The use of neurodynamics in pain management
- DOI:
- 10.1093/med/9780199674107.003.0056
This chapter describes an evidence-based classification system for the identification and management of patients suitable for neural mobilization techniques. In order to evaluate when neural mobilization is likely to be effective, the clinician must carry out a comprehensive clinical examination which includes a range of physical tests that do not presume the source of symptoms but that identify a sufficient number of signs correlating with and supporting each other in the formulation of a clinical diagnosis. The classification of neural pain disorders is hierarchical. The first step is identifying neuropathic pain with sensory hypersensitivity (NPSH) using the LANSS scale. In the absence of this, the next criterion is significant neurological deficit determined through a comprehensive neurological examination. In the presence of normal conduction, the third step would be the identification of peripheral nerve sensitization (PNS), confirmed by the presence of a number of very specific correlating signs.
Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.
Please subscribe or login to access full text content.
If you have purchased a print title that contains an access token, please see the token for information about how to register your code.
For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.
