Neurodynamics – nerve mobilisation

Neurodynamics – nerve mobilisation

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Therapy

Neurodynamics

Nerves need freedom of movement. If a nerve is irritated or compressed – for example with nerve root irritation or carpal tunnel syndrome – targeted nerve mobilisation helps relieve pain and restore mobility.

Neural mobilisation is an established part of rehabilitation for irritated or compressed nerves – combined with manual therapy, treatment of neighbouring regions and gradual progressive training.

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Neurodynamics

How it works

How neurodynamics works

1 · TestTesting the nervesWith neurodynamic tests, we check how sensitively a nerve reacts to movement and stretch.
2 · MobilisationGliding instead of stretchingGentle gliding movements («sliders») improve the nerve’s mobility and calm it down without overstretching it.
3 · SurroundingsNeighbouring regionsWe treat joints and muscles along the course of the nerve and adjust posture and load in everyday life.
4 · Build-upGradual loadingFrom the individual segment to functional movement – well-dosed progressive training secures success.

Scientific evidence

What studies show

Back and neckProven benefitAn analysis of 40 studies shows benefits of nerve mobilisation for back and neck pain with nerve involvement.
Everyday lifeMovement helpsAdapting everyday life is just as important: more moderate exercise, less prolonged, one-sided sitting.
To be honestNot clear everywhereFor other complaints, for example at the elbow, the benefit is still uncertain. That is why we combine the method specifically with other measures.

Indications

We treat

  • Nerve root irritation (radiculopathy)
  • Disc herniations with nerve root involvement
  • Carpal tunnel syndrome (CTS)
  • Peripheral nerve entrapments
  • Peripheral nerve injuries
  • Nerve adhesions after surgery
  • Chronic pain with nerve involvement

FAQ

Frequently asked questions

How can I tell that a nerve is involved?

Typical signs are radiating, burning or electric pain, tingling or numbness. With paralysis or increasing weakness, prompt medical assessment is important.

Can I do the exercises at home?

Yes. We show you gentle gliding exercises that you can do on your own. The right dosage is important – better gentle and regular than too strong.

Does neurodynamics help with sciatica?

For radiating leg pain, it can be an effective part of treatment – together with education, exercise and training. More on the page Back complaints.

Sources: Basson A et al., J Orthop Sports Phys Ther 2017 (neural mobilisation) · Further reading: NOI · Published by us: case report on radiculopathy

Radiating pain or tingling?

We check whether a nerve is involved – and treat it precisely.

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