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NAT is fast becoming a common language amongst therapists, with its simple approach to integrating trigger points at every level of manual therapy

With over 40,000 therapists in 18 countries using NAT techniques, we are delighted to congratulate Dr. Brian Hortz on his NAT Level 3 Certification this summer.

NAT courses are designed for manual practitioners who wish to incorporate the latest evidence based trigger point techniques, as presented by some of the worlds most experienced trigger point therapists.

About Dr. Brian Holtz

Dr. Brian Hortz has been a part of the athletic training staff at Denison University since 1995. He was the Head Athletic Trainer from 1997-2010 and is currently the Director of Sports Medicine. In addition to his on-field work with Denison athletes, Hortz also serves as an Associate Professor in the University’s Health, Exercise and Sports Studies major.

In 2008-09, Hortz was named the Ohio Athletic Trainer of the Year which was awarded by the Ohio Athletic Trainers Association. In 2015, Hortz was selected as a National Athletic Trainers Association Athletic Trainer Service Award winner, recognizing his contributions to the athletic training profession as a volunteer at the local and state levels. In addition to his clinical practice, he has also excels in the classroom through authored publications, presentations and in his preparation of students interested in health and physical medicine.

Dr. Hortz has presented at state, national and international level conferences in areas focusing on state regulation and ethics, integration of Athletic Training and performance training, and comprehensive assessment and rehabilitation integrating multiple techniques. 


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Scraping, a manual, ancient practice where pain points are worked with a gua sha (smooth-edged tool), reportedly increases blood flow by up to 400 per cent more than foam rolling and massage guns. By breaking up old, damaged blood vessels to promote new growth and healing, these tools are useful for getting into the nooks and crannies of a pain point, especially in delicate areas like along the shin muscles and under the foot.

Tim Tian has taken the scraper idea and supercharged it, creating a manual, triangular tool that blends heat and vibration therapy. “Cold blades stiffen muscles, blocking a deep release,” he says.

The heated scraper device takes just three seconds to reach 50ºC. This helps muscles soften, making it easier to massage away tension, increase blood flow and promote healing. The scraper is specially great for alleviating delayed onset muscle soreness (DOMS) in the quads, and provides a relaxing switch-up from the foam roller slog.