Tag: clinical neurodynamics

Evidence Based Practice, Home, Lower Back Pain, Lumbar, Research Summaries

Understanding Radicular Pain: Pathophysiology and Potential Treatments

Radicular pain is caused by stimulation of the sensory root or dorsal root ganglion (DRG) of a spinal nerve (Merskey et al., 2007). Radicular pain differs from nociceptive pain in that it is caused by neural activity in the dorsal root rather than stimulation of peripheral nerve ends. As a result, it is distinct from both somatic pain and somatic-referred pain. Furthermore, radicular discomfort is … Continue reading Understanding Radicular Pain: Pathophysiology and Potential Treatments

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Arms, Back, Clinical Tests, Legs, Neurologic

Neurodynamic Assessment

A neurodynamic test checks the length, mobility and mechanical sensitivity of the neurological tissues (1). For a neurodynamic test to be positive, the limb/joint positioning sequence should reproduce the patient’s symptoms associated with radiculopathy along with/without a measurable asymmetry between left and right sides. A positive neurodynamic test indicates multiple pathogeneses, which may include increased tension in the dura mater and the nerves, compression on … Continue reading Neurodynamic Assessment

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Neurodynamics management

Neurodynamic techniques are widely used as part of a multimodal strategy for treating patients with compression neuropathies. In this blog, I will cover various neurodynamic treatment choices as well as some clinical rationale considerations for their use, as well as what pathophysiological processes may be altered by treatment. Neurodynamic procedures are approaches that try to mobilise either the nervous system itself or the tissues that … Continue reading Neurodynamics management

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Neurodynamic assessment

Neurodynamic techniques are widely used as part of a multimodal strategy for treating patients with compression neuropathies. This blog will go through the use of neurodynamic testing as a diagnostic tool. Neurodynamic tests use particular combinations of spine and limb motions that impart mechanical stresses to a region of the nervous system to establish whether a patient’s symptoms are attributable to enhanced nerve mechanosensitivity (Elvey … Continue reading Neurodynamic assessment

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Cervical, Clinical Tests, Neck Pain

Upper Limb Tension Test 3

Upper Limb Tension (neurodynamic) Test 3 – Ulnar Nerve and C8, T1 Nerve Root Bias Purpose of Upper Limb Tension Test 3: To determine if the tension along the ulnar nerve and C8, T1 nerve roots contribute to neurologic symptoms associated with cervical radiculopathy. Patient position: Supine lying. Examiner position: Standing beside the examination table, facing the patient, at the side of the limb to … Continue reading Upper Limb Tension Test 3

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