Clinical neurodynamics is defined as the clinical application of mechanics and the physiology of the nervous system, the relationship between them and their integration with the musculoskeletal system’s function. (Shacklock 1995).
Nerves run through tunnels between muscles, bones, fascia and skin to reach the tissues they are supplying. The condition of the surrounding tissues may decrease the size of these tunnels, affecting the nerve’s passage through them and causing neural dysfunction.
One of the objectives of neurodynamics is to improve the dynamic relationship of the affected neural tissue with respect to the “surrounding mechanisms” using techniques to relax the muscles, tendons and fascia. This will improve the sliding of the nerve and will increase blood flow and prevent irregular signals, helping to reduce pain. There are also self-treatment exercises based on this principle which the patient can perform at home.
With neurodynamic mobilisation, we can treat:
- Neck pain
- Neck, shoulder and arm pain
- Carpal tunnel syndrome
- Back pain
- Disc protrusions
- Painful shoulders