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treating pain in a complex system

musculoskeletal medicine

Musculoskeletal Medicine Treatment

Although it covers all aspects of pain, musculoskeletal medicine has a unique medical interest in the complex interactions between the “software” of the nerves and muscles; the “hardware” of the skeleton, joints and their supportive ligaments; and the “central processing” of the spinal cord and brain.


Dr. Homan’s 5 principles of MSK Treatment:

  1.  Treat the whole body and the whole patient

  2.  Treat the cause, not just the symptom

  3.  Use a broad range of treatment tools

  4.  Treat software before hardware

  5.  facilitate habit change to prevent recurrence


Some of the therapies and techniques that Dr. Homan uses are:

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Gentle Manual Therapies

Gentle physical treatments are used to re-program the neuromuscular “software” of the body. They activate spinal reflexes to help change tension in the muscles and / or the firing of the nerves. Manual therapies work best when they are used to address the cause of the problem rather than mindlessly chasing the symptoms. Some of the physical treatments that I use include: 

Finch Therapy • Positional Release Technique• Muscle Energy Technique •Balanced Ligamentous Tension • Joint Impulses• Targeted Stretching


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Soft Tissue Injection Therapies

Soft tissue needle techniques are a powerful medical tool to help re-program the neuromuscular “software” of the body. They can rapidly release painful muscle spasm and reduce tissue inflammation. Some of the injection therapies that I use include: 

Muscular Trigger Point Injections • Peri-neural Injection Treatment • Steroid (cortisone) Injections • SUPERFICAL DRY NEEDLING


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Regenerative Injections
(Prolotherapy and PRP Injections)

Prolotherapy and PRP injections are designed to improve the function of degenerative joints and their associated ligaments and tendons. They are thought to work by boosting local growth factors to enhance the natural healing process. Clinical improvements typically last into the medium and long term.

glucose prolotherapy • PRP-Injections (platelet-rich plasma)  


Whole-of-patient-medical-approach

Whole-of-Patient Issues

One of modern medicine's biggest weaknesses can be a tendency to “not see the forest for the trees”. In an effort to understand the individual parts, we can lose sight of the larger system that they operate in. To solve complex body pain, it is essential to address the whole system that the pain has occurred in. Some important aspects include:

SKELETAL ASYMMETRY CORRECTION • MEDICAL DIAGNOSIS • HABIT/ POSTURE CHANGE • PAIN EDUCATION/ COUNSELLING • MINDFULNESS/ MEDITATION • pain medication • NUTRITION