help me - neural mobiliztion in sciatica

[sharmaphysio]

hi physios
m a final year student,i need to know about neural mobiliztion in sciatica

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• neural mobilization in sciatica
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[urigellar]

check out david butlers book 'the sensitive nervous system'. this is the holy grail of neural mobilisation and neurodynamics.
on a basic note though if a patient with sciatica has positive neurodynamic tests i.e slump/slr you can treat this by getting the nerve moving......they love a bit of gentle movement.......whether this be by mobilisation of joints, soft tissues near the nerve or through exercise its up to you to reason that on the best available evidence!

[Michael Shacklock]

Hi, I saw your question about neural mobilization and sciatica. The treatment for this has some important points:
1. Identify the dysfunction that is causing the sciatica. This can be a problem in the structures around the nerve roots (mechanical interface eg. canal or intervertebral foramen) or in the nerve roots. If the problem is in the mechanical interface, it could be a problem of the interface not opening or closing around the nerve root. If the problem is in the nerve root, it could be a sliding (proximal or distal) problem or it could be a tension dysfunction.
2. Each dysfunction may need specific treatment and the physical techniques for diagnosis and treatment of the problem are quite specifically performed. There are also treatment techniques for when there is a combination of problems.

These are outlined in my new book:

Shacklock M 2005 Clinical Neurodynamics: a new system of musculoskeletal treatment. Elsevier, Oxford.

There is a CD-ROM of real time movement of nerves and abnormalities in this too, so you can see what they are like when they malfunction and you can also see how specifically we can moves nerves when the need arises.

If you need more information about the book, do visit www.elsevierhealth.com or www.neurodynamicsolutions.com

If you would like any more information. Do ask and I am more than happy to help you out.

Kind regards,
Michael Shacklock

[Michael Shacklock]

I meant to say that there are several comments about Clinical Neurodynamics on the web.
1. www.rehabedge.com - look under 'Barrett's book review'.
2. www.somasimple.com - a great site for discussions about pain, the musculoskeletal system and neurodynamics.

Regards,
Michael