Specific Exercises for Nerve Pain

In the March 2009 Journal of Orthopaedic Sports and Physical Therapy, Dr. Coppieters demonstrated that specific movement of the nerve caused different lengths of movement along the median nerve, measured by real-time ultrasound imaging. Greatest movement was found with a neurodynamic slider, with less in a neurodynamic tensioner. This helps us with our clinical reasoning process in treatment rationale when selecting specific nerve mobilizations and exercises for nerve rehabilitation, including sciatica and other radiculopathies. _________________________ Medical Disclaimer: Motion Stability has created and compiled the content on its websites for your information and use. This information is not intended to replace or modify the medical advice of your doctor or health care provider. Please consult your health care provider for advice…

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Sciatic Nerve Causing Plantar Fascitis?

In the Journal of Orthopaedic Research – September 2006, Coppieters MW, Alshami AM, Babri AS, et al measured the strain and excursion of the sciatic, tibial and plantar nerves with a modified straight leg raise (SLR) test. By bending the ankle into dorsiflexion first before raising the leg, nerve movement at the ankle, particularly the tibial nerve was greatly increased. Clinically, the diagnosis of ‘plantar fascitis’ can be caused by multiple sources, one being sensitization of the tibial nerve which is a branch of the sciatic nerve. Thanks to Dr. Coppieters, as well as other neurodynamic specialists like Michael Shacklock MAppSc, DipPhysio, we now know that movement of nerves occurs greatest where joints move first, a concept called ‘neurodynamic sequencing’….

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nerves move.

In patient care with complaints of recurring low back pain and sciatica. Patients need to consider that even though pain subsides down the leg through rest or interventions. That the sciatic nerve can become adhered through intraneural edema. And similar to a stiff elbow after removing a cast off it due to a fracture, the elbow may not be as painful but will be very stiff. Likewise, a reduction in symptoms down the leg, does not necessarily mean that the sciatic nerve is mobile. Thorough testing for nerve mobility, that is asymptomatic but could be asymmetrical to the unaffected side, at least from my clinical opinion, could be a factor to recurring sciatica and low back pain. _________________________ Medical Disclaimer:…

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