Finding the Source: AMNRT

How Bone Fractures Affect Your Nerves

Many orthopedic specialists rely on X-rays and MRIs in combination with patients’ complaints to diagnose problems and create treatment plans. While these methods undoubtedly have a place in progressive orthopedic medicine, they don’t always get down to the root of the issue. Dr. Victor Romano uses a new testing method called Autonomic Motor Nerve Reflex Testing (AMNRT) to identify the source of his patients’ symptoms. This is a systematic, neurological approach to patient care that collects information from the body’s many reflexes (like the knee-jerk reflex) to examine the health of the nervous system.

Here’s an overview of what to expect when working with Dr. Romano and the AMNRT system to find the source of your injuries or pain.

Step One: The Peripheral Nervous System. The first thing Dr. Romano looks for is dysfunction in the peripheral nervous system, the part of the nervous system that is outside of the brain and spinal cord. To test this, he conducts a balance test he calls the light/dark test.

First, his patients are asked to stay rigid (stand like a statue) with their eyes open, then asked to stay rigid and balanced again but with their eyes closed. If they lose balance easily when their eyes are closed, the nervous system is in distress in some way. Dr. Romano then moves on to identify exactly which nerve or nerves are causing the dysfunction using a series of scratch/withdrawal reflexes. If a nerve is irritated, the patient will pull away when that area is scratched. Most of the time, nerve irritation can go unnoticed until it is pointed out, but the body still compensates for it. After identifying the injured nerve, Dr. Romano will the instruct his patients on how to reverse the injury. Afterward, Dr. Romano will redo the light/dark and scratch tests to make sure the injury is gone and no other nerve injuries are present, thus restoring balance with their eyes closed.

Step Two: The Central Nervous System. After the peripheral nervous system is cleared, Dr. Romano checks patients’ balance with their heads turned side to side and up and down. This tests the integrity of the central nervous system. When patients lose their balance while turning their heads, there is a problem with the parts of the body connected to the central nervous system. This includes the neck, upper or lower back, and sacroiliac (SI) joint, which is near the base of your spine. Nasal breathing is also connected to the central nervous system. If a patient has obstructed nasal airways, it can also cause weakness, pain, or balance problems. Dr. Romano tests this by manipulating areas to correct weakness or pain. After their strength and balance is restored, he asks his patients to breathe deeply through their mouths. If their weakness, pain or loss of balance returns, that proves that there is an obstruction in the nasal air passages which will need to be addressed for complete recovery.

Step Three: Pelvic Stability. After testing and clearing the peripheral and central nervous systems, Dr. Romano tests for a level pelvis by checking patients’ side-to-side and front-to-back balance and simply looking at how a patient stands. Your pelvis naturally sits parallel to the ground, bringing many other parts of the body into alignment. If the pelvis is tilted, it can cause a chain reaction in the body due to misalignment and instability.  Pelvic instability can cause back pain, piriformis syndrome, sciatica, and a variety of other issues.

Treating the Cause. These tests combined can help identify the source of countless injuries or conditions, such as TMJ syndrome, breathing problems, poor ability to balance, neck and back pain, carpal tunnel syndrome, Morton’s neuroma, and many others. Once thoroughly tested, patients are then given a treatment plan that utilizes a combination of supervised physical therapy, at-home exercises and stretches, and breathing techniques to help alleviate symptoms and correct the root of the problem. This process facilitates a complete recovery and prevents future injuries from ever occurring.


To learn more, check out Dr. Victor Romano’s book, Find the Source: Maximizing Your Results—With and Without Orthopaedic Surgery.