Dyan Armstrong

“I've had a lot of lower back pain over the years, with some hip pain, and more recently shoulder pain. My shoulder has hurt me constantly for two straight months. Hanna Franke has treated me regularly over the last couple months in her Neuromuscular Pain Clinic. 

The pain in my shoulder is now completely gone!  The pain from my hip which used to hurt me every time I got up out of a chair or out of my car is now gone.  The pain in my back for which I took ibuprofen almost every day is gone as well.”
– Dyan Armstrong
















Neuromuscular Therapy


St. John Method of Neuromuscular Therapy

The method of Neuromuscular Therapy (NMT) developed by Paul St. John for the treatment of soft tissue pain (pain of the muscles, tendons and ligaments) is a comprehensive approach based upon the present scientific understanding of how the central nervous system initiates pain responses in the body. Signals of pain are through the mechanisms of Ischemia, Trigger Points, Nerve Entrapment, Nerve Compression, Impaired Biomechanics, and Postural Distortion (see links). Paul St. John's genius lies in devising precise soft tissue manipulations to alleviate pain that is grounded in the body's own physiology. And his most recent groundbreaking research in Posturology (see link) identifies postural distortions and imbalances in the structure of the body as the most frequent primary cause initiating any or all of the other five sources of pain.


Soft Tissues and the Tonus System

The soft tissues of the body - the muscles, tendons, and ligaments - are known as the tonus system, because in their resting state they are in a slight degree of contraction, or tonus. Working with these components, the Neuromuscular Therapist precisely palpates, massages, and manipulates the involved hypertonic, painful tissues to release fibrous constrictions and entrapped nerves. Massage often gives a level of immediate relief in some or all involved muscle groups.
However, often involved are perpetuating body asymmetries, like a leg length difference or a smaller pelvic bone. Asymmetries produce a misalignment of the body in the gravitational field, with the force of gravity then producing more work for the soft tissues to maintain postural balance, leading to greater tonus and discomfort, then hypertonus, and finally full-fledged pain. The assessment procedures available through Posturology allow for observation, discovery, and measurement of body asymmetries, which can then be corrected with orthotics and shoe or sit lifts.


Certified Neuromuscular Therapist

A Certified Neuromuscular Therapist has studied anatomy, physiology, biomechanics and the manual techniques necessary to apply a precise system of assessment and treatment for those suffering with pain. By understanding how pain originates and by being able to locate the sources of pain in the body, a Neuromuscular Therapist treats the causes of pain, not just the effects. Throughout the United States and Europe, Massage Therapists, Bodyworkers, and Physical Therapists use Paul St. John's method of Neuromuscular Therapy in its entirety or integrate it into their pain treatment practice.


Effective Alternative Treatment for Pain

At the Neuromuscular Pain Clinic, Hanna Franke uses St. John Neuromuscular Therapy as the main assessment and treatment approach to a patient's pain condition. Using this method for over twenty years, Ms. Franke has come to see NMT as the most effective method of non-drugging pain relief available today in the Medical and Alternative Hw ealth professions.


What We Treat

Neuromuscular Therapy offers a proven track record in alleviating pain conditions such as: headaches, migraines, whiplash, TMJ, back pain, herniated disc syndrome, scoliosis, neck and shoulder pain, hip and knee pain, foot pain and plantar faciitis, torticollis, carpal tunnel syndrome, sciatica, osteoarthritis, thoracic outlet syndrome, shin splints, tendinitis, spasms, cramps, strains, postural distortions, repetitive stress disorders, fibromyalgia, trigeminal neuralgia, post polio syndrome, and other conditions of musculoskeletal dysfunction.