Dynamic Neuromuscular Stabilization (DNS)

Core stability is necessary for optimal performance and it is not achieved purely by adequate strength of abdominals, spinal extensors, gluteals, or any other musculature; rather, core stabilization is accomplished through precise coordination of these muscles and intra‐abdominal pressure regulation by the central nervous system (CNS).

Dynamic Neuromuscular Stabilization® (DNS) is a manual and rehabilitative approach to optimize movement. It is based on the principle that the development of human motor function in early childhood is genetically pre‐determined and follows a predictable pattern (developmental kinesiology). These motor patterns or programs are formed as the CNS matures; enabling the infant to control posture, achieve erect posture against gravity, and move purposefully through muscular activity.

Understanding developmental kinesiology provides a framework to appreciate the regional interdependence and the interlinking of the skeleton, joints, and muscles during movement and the importance of training both the dynamic and stabilizing function of muscles.

The DNS® approach provides functional tools to assess and activate the intrinsic spinal stabilizers and diaphragm in order to optimize the movement system for both pre‐habilitation and rehabilitation of injuries and performance.

DNS is not only a magnificent approach for preventing and rehabilitating pain syndromes in the movement system it is also becoming extremely popular in sports performance circles. The same ideal patterns that keep an individual out of pain also maximize the efficiency of the movements, which not only reduces the risk of injury but also improves performance.

For more info, please visit the associated website: www.rehabps.com

Frequently Asked Questions

We are in-network with Medicare Part B and the Veterans Community Care Program.

We will provide you with a super bill so you can take advantage of any out-of-network benefits your plan may offer, and your carrier will reimburse you directly.

A thorough medical health history will be taken which is followed by a physical exam. Your doctor will watch you perform various activities such as walking, stepping off a step, standing on one leg, reaching overhead, and others. You may be asked to perform a few simple exercises to see how your body stabilizes. The doctor will also extensively assess your joints and muscles to find which ones may need treatment. After discussing what was found on the examination, treatment options will be discussed. If no red flags are present, an initial treatment may be performed at the discretion of the doctor. There may be instances where imaging will be requested prior to beginning a trial of care.  If we do not think we can help you or that you will benefit from another specialist, we will refer you to the appropriate provider.

The initial visit is approximately 40 minutes during which you can expect a detailed history, examination, and treatment.  Subsequent visits vary in length from 20 to 60 minutes depending on your condition and specific needs.

No, we do not believe in long-term care plans or pre-pay plans. Our goal is to reduce your pain and get you back to your activity as fast as possible. Most patients experience significant relief or resolution in 8 visits or less.  We are happy to help each patient reach their maximum potential but this is always at the patient's discretion.

X-rays may be recommended for some individuals. Referrals are made at the discretion of the clinician and are based on the specifics of the case. Imaging is typically performed following a trauma, for cases that are slow to respond to care, or if any red flags are present during the initial history and exam.

No, you do not have to have your back or neck “cracked”. Your provider will make a recommendation for the best care possible, which may or may not include a manipulation. Still, we will not perform any treatment that you are not comfortable with. We also offer several gentle and low-force alternatives to the standard manual manipulation that can make patients more comfortable and still retain the benefits.

The pop is known as cavitation and is caused by the release of gas. When a joint is gapped, dissolved gas in the synovial fluid forms a bubble and then collapses. This phenomenon is similar to opening the cap of a carbonated beverage and has recently been witnessed during MRI studies. The sound is not caused by bones being put back into place or aligned, this does not happen. Check out this video for more info.

Please wear comfortable clothing that allows you to move freely. Our treatments are frequently active for the patient and we want to maximize our time during each visit.