Functional Neuro-orthopedic rehabilitation (FNOR)

As we aim to improve how Complex Injury & Pain is treated, the Brain is a Great Place to Start!


Persistent pain is an epidemic, affecting more Americans, for example, than diabetes, heart disease and cancer combined.  Current research suggests that how pain is addressed in healthcare is likely contributing to the problem.

As part of the 2010 Patient Protection and Affordable Care Act, the Department of Health and Human Services (HHS) enlisted the Institute of Medicine (IOM) to explore this issue.

The IOMs report revealed profound problems with current approaches to pain. While people with pain receive care from a variety of sources, including primary care, specialty care, alternative practitioners and pain medical pain clinics; and while treatments can include fairly current measures such as surgery, behavioral interventions, physical therapy, and complementary and alternative therapies, for a huge population of people, however, these options are inadequate to stem chronic pain and suffering. Modern approaches to pain, including physical rehabilitation, have to undergo profound changes.

From our perspective, the division between orthopedics (especially orthopedic physical therapy) and neurology (neuro-rehabilitation) is a major obstacle to effective pain rehabilitation. FNOR represents a unique, modern, alternative to common orthopedic therapy. By intentionally, simultaneously driving constructive processes in the body and nervous system in parallel, the FNOR therapeutic approach opens opportunities for robust gains in function and impressive reductions in pain.

FNOR's mission is to transform the way pain is understood and treated. 

Foundational principles of our approach include: 

(a) Pain is typically made up of many different processes that contribute to the pain experience in unique combinations in each pain sufferer;

(b) Pain has a Cure;

(c) Pain treatment is best implemented as a transformative experience that takes into account the whole person.

(d) Pain therapies should be integrative, taking into account each system of the body, especially the brain and nervous system. 


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"Comprehensive treatment addressing peripheral structural injury as well as neurophysiological changes occurring across distributed areas of the nervous system may help to improve outcomes in patients with chronic musculoskeletal disorders". - Pelletier et al. 2015.