Ebook Info
- Published: 2016
- Number of pages: 40
- Format: PDF
- File Size: 10.76 MB
- Authors: Erik Dalton
Description
The concept of neuromobilization was originally based on research by physiotherapists, Geoffrey Maitland, Michael Shacklock and David Butler. Over the years, other researchers have added to the volume of scientific literature supporting the hypothesis that nerves require unimpeded movement for full pain-free function. According to Michael Shacklock, “The entire nervous system is a continuous structure. It moves and slides in the body as we move and the movement is related to critical physiological processes such as blood flow to neurons. This movement is quite dramatic and it is not hard to imagine that fluid such as blood in the nerve bed, a constricting scar, inflammation around the nerve or a nerve having to contend with arthritic changes or proximity to an unstable joint could have damaging effects, some of which could lead to pain.” Acute compression of a normal peripheral nerve doesn’t necessarily produce symptoms such as pain, but the client may experience nocturnal numbness, motor weakness, and related symptoms. So be it with nerve root lesions. Mechanical entrapment of a normal spinal nerve root may initiate similar sensory and motor impairment in the complete absence of pain. However, mechanical factors that induce intraneural nerve root edema may lead to hyperexcitability, protective muscle spasm, fibrosis and pain. For example, it has not been shown that lumbar nerve root compression necessarily causes leg pain or neurologic dysfunction, but in the presence of prolonged compression of neural and perineural tissues, an inflammatory response may trigger chemo and nociceptor hyperexcitability causing the brain to react with a pain response. Bones Dominate, Muscles Accommodate & the Brain Regulates The mechanosensitivity of neural tissues is affected by altered joint position and reflexive muscle spasm. When muscles and joints entrap and injure a nerve, the brain may try and protect the area through chronic inflammation and adhesive scar tissue formation. The word mobilization is loosely used to describe the various kinds of manual therapy treatment techniques and many are helpful in cases of neural entrapment. When combining soft tissue mobilization modalities such as massage, active isolated stretching, and muscle energy with gentle joint mobilization maneuvers such as traction and gliding, the benefit is mobilization of the nervous system. The Myoskeletal goal is to relieve pain and protective spasm while restoring pain-free functional movement. The good news is that the techniques in this “Treating Trapped Nerves” home-study course can show you how to release painful neural entrapments and restore pain-free movement. Success requires that the therapist perform an accurate assessment and apply specific treatment to the entrapment site perpetuating the adverse neural tension. By combining joint stretching, soft tissue work and nerve mobilization maneuvers, you will quickly be able to normalize movement and provide nerve pain relief. Often this nerve pain relief is instantaneous! I hope you enjoy this course – In Touch Erik Dalton
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