Centerville Therapeutic Massage

Centerville Therapeutic Massage Massage & Bodywork specializing in chronic pain relief.

12/01/2025

We got jokes

I LOVE the detail this article went into about various types of vertigo as it is something I see often! I hope someone e...
11/30/2025

I LOVE the detail this article went into about various types of vertigo as it is something I see often! I hope someone else enjoys nerding out on this !

🌐 Persistent Oscillating Vertigo (POV), Thoracic Outlet Syndrome (TOS) & The Neck–Vestibular Connection

A New Way We’re Understanding Chronic Vertigo at The Functional Neurology Center

Many patients arrive at TheFNC after months or even years of feeling “off balance”, “rocking,” “bobbing,” or having a constant sense of motion that won’t stop. For many, their MRI is “normal,” their ENT says the ears look “fine,” and traditional vestibular therapy only helps a little — or not at all.

A new body of research is revealing something incredibly important:

👉 A subset of chronic vertigo patients may actually be experiencing impaired venous outflow from the brain and inner ear — often tied to neck and thoracic outlet compression.

👉 This can drive a condition called POV (Persistent Oscillating Vertigo), including the non-motion version (nmPOV), which looks identical to MdDS even when no boat/plane/trigger ever occurred.

A groundbreaking study published this year demonstrated that many patients with POV had internal jugular vein (IJV) or subclavian vein (SCV) compression — often due to structural changes in the **upper cervical spine, scalene muscles, first rib, clavicle, or thoracic outlet.
🔗 Source: PMC11949289

This is an area our team at theFNC has been digging into deeply, because it overlaps with something we specialize in:
👉 the complex relationship between neck mechanics, venous drainage, brain pressure, vestibular pathways, and autonomic function.



🧠 What is POV? (Persistent Oscillating Vertigo)

POV is a chronic condition where the brain perceives constant motion, even when sitting still:
• Rocking or swaying sensations
• Bobbing or “boat-like” movement
• Cognitive fog and fatigue
• Eye strain and visual overstimulation
• Neck tightness or head pressure
• Worsening in busy visual environments
• Difficulty lying flat, riding in cars, or turning the head

There are two versions:

✔️ Motion-triggered POV (MdDS-type)

Symptoms start after boats, planes, long car rides, VR, etc.

✔️ Non-motion POV (nmPOV)

No travel trigger at all — symptoms start after:
• neck injury
• stress/inflammation
• prolonged postures
• repetitive overhead activity
• viral illness
• or spontaneously

This is where TOS and neck-based venous compression enter the picture.



💡 How the Neck and Thoracic Outlet Cause Vertigo

The study showed that many POV sufferers had:

1️⃣ Internal Jugular Vein (IJV) Compression

Compressed between:
• C1 transverse process
• the styloid process
• the digastric or SCM muscles

This can reduce drainage from the cranium — especially from structures related to balance and eye motion.

2️⃣ Subclavian Vein (SCV) Compression — a form of Venous TOS

Occurs between:
• the clavicle
• the first rib
• tight anterior/middle scalenes
• pec minor

This is worsened by posture, arm position, heavy lifting, sitting at a desk, or overhead activity.

3️⃣ Venous Blood “Rerouting” Through Collaterals

When the main pathways are blocked, blood reroutes through:
• vertebral veins
• deep cervical veins
• petrosal sinuses near the inner ear
This can increase pressure around the vestibular apparatus — creating constant motion perception.

4️⃣ Positional Worsening

Symptoms often worsen with:
• turning the head
• overhead activity
• lying flat
• certain arm positions
• tension in the neck or jaw

This is classic for TOS and neck-based venous compression.



🔍 How We Evaluate POV + TOS at TheFNC

Our evaluation goes far beyond a traditional “vestibular exam.”
We assess:

✔️ Vestibular and Oculomotor Systems
• VOR reflexes
• gaze stability
• eye tracking
• saccades
• optokinetic responses
• motion sensitivity

✔️ Cervical Spine and Proprioception
• C0–C2 motion
• scalene/SCM hypertrophy
• anterior head carriage
• deep neck flexor weakness
• first rib mobility
• cervical joint position error
• suboccipital tone

✔️ Thoracic Outlet Function
• elevated first rib
• clavicle mechanics
• scalene tension
• pec minor shortening
• vascular TOS screens
• neural mobility tests

✔️ Autonomic & Vestibular Integration
• heart–brain coupling
• dizziness with exertion
• abnormal brainstem reflexes
• dysautonomia patterns
• POTS-like presentations

✔️ Dynamic Symptom Provocation

We look for symptom changes during:
• arm abduction
• cervical rotation
• neck extension
• head tilt
• retract/protract motions
• overhead positions

These patterns often reveal compression that imaging alone can miss.



🏥 Our Rehabilitation Approach for POV + TOS at theFNC

This is where we stand out. Our program focuses on structural, vestibular, autonomic, and brain-based rehab simultaneously.
Every plan is customized, but here are our main pillars:



1️⃣ Cervical & Thoracic Outlet Decompression Strategies

We address mechanical contributors such as:
• elevated first rib
• scalene hypertrophy
• SCM hypertonicity
• restricted C0–C2 segments
• poor scapular mechanics
• rib cage stiffness

Using techniques such as:
• specific cervical mobilization
• myofascial release
• low-force manual therapy
• scalene and pectoral inhibition
• rib mobilization
• postural correction
• ARPwave neuromodulation for muscle normalization



2️⃣ Venous Drainage Optimization

We work on head/neck venous flow through:
• posture correction
• deep cervical flexor activation
• thoracic spine mobility work
• suboccipital decompression techniques
• breathing mechanics (diaphragm/rib coupling)
• positional retraining



3️⃣ Advanced Vestibular-Ocular Rehabilitation

We incorporate:
• gaze stabilization drills
• head-eye dissociation
• optokinetic stimulation
• vestibular habituation
• dynamic gait with head motion
• velocity-based vestibular training
• integrated VR scenarios
• retinal slip training
• complex sensory stacking

This rewires the brain’s interpretation of motion and improves vestibular compensation.



4️⃣ Neuromodulation to Improve Brain Integration

Including:
• ARPwave
• LLLT/laser therapy (Erchonia)
• PEMF for autonomic balance
• Proprioceptive stimulation
• Vestibular-ocular neuromodulation

These help calm central sensitization and improve neuroplasticity.



5️⃣ Autonomic & Brainstem Regulation

We address the “fight or flight” component that worsens dizziness:
• vagal stimulation techniques
• breathing retraining
• cold exposure protocols (as tolerated)
• graded exertional therapy
• eye-head-body integration



6️⃣ Collaborative Care When Needed

If vascular compression is significant, we help coordinate with:
• vascular surgeons
• interventional radiologists
• ENT/neurotology
• TOS specialists

This ensures the patient receives the right intervention at the right time.



⭐ Why Patients With POV & TOS Get Better at TheFNC

Because our model integrates:

✔️ cervical biomechanics

✔️ vascular flow

✔️ vestibular re-calibration

✔️ autonomic regulation

✔️ neuroplasticity + sensory integration

POV and TOS are multidimensional problems — so they require a multidimensional solution.

Many of our patients report improvements with:
• decreased rocking/swaying
• improved balance
• reduced headaches and neck strain
• clearer thinking
• improved fitness tolerance
• better sleep
• reduced motion sickness
• improved ability to lie flat
• fewer flare-ups



🚀 If you’ve been struggling with chronic vertigo, dizziness, rocking, MdDS-like symptoms, TOS, or neck-driven vestibular issues — there is hope.

Our team has worked with thousands of complex neurological and vestibular cases.
We would love to help you find answers and a real plan forward.

📩 To schedule an intensive, discovery day, or comprehensive exam:
Email: info@theFNC.com
📞 612-223-8590
🌐 theFNC.com

https://pmc.ncbi.nlm.nih.gov/articles/PMC11949289/

Betty bones has a message for you today ! Our end of the year sale has begun!
11/28/2025

Betty bones has a message for you today !
Our end of the year sale has begun!

11/26/2025

The Tears That Heal

Within bodywork, the smallest tear can change the entire room. It glimmers at the corner of the eye, slips free down the cheek, and tells you something the client’s words never could. Tears are not random or dramatic. They are physiological expressions of nervous system change, chemical shifts within the limbic brain, and emotional imprints dissolving within the fascial web. The body carries stories long after the mind forgets them, and tears are often the first language the body uses to speak its truth.

Some tears emerge when the vagus nerve finally softens after years of holding. As the parasympathetic system reclaims its place, the heart rate slows, and breath expands into spaces that had been guarded. This tear is warm and quiet. It falls when the nervous system recognizes safety, when a steady hand and regulated presence give the body permission to stop bracing.

Other tears rise from the limbic system, where unprocessed emotion has been stored in muscular patterns, diaphragmatic tension, or the viscera themselves. When myofascial work, diaphragmatic release, or craniosacral stillness unwinds these old patterns, the amygdala sends its signal. The tear comes before the narrative. The body discharges the charge it could not release during the original experience.

There are tears born from interoception awakening. The brain begins to feel the body again through the insular cortex. New signals travel through the fascia’s mechanoreceptors and interstitial fibers, reminding the nervous system that it has a home to inhabit. Clients often describe this as a sudden recognition of themselves. It is a reunion, not a release.

Touch can also stimulate oxytocin, the hormone of trust and connection. Oxytocin changes the fascial matrix, softening collagen fibers and reducing sympathetic tone. When oxytocin rises, shoulders lower, jaws soften, and breath deepens. Tears appear as the body recognizes safety, not just mentally but chemically. This is the tear of belonging.

Some tears come from memory without words. Trauma often embeds itself in posture, breath, or fascial densification rather than in conscious recall. When the tissue unwinds through slow, sustained pressure or visceral contact, the body releases the emotional charge without needing the story. The tear is ancient and often quiet, like something resurfacing from a place older than language.

There are also tears shaped by resonance. Human beings are wired for co-regulation. Our nervous systems synchronize through breath, heart rhythms, vocal tones, and subtle cues detected by the vagus nerve. When a bodyworker holds steady, coherent presence, the client’s system often entrains to that stability. A tear falls not out of sadness but relief. It is the tear that says, “I don’t have to hold this alone anymore.”

And then there is the tear of completion. In polyvagal and somatic research, this appears when a survival cycle finally finishes. A freeze state thaws. A breath that never completed finally exhales. A protective pattern dissolves. The fascia shifts from rigidity to fluidity. Blood flow increases—electrical coherence returns. The tear marks the moment the body finally emerges from a story it has been carrying for years.

Tears are not signs of weakness. They are signs of regulation, adaptation, neurological reorganization, and emotional integration. In bodywork, tears reveal the exact moment when the fascia, the nervous system, and the emotional body agree to let something go. They show us where safety has been restored. They show us where the story is changing.

And perhaps the most sacred truth is this. The fascia speaks long before the mind does. It speaks in breath and tremor, in warmth and softening, in the shimmering trail of a single tear. And we, the ones who listen in silence, learn to hear what it has carried through years, through lineage, through time.

Please take note of this important announcement, we have some price increases coming in 2026. We are a bit overdue as ou...
11/26/2025

Please take note of this important announcement, we have some price increases coming in 2026. We are a bit overdue as our prices have been discounted the past couple of years.

Thank you to each and every one of our amazing clients for understanding, we hope to continue to work with you for years to come!

Many of my clients may start out as deep tissue clients but over time they find the lighter touch can often do much more...
11/20/2025

Many of my clients may start out as deep tissue clients but over time they find the lighter touch can often do much more ! Here’s a fun piece ;)

Mechanoreceptors are a remarkable part of the fascial system. They are the microscopic sensory “listening stations” embedded throughout fascia that constantly read pressure, stretch, tension, vibration, and movement. They allow the body to feel itself from the inside. Without mechanoreceptors, movement would be clumsy, uncoordinated, and disconnected. With them, movement becomes fluid, responsive, and intelligent.

Fascia is loaded with various types of mechanoreceptors, each communicating with the nervous system in its own unique way. Ruffini endings respond to slow, sustained pressure and create a parasympathetic calming effect. Pacinian corpuscles respond to vibration and rapid changes in pressure, helping the body coordinate sudden movements. Interstitial receptors monitor subtle stretches, tensions, and internal shifts; they comprise nearly eighty percent of fascial sensory input and directly influence pain perception. Golgi receptors, found near ligaments and tendon insertions, respond to deep stretch and help down-regulate muscular tension.

When a bodyworker touches fascia, these receptors are the very first structures to respond. Slow, sustained contact helps melt hypertonicity because Ruffini endings signal to the nervous system, “It’s safe to soften.” Deep or directional stretch activates Golgi receptors, signaling muscles to lengthen. Gentle vibration or oscillation stimulates Pacinian receptors, enhancing proprioception and enabling joints to move with greater confidence. Even the quietest technique, a still fascial hold, stimulates interstitial receptors, which can modulate pain and reduce sympathetic overdrive.

Altogether, mechanoreceptors weave the sensory intelligence of fascia. They are the reason the body can adapt, coordinate, stabilize, and move with fluid grace rather than mechanical force. They turn every subtle change in tension into information the brain uses to refine posture, balance, and movement patterns.

So when we work with fascia, we’re not just stretching tissue. We’re communicating with an enormous sensory network that shapes how someone moves, feels, and inhabits their body. Mechanoreceptors are part of the reason fascia is both biomechanical and deeply emotional.

11/20/2025

Address

8534 Yankee Street Suite 2D
Dayton, OH
45458

Opening Hours

Monday 2pm - 8pm
Tuesday 2pm - 8pm
Wednesday 2pm - 8pm
Thursday 2pm - 8pm
Friday 10am - 3pm

Alerts

Be the first to know and let us send you an email when Centerville Therapeutic Massage posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram