John Miller Physiotherapist

Article by John Miller

What is Neurodynamics?

Introduction to Neurodynamics

Just like your joints and muscles, your nerve tissue requires the freedom to move without hindrance. When neural tissue gets impeded, it often results in pain or restricted nerve movement.

Understanding Neural Tension and Its Impact

Neural tension can lead to nerve pain and limit your movement. A physiotherapist trained in neurodynamics can effectively assess and identify the exact nerves affected and the location of the impediment.

Physiotherapist treating patient for nerve pain relief in neural tissue
Effective Neurodynamics Treatment In Action

How Can Physiotherapy Help?

Physiotherapy plays a crucial role in managing and alleviating nerve-related issues, especially those related to neural tension. This specialised form of care starts with a comprehensive evaluation by a physiotherapist, who assesses your movement, identifies restrictions, and pinpoints the sources of neural tension. The approach is highly individualised, catering to your specific needs and conditions.

After assessment, the physiotherapist employs a variety of techniques to treat the identified issues. These can include manual therapy, where hands-on techniques are used to mobilise and manipulate nerves and surrounding tissues. This approach helps in freeing up the nerve, allowing it to move more smoothly within its pathway.

Besides manual therapy, physiotherapists also utilise specific exercises and stretches designed to enhance neural mobility. These exercises are tailored to your unique situation and are aimed at gradually reducing nerve tension, improving flexibility, and enhancing overall nerve function. The goal is to restore movement, reduce pain, and prevent future issues.

Education and self-management strategies are also key components of physiotherapy. Physiotherapists provide advice on posture, ergonomics, and lifestyle modifications to help manage symptoms and prevent recurrence. This holistic approach ensures that you are not only relieved of your current symptoms but also equipped with the knowledge and tools to maintain nerve health in the long term.

In summary, physiotherapy for neural tension involves a multifaceted approach that includes assessment, hands-on treatment, exercises, modalities for pain relief, and education. This comprehensive care aims at not just addressing the immediate symptoms, but also at preventing future episodes, ensuring a return to full function and an improved quality of life.

Common Conditions Associated with Adverse Neural Tension

Conditions such as back pain, sciatica, hamstring and calf pain, neck and arm pain, shoulder pain, carpal tunnel syndrome, tennis elbow, and pinched nerves often develop adverse neural tension.

The Important Difference Between Neurodynamics and Nerve Stretches

Neurodynamics involves mobilising the nerve without actually stretching it, as excessive stretching can harm your nerves. Your physiotherapist will focus on treating the structure causing the impediment, thus restoring neural mobility and alleviating nerve pain.

Research Behind Neurodynamics

The neurodynamics or neuro mobilisation concept is originally based on the research by physiotherapists Michael Shacklock and David Butler. Over the past 20 years, further researchers such as Dr Michel Coppieters and Dr Alf Brief have added to the volume of scientific research supporting the hypothesis that your nerve tissue also requires full movement to remain for full pain-free function.

“Essentially, the entire nervous system is a continuous structure, and it moves and slides in the body as we move, and the movement is related to critical physiological processes such as blood flow to neurones. This movement is quite dramatic, and it is not hard to imagine that fluid such as blood in the nerve bed, a constricting scar, inflammation around the nerve or a nerve having to contend with arthritic changes or proximity to an unstable joint could have damaging effects, some of which could lead to pain.”

“Neurodynamics is an innovative management tool which involves conservative decompression of nerves, various neural mobilising techniques and patient education techniques. Neurodynamics offers a fresh understanding and management strategies for common syndromes such as plantar fasciitis, tennis elbow, nerve root disorders, carpal tunnel syndromes and spinal pain.”

“Neuro mobilisation is a method of conservative treatment of disorders of neural tissue. The rationale for using neuro mobilisation in treating musculoskeletal conditions is based on in vivo and in vitro studies that point to the high efficacy of neuro mobilisation procedures. Appropriate use of neuro mobilisation procedures depends on excellent knowledge of normal and pathological anatomy, differences between individual etiological factors, development of disease and symptom variability.” Michael Shacklock

Shacklock M (1995) Neurodynamics. Physiotherapy 81: 9-16. 2.

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

Neurodynamics Training Courses



Neurodynamics offers a fresh perspective on nerve-related disorders, providing innovative management strategies and relief from various conditions.

What to Do Next?

If you’re experiencing symptoms that might be related to neural tension, it’s crucial to seek professional advice from a physiotherapist. They can accurately assess your condition and offer tailored treatment to relieve your nerve pain.

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Maximising Your Health with Physiotherapy Treatment

Exploring Physiotherapy Treatment for Pain and Injury

Physiotherapy treatment shines as a beacon of hope for individuals grappling with illnesses, injuries, or disabilities. Physiotherapists proactively utilise an array of techniques, including exercises, manual therapies, and soft tissue manipulation. Their professional skills extends to educating patients on managing pain, facilitating injury recovery, and retaining autonomy in daily functions.

A woman sitting on a physiotherapy table while a physiotherapist examines her leg, demonstrating a typical physiotherapy assessment session.
Physiotherapist Conducting A Detailed Leg Assessment On A Patient.

Acute and Sub-Acute Injury Management

Physiotherapy treatment strategies are meticulously designed to address both acute and sub-acute injuries. With a focus on joint mobilisation, manipulation, and targeted soft tissue work, physiotherapists ensure each patient embarks on an efficient path to recovery. Supportive devices such as strapping, taping, and braces often complement these techniques.

Incorporating Alternative Therapies

In their holistic approach, many physiotherapists incorporate alternative methods like acupuncture and dry needling to augment pain relief and muscle function. Tailored physiotherapy exercises, ranging from stretching to Swiss ball workouts, are prescribed to meet the diverse needs of patients.

Specialised Physiotherapy Treatment

Specialised services within physiotherapy cater to specific groups and needs. Sports physiotherapy, women's and men's health, and workplace physiotherapy are distinct areas that address the particular challenges faced by different patient populations. Electrotherapy and local modalities such as therapeutic ultrasound and TENS machines represent the another side of physiotherapy treatments.

Targeted Physiotherapy Treatment for Injury Recovery

For those facing acute or sub-acute injuries, physiotherapists provide immediate and effective treatments that target pain, swelling, and inflammation. They blend traditional methods with innovative techniques to foster healing and functional restoration.

Hands-On Techniques in Physiotherapy

The hands-on aspect of physiotherapy is fundamental, with practitioners employing joint mobilisation, manipulation, and massage to catalyse healing and reduce discomfort. Ongoing learning and collaboration with other health professionals ensure that physiotherapy care is both comprehensive and customised.

Support Through Taping and Bracing

Physiotherapists are adept at applying various taping methods and supportive braces to aid in the stabilisation and rehabilitation process. They assess and determine the most suitable support mechanisms for each individual's condition.

physiotherapy treatment
Physiotherapy Treatment

Exercise Prescription for Rehabilitation

A broad spectrum of exercises is at the heart of physiotherapy treatment plans. From enhancing muscle flexibility to improving balance and proprioception, physiotherapists deliver evidence-based exercise regimens aimed at optimising recovery and function.

Biomechanical Analysis for Customised Care

A thorough biomechanical assessment underpins the physiotherapeutic approach, guiding the development of personalised treatment plans. This detailed analysis ensures that interventions are accurately targeted to address specific issues.

Specialised Physiotherapy Treatment Modalities

Hydrotherapy and sports physiotherapy offer targeted treatment options for individuals with specific needs, from aquatic exercises to specialised programs for athletes. Vestibular physiotherapy is dedicated to resolving balance disorders and associated symptoms.

Gender-Specific and Workplace Physiotherapy

Addressing the unique health concerns of both men and women, gender-specific physiotherapy utilises techniques like pelvic floor exercises. In the workplace, physiotherapy focuses on preventing and managing job-related injuries, contributing to a healthier work environment.

Conclusion: The Journey to Wellness with Physiotherapy

In conclusion, physiotherapy treatment is a richly diverse field, providing individualised care and a broad range of techniques to support patients on their path to recovery. It's essential to engage with a professional physiotherapy team to develop a tailored approach for achieving personal health and wellness objectives.

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When Should You Commence Physiotherapy?

In severe cases, it is best to commence physiotherapy as soon as possible. However, it does vary from case to case. Your physiotherapist has some nifty tricks to improve your pain straight away.

If you are unsure what to do, please call us for advice. We’ll happily guide you in your time of need. Often a bit of reassurance is all that you will need.

How Much Treatment Will You Need?

After assessing your injury, your physiotherapist will discuss the injury severity with you and estimate the number of treatments needed. No two injuries are ever the same.

Your treatment will include techniques and exercises to regain your:

  • joint, ligament and soft tissue mobility
  • muscle strength, power and speed
  • balance and proprioception
  • prevention tips
  • performance improvement.

What If You Delay Treatment?

Research tells us that symptoms lasting longer than three months become habitual and are much harder to solve. This can lead to nastier conditions. The sooner you get on top of your symptoms, the better your outcome.

All injuries are different, and little variations can significantly improve your recovery rate. Stiff joints or muscles may need some range of movement exercises. Other injuries may require massage or particular strengthening exercises.

Seek professional guidance promptly for your best outcome.