Neck pain accounts for a large percentage of visits to massage therapy offices. While more general massage approaches to the neck can be very relaxing, PNMT focuses on more specific problem solving. When a client comes to your office with specific complaints, PNMT will help you consider the possible musculoskeletal explanations that would explain his/her discomfort. Great problem solving skills and a deep knowledge of functional anatomy are often the keys to success. 


Here is one example:

Your client presents with pain in the left side of her neck. Her rotation to the left is restricted, just 40 degrees of rotation in comparison to right rotation, which is 65 degrees. When she turns to the left, she feels pain on the left side of her neck. When you take her into cervical extension during left rotation, her pain is worse. Moving her into cervical flexion during left rotation lessens her pain.

"Got it", you think to yourself. "Now I know why stretching made it worse, not better."

Neck pain2.jpg

These kind of presentations are what clinical massage therapists face every day. In Precision Neuromuscular Therapy, we help you problem solve through real life situations, helping you to make great decisions while showing you a host of great treatment techniques to accomplish the task.

During the PNMT Neck and Head seminar, you will begin with a review of very quick but highly accurate assessment approaches to help you direct treatment. Included in that assessment are Range of Motion and exclusionary muscle testing. You will then learn which muscles to address for each range of motion limitation and spend ample time treating them on multiple people.

Additional focus points for this seminar are whiplash and headache issues. You will also spend a short amount of time on common orofacial issues. If treating TMD is a priority for you, consider taking the TMJ Intensive. 


Objectives for the PNMT Neck and Head Seminar are:


  1. That the participant can state and demonstrate treatment for three muscles commonly involved in whiplash
  2. To be able to demonstrate a test which may differentiate facet inflammation from muscular issues
  3. To demonstrate range of motion measurement in all planes of motion of the neck
  4. To state the one sign which points to trigger points as the origin of the client’s symptoms
  5. To state clearly the difference between active and latent trigger points
  6. To name three common reasons to treat the sternocleidomastoid
  7. To explain and demonstrate three tests for the presence of thoracic outlet syndrome
  8. That the participant can state at least two indicators for treatment of each muscle covered in the seminar
  9. That the participant be able to name two definitive criteria for each type of headache
  10. That the participant be able to measure interincisal opening



Typical Time Outline for the PNMT Neck & HeadSeminar  

Friday Eve

 6:30 Introduction and Principles

8:00 Break

8:15 Cervical Screening Demo and Trade

Measure cervical extension (measure all ROM)

9:30 end




9:15 Sternocleidomastoid – anatomy and Tx

10:15Biomechanics of Acceleration / Deceleration (Whiplash) injuries

10:45 to 12:00 Anatomy review- Prevertebral musculature

Demonstration of Longus colli and Longus Capitis Tx

Trade on Colli and Capitis


1:00 Anatomy and function - scalenes

Demo and trade on scalenes

1:45 Anatomy review: cervical flexion

2:15Demo and trade on Semispinalis and Splenius Capitis

3:00 Break

3:15 Rectus Capitis Muscles- anatomy and practicum

3:45Lateral Flexion- anatomy review

4:00 Trapezius and Levator Scapula


5:00 Iliocostalis- Anatomy and practicum

5:30 Case studies


9:00 Questions and review from previous day

9:30 Anatomy review- cervical rotation

10:00 Myofascial influences and practicum

Demo and trade

10:30 Break

 10:45 Anatomy review – Splenius cervicis

Demo and trade

11:15 Obliquus Capitus Inferior : Demo and trade

11:45 Semispinalis Cervicis- demo and trade

12:30 Lunch

1:30 Review cervical area

Case study

2:30 Headache section- Myogenic, Cervicogenic, Migraine

3:30 Break

3:45  Overview of TMD

4:15 Demo / Trade myofascial facial

  Anatomy / treatment of masticatory muscles

 4:45 Trade musculature of the face

 Measurement techniques

 5:30 Clinical application / case studies

  Review / walkthrough