Tag: Spine anatomy

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What is neurodynamics? The very minimum you should understand.

Since the 1970s, when these procedures were first introduced, the treatment of neural tissue has remained a common component of diagnostics and treatment in manual physiotherapy (Elvey 1979; Butler 1991, 2000; Shacklock 1995, 2005; Hall & Elvey 1999). Theoretically, neurodynamics is just another name for neural mobilisation or neural mobilisation combined with certain additional neurosciences, according to some therapists. Moving neural tissues is just one … Continue reading What is neurodynamics? The very minimum you should understand.

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Cervical adherent nerve root dysfunction: classification and therapy – A case report

Introduction: Mechanical diagnosis and therapy (MDT) of the cervical spine, also known as the McKenzie method, has been the focus of research in the field of musculoskeletal physical therapy in recent years. The MDT focuses on the patient’s symptomatic and mechanical responses to the systematic application of repetitive end-range movements. Adherent nerve root (ANR) is a specific form of dysfunction that occurs secondary to trauma, … Continue reading Cervical adherent nerve root dysfunction: classification and therapy – A case report

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Journey into the upper cervical segments | A primer on neuroanatomy.

The upper two cervical segments formed by atlanto-occiptal & atlanto-axial joints are anatomically dissimilar from the functional units below. In this article, I am going to share some insights that might assist your clinical reasoning for patients with upper cervical neck pain. The craniocervical junction (CCJ) is a complex transitional region between the base of the skull and the upper cervical spine. It is formed … Continue reading Journey into the upper cervical segments | A primer on neuroanatomy.

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Anatomical explanation | Why are upper lumbar nerve roots less frequently affected by disc problems, while lower lumbar segments are more frequently involved?

The majority of symptomatic disc herniations are found at the lower two lumbar interspaces, that is, about 50% at L4–5 and 47% at L5-S1 (1). The remaining 3% are found at higher lumbar levels (1). A research study comparing patients with upper lumbar (L1–2 and L2–3) herniations to those with herniations at L3–4, L4–5, and L5-S1, showed that the patients with upper lumbar herniations had … Continue reading Anatomical explanation | Why are upper lumbar nerve roots less frequently affected by disc problems, while lower lumbar segments are more frequently involved?

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Journey into the cervical spine | A primer on neuroanatomy

The neck has anatomic structures that are involved in balance control (cervical afferents), vascular tone regulation (carotid sinuses), blood circulation (carotid and vertebral arteries), and mechanical support of the cervical spinal cord. Therefore, the symptoms such as dizziness, imbalance, or vertigo associated with cervicocephalic movements could also be attributed to vestibular (inner ear), visual, vascular, neurovascular, cervicoproprioceptive, or cervical spinal cord dysfunction. In this article, … Continue reading Journey into the cervical spine | A primer on neuroanatomy

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