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Dr Francisco Selva’s current approach to physiotherapy, based on his extensive experience in professional sports and sports physiotherapy, consists of modulating each patient’s dysfunctional findings by applying the assessment and treatment system of Superficial Neuromodulation (SNM) assessment and treatment system.
It is based on following an Embryological Hierarchy. This system serves the needs of each patient, whether for prevention, injury treatment or rehabilitation.
The patient comes for treatment for musculoskeletal pain (top of the pyramid) and before treating the musculoskeletal pain area locally, if it has not been traumatic, it is necessary to start treating at the base of the pyramid.
Therefore, eliminating trauma throughout the body (sprains, surgical interventions, etc.) will be essential to eliminate the central aberrant myotatic reflex. Subsequently, eliminate the central dysfunctions that cause epidermal scars and thus move up the pyramid performing test-retest until reaching bone-muscle where then, yes, the musculoskeletal system will be treated.
From an embryological point of view, it is first necessary to modulate ectodermal structures (epidermis) in order to ultimately modulate mesodermal structures (musculoskeletal system).
Modularise dysfunctional findings and do not treat the patient’s symptoms first. Difficult for many to understand, but this is the reason for clinical ‘magic’. How beautiful physiotherapy is!