interfering with healing and resisting therapeutic effects to restore natural function. Noah Bray, DPT has spent several years training and studying this technique to provide an alternative treatment option to the patient’s at Plains Physical Therapy. The technique is only offered in one other facility in Montana.

For more information refer to www.theprrt.com

3. Active Release Techniques (ART) is a patented, state of the art soft tissue system and movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART. These conditions all have one important thing in common; they are often a result of overused muscles. Over-used muscles and other soft tissues change in three important ways: recent injury or pain, accumulation of small tears, and not getting enough oxygen. Each of these can cause the body to produce tough, dense scar tissue in the affected area, this scar tissue binds up and ties down tissue that need to move freely. As scar tissue builds up, muscles become shorter and weaker, tension on tendons causes tendonitis, and nerves can become trapped. This can cause reduced range of motion, loss of strength, and pain. If a nerve is trapped a person may experience tingling, numbness, and weakness. Emily Herndon, DPT, CLT-LANA began training as an ART provider in 2011. She will use her hands to evaluate the texture, tightness and movement of muscles, fascia, tendons, ligaments, and nerves. Combining precisely directed tension with very specific patient movements treats the abnormal tissues. Emily Herndon, DPT, CLT-LANA is certified with ART in Full Body Treatment, Nerve Entrapments, and Complex Protocols.

For more information see www.activerelease.com