What it is: HSE is a neuromuscular “mind–body” method developed by Tom Hanna. It uses voluntary muscle contraction and slow release (called “pandiculation”) to retrain the brain–muscle connection and reduce tension.
Why it matters: Chronic low back and neck pain are extremely common and disabling. Non‑drug, movement‑based therapies are increasingly recommended.
👥 Who participated?
103 adults (79% female) with chronic neck/back pain (>2 months), treated at Johns Hopkins Aramco in Saudi Arabia between 2016–2018.
On a 0–5 scale, average pain dropped from ~3.2 to ~0.6 — an ~80% decrease!
Improved outcomes regardless of pain in neck, back, or both, and across all pain durations and age groups.
Less medication use
Pain medication users dropped from 53.5% before treatment to 13.6% afterward — a 74.5% drop.
Fewer doctor visits
Average visits in 6 months went from 2 → 0.5 — a reduction of about 75%.
🧠 How it works (the theory)
Sensory motor amnesia: Muscles can become habitually tight because the brain has “forgotten” how to release them. HSE aims to restore awareness and control through slow, conscious movement.
Movement helps relax muscles, improve circulation, and reduce pain without passive methods like stretching or massage.
⚠️ Limitations & next steps
Retrospective design: No control group—so some effects might be due to placebo or other factors.
Short-term follow-up: The study only measured outcomes up to 6 months.
Recommendation: More rigorous randomized controlled trials are needed to establish long-term effectiveness and compare HSE to other treatments.
✅ Bottom line — in plain terms
Around three sessions of HSE led to significantly less chronic neck/back pain, much lower use of pain meds, and far fewer doctor visits in the following six months.
HSE teaches you how to feel and control muscle tension, unlike passive stretching or massage.
But more robust research is needed to confirm these promising results.