Upcoming June CE: DermoNeuroModulation

TO REGISTER: Click here


DATE: June 20-23, 2019

TIME: 9am-5:00pm the first three days, 9am-3pm the last day


VENUE:  St. Matthew’s United Church, 729 St Clair Ave W

COST: $900 CAD


Registration open to all Manual Therapy Practitioners!

Tunnel Syndrome

“A tunnel syndrome is basically a cranky nerve whose tunnel has become a compressive or tensional threat to the neurons inside it; nociceptive neurons embedded within the nerve walls that confine them signal “danger”. Causes can be medical or metabolic or hormonal (e.g., pregnancy, diabetes, myxoedema), or non-medical. Non-medical tunnel syndromes may arise because of too much movement of a repetitive kind, or simply not enough movement of any kind. Nociceptive neurons within a nerve, complaining, activate others nearby, to create a so-called sterile inflammation, or peripheral sensitization, inside the nerve itself. “Neuritis” is currently classified by IASP as a special category of neuropathic pain. This is a kind of persisting pain that manual therapy can be very useful for treating.” – Diane Jacobs

DNM is essentially directed towards the treatment of cutaneous nerves. These nerves carry all the body surface information, which is transmitted to the CNS. Information from the mechanoreceptors, of course, but also from all those fibres that will measure our external environment, temperature, skin chemistry, nutrition, pH, etc. And they have almost always been forgotten or neglected. I think this is because we don’t see them: they don’t seem as important as muscles, fascias, or other structures even sometimes imaginary. The human is thus made, he must see to believe.

Two important books confirm that tunnel syndromes are not reserved for “large” peripheral nerves, but that small nerves could also be affected. These books are: Nerve Injury and Repair by Göran Lundbord and Tunnel Syndromes by Marko M. Pećina.

A very recent research was published 21 November 2018 on cutaneous nerve entrapment : “Ultrasound Imaging for the Cutaneous Nerves of the Extremities and Relevant Entrapment Syndromes: From Anatomy to Clinical Implications »  – Ke-Vin Chang et al. J. Clin. Med. 2018, 7, 457; doi:10.3390/jcm7110457

In this class, you are going to learn all about the cutaneous nerves, to draw them and to relieve them from a possible compression.


“An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” – www.iasp-pain.org

“The word “potential” in this definition suggests to us that pain is not irrevocably correlated to tissue damage, rather to “danger”, and to the brain’s own opinion about the state of its body. When we experience pain, it is we for whom the experience is unpleasant, sensory, and emotional. Our predictive brains do not particularly care what “we” experience, which might be “pain”; they just do their own work, filtering input, in the moment, from a large number of sources, including whatever experiences we have had through a lifetime, the current context they are in, and ongoing sensory input, to decide what current reality is. Our spinal cords simply do not care; their job is to reflexively protect and guard.” – Diane Jacobs

DNM addresses neuropathic pain. It is not involved in pain whose causes are medical, such as injuries like cuts or fractures, deep somatic pain, visceral pain, and suspicious pain of unknown origin.

This class is science-based evidence and neurophysiology oriented. We learn so much about physiology that any manual therapy now starts to make sense. After all, we all share the same physiology, regardless the therapy we choose to practise.


Louise Tremblay has been teaching manual therapies since 2000, in 20 countries and many languages. She is the author of « The Therapeutic Pause in Osteopathy, Manual Therapy and Bodywork » published in 2015 by Handspring Publishings. To learn more about her, please visit her website at www.louisetremblay.com.