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Dermoneuromodulating - Treating the Patient as if Their Nervous System Really Mattered

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Dermoneuromodulating - Treating the Patient as if Their Nervous System Really Mattered

Dermoneuromodulating - Treating the Patient as if Their Nervous System Really Mattered

This course includes
9:58:25 of Course Material (View)
Lifetime access after purchase
Certificate of completion
This course was recorded in September 2021

Welcome to DNM with Diane Jacobs

Welcome to Diane Jacobs online course Dermoneuromodulating (DNM) - Treating the Patient as if Their Nervous System Really Mattered. 



Dermo → Skin
Neuro  → Nervous System
Modulation → Change

Dermoneuromodulating (DNM) is a method for handling the human body and, most of all, its nervous system, in order to facilitate change, particularly in terms of its pain and motor outputs. DNM will not replace everything therapists have already learned, but it may provide a new conceptual container for it. At the very least it provides the participant with a novel approach to handling that is patient‑ and nervous system‑friendly.

Light and interactive, DNM ignores musculoskeletal structure and instead targets pain directly, by focusing on the nervous system, continuous from skin cell to sense of self, directly. The only “structures” considered in any depth will be skin and the cutaneous nerve, long ignored in manual therapy ‑ participants will be exposed, perhaps for the first time, to the extensive branched system that innervates skin.

DNM will provide participants with an expanded frame through which they can set up the all-important treatment relationship, assess patients and their pain problems from the brain’s perspective, teach the patient about pain production without faulting them, recruit their cooperation for manual handling, and put them in charge of their own recovery. DNM is based on Melzack’s Neuromatrix framework of pain as output, the most clinically useful pain model in existence from an interactive manual therapy standpoint. Persisting pain is the reason most patients come to see a manual therapist.

DNM is a fully interactive treatment model: unlike a strictly operative model, in which, for example, biomechanical “faults” must be found, then “corrected”, DNM considers biomechanical expression as defense, not defect. We put “pain” first; i.e., we put the nervous system of the patient (not their anatomy), and their own subjective complaint, their own interoceptive reality, front and center in the treatment encounter; we add a bit of strategic novel stimuli, then we wait a few minutes, and allow the nervous system to self‑regulate. Subsequent improvement in motor output is assessed and regarded as a sign that the nervous system now works with less intrinsic stress.


Course Objectives:

  • Increased awareness of the role the nervous system plays in pain production, and in response to manual therapy
  • Better ways of accessing and communicating with the nervous system on every level
  • Appreciation for the cutaneous nervous system
  • A science-based method of manual therapy handling that takes into account what has been learned in neuroscience and pain science over the last couple of decades
  • Better palpation skills and motivation to have manual therapy hands that are warm, slow, light, kind, effective, responsive, and intelligent.


Who The Course Is For:

Anyone with a license to touch people who treats patients with pain.

Languages this Course is Available in: 

This course includes closed captions which you can turn on/off on each video lesson. Closed captions are available in the following languages:

  • English
  • Spanish (LatinAmerican)
  • French (from France)
  • German (from Germany)
  • Portuguese (Brazilian)
  • Chinese (simplified)
  • Chinese (traditional)
  • Japanese
  • Italian
  • Polish
  • Serbian
  • Indonesian
  • Hindi
  • Russian
  • Arabic 
  • Greek
  • Hebrew
  • Ukrainian
The instructors
Diane Jacobs

Diane Jacobs graduated from U. Sask with a physiotherapy diploma in 1971, started using manual therapy in 1983, and went solo in 1994. She has been interested in pain science and working cutaneous nerves into the manual therapy story since 1998; she calls this ‘dermoneuromodulating’.

She helped to found the Canadian Physiotherapy Association Pain Science Division in 2009 and served on it until 2014.

In 2016 she published a book, DermoNeuroModulating. She retired in 2020 from practice and teaching, but still answers questions and maintains a DNM Facebook group.

Course Material included in this course
  • Introduction and Background
  • Welcome
  • Lecture Slides
  • Chronic Pain, Trust, and Ethics: A Conversation with Terri Dentry and Nate Kinch
  • Reference List
  • Understanding Pain
  • Defining Pain
  • Feedback
  • Building a Case for Manual Therapy that Ties in with Pain Science and Neuroscience
  • Interactive Considerations
  • Brain is Predictive, Not Reactive
  • Sensory Neuro Function & Peripheral Neurophysiology
  • Summary
  • Quiz
  • Feedback
  • Anatomy of the Nervous System
  • The Evolution of the Nervous System
  • Skin Cutaneous Nerves Neurodynamics
  • Peripheral Neurons
  • Quiz
  • Feedback
  • Treating the Nervous System
  • Tunnel Syndromes
  • Treatment Concepts
  • Take-Home Points
  • Quiz
  • Feedback
  • Treatment Directed Toward Cutaneous and Non-Cutaneous Nerves
  • Lab 1 Slides
  • Explaining the Nervous System to Patients
  • Cranial, Spinal, and Facial Nerves
  • Quiz
  • Feedback
  • Head and Neck
  • Occipital Nerves
  • Dorsal Cutaneous Nerves
  • Suboccipital Nerves
  • Quiz
  • Feedback
  • The Trunk
  • Posterior Trunk
  • Anterior Trunk
  • Lateral Trunk
  • Quiz
  • Feedback
  • Shoulder
  • Lab 2 Slides
  • Brachial Plexus
  • Inferior Shoulder
  • Anterior Shoulder
  • Posterior Shoulder
  • Shoulder Knot
  • Dorsal Scapular Nerve
  • Quiz
  • Feedback
  • Arms and Hands
  • Nerves of the Arms and Hands
  • Elbow Treatment
  • Wrist Treatment
  • Hand Treatment
  • Quiz
  • Feedback
  • The Back
  • Lab 3 Slides
  • Lumbosacral Plexus
  • Nerves of the Low Back
  • Left Side Low Back Treatment Demonstration
  • Right Side Low Back Treatment Demonstration
  • Acute Back Treatment Demonstration
  • Alternate Acute Back Treatment with Wedges
  • Quiz
  • Feedback
  • The Pelvis
  • Posterolateral Pelvis
  • Nerves of the Buttocks
  • Anterior Pelvis
  • Nerves of the Sacral Plexus
  • Inner and Posterior Thigh
  • Quiz
  • Feedback
  • Pelvic Floor
  • Nerves of the Pelvic Floor
  • Pelvic Floor Treatment Demonstration
  • Quiz
  • Feedback
  • The Legs
  • Nerves of the Upper Leg
  • Nerves of the Knee
  • Nerves of the Foot
  • Leg Treatment Demonstration Pt1
  • Leg Treatment Demonstration Pt2
  • Quiz
  • Feedback
  • Conclusion
  • Wrapping Up
  • Feedback
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