When you experience chronic pain, your muscles often enter a state of shortening. This isn’t just a “tight muscle”; it is a physiological contracture that can compress nerves and grind joints together.

1. Locating the “Neuromuscular Glitch”

Standard scans (MRI/X-ray) look at bones and discs. Dr. Posani looks at function. He uses his surgical knowledge of anatomy to palpate and find “trigger points”—microscopic areas where the muscle is stuck in a permanent state of contraction.

2. The Micro-Input

Dr. Posani uses a specialized, hair-thin needle to reach these deep-seated “glitches.” Because he is trained in Hand and Micro Surgery, his precision in needle placement ensures the treatment reaches the exact origin of the pain,

often deep near the spine or joints.

3. The “Local Twitch Response”

When the needle hits the exact spot, the muscle performs a “local twitch.” This is a reflexive reset.

• The Chemical Shift: The twitch flushes out built-up inflammatory chemicals (like bradykinin and substance P).

• The Electrical Shift: It resets the electrical signal between the nerve and the muscle.

• The Physical Shift: The muscle fiber immediately lengthens, taking the pressure off the compressed nerve or joint.

Why This Approach is Different

From a Surgical Perspective: He treats the body with the same structural logic used in a surgical theater, but without the trauma of an incision. It is “surgery without the knife.”

From an Internal Medicine Perspective: Dr. Posani understands how systemic issues—like circulation, metabolic health, and the autonomic nervous system—influence how much pain you feel. He isn’t just “poking a muscle”; he is calming a sensitized nervous system.