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The use of neurodynamics in pain management 

The use of neurodynamics in pain management
The use of neurodynamics in pain management

Toby Hall

and Kim Robinson

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date: 05 March 2021

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.

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