What to expect in a Myotherapy Session with Dave:
- Careful history and movement assessment
- Release and reset techniques to ease pain and tension. Includes advanced neurological 'massage' techniques, joint mobilisation and dry-needling where appropriate
- Movement training working carefully with areas of vulnerability. Bring suitable exercise clothes
- Progressive loading with weight as appropriate: get strong and stable
- Pain education, lifestyle advice, diet and mindfulness support
- Vagal tone monitoring using Heart Rate Variability - a heart rate monitor is used to monitor your nervous system's response to exercise and relaxation. This helps us to know how and when to apply stress (eg exercise!) to prevent excess inflammation.
Pain is much more complicated than posture or injury. Dave's approach follows current research in pain science which is to build safety in the body in relation to your activities and stressors.
The approach is thus nuanced to your life, history and movement goals.
Dave has experience in diagnosis and treatment of most everyday conditions notably lower and upper back, neck, hip, shoulder and knee presentations.
For different diagnoses the combination of active and passive treatments will vary according to your activities and current research best practice in relation to your condition.
If you have a knee tendinopathy, for example, the best evidence is to modify the overloading activity and do progressive weight loading, not massage.
If movement is too painful, a full session of pain modulation techniques such as massage on the table may be appropriate to support other longer term evidence-based goals such as sleep or exercise.
Some pain relates quite simply to straining a muscle or tendon. Other pain last longer than three months and we call it persistent.
Persistent pain management today focusses on the biological (receptors in the body, sleep), psychological (what we believe is causing pain) and social well-being factors.
Evidence shows that we can change a specific pain experience by applying interesting passive techniques: myofascial release, neuro-massage, dry-needling, taping. I am experienced in applying these techniques. Longer term, education about pain, movement diversity, psychological skills, lifestyle changes all play important roles in persistent pain management.
I can help you to an extent in all of these areas but it is also my role to be as honest as I can about what I can and cannot help you in regard to your pain experience. I have good referral networks in all the dimensions of pain.
Pain is seldom a quick fix but the journey in understanding and managing it can bring much vitality to life.
Private health rebates available for Myotherapy in your extras cover
Price $95/hr, $120/90mins
A note on dry-needling
Dry-needling (the use of acupuncture type needles in a western musculoskeletal paradigm) has become synonymous with Myotherapy. Today dry-needling has reasonable evidence for the short-term alleviation of pain, but very marginal evidence for longer-term pain reduction and no evidence for the rehabilitation of an underlying tissue deficiency. See a useful review of the JOSPT systematic review last year by Body in Mind researchers,
Although I have double the industry training in dry needling, and employ what I feel to be a precise and sensitive approach, I use needling sparingly. I only use needles with those who are very comfortable, informed and consent to dry needling.
In almost all cases I can use gentle neuromodulation and positional techniques to soften muscle tone.
Pain science shows we need to build safety and strength messages in the body and for many people I believe needling is not supportive of this aim.
More importantly, having clients become dependent on a treatment with marginal evidence, when there are approaches with much better long-term efficacy for persistent pain (such as movement, strength and pain education) it is not clinically responsible.