The dura surrounds the exiting spinal nerve roots to the
interveterbal foramen.
MOre Double Crush Injuries Other Mechanisms
7.Entrapment of the n. at one site causes decreased use of the m. pump and results in generalized edema and additional n. entrapment.8.The initial n. lesion releases a metabolite that passes through interneural circ which increases vulnerability of othe
SLR can be postive and not neruodynamic.... what are the positve signs.
non-radiating back pain with testing could be joint, connective tissue, or muscle)
(The double crush syndrome) Impairment of neural excursion may result in
disruption of axons, impairment of axonal transport, endoneural edema, or ischemic changes in nerves.
Bowstring Tests
Used to test nerves.Named after the nerve under examination.These tests are done for insufficient stretch of the dura to detect chronic adhesions.
Neurodynamic Mobility ExaminationsThe purpose of the physical examination is
to determine what tissue is at fault. A clinician must decide what tissue may be causing the pain and stressing that tissue.
ULTT1 Median Nerve DominantSix positions:
1.Wrist neut, fing & thumb in flex2.Wrist neut, fing & thumb in \3.Wrist & fingers \, thumb in neut4.Wrist, fing, thumb \5.Wrist, fingers, thumb \, forearm sup6.Wrist, fingers, thumb \ forearm sup with other hand gently stretching the thumb.
The double crush syndrome
syndrome is a general term referring to the coexistence of two neuropathies along the course of a peripheral nerve.
The dura is tethered to the bony canal at
C6, T6, and L4.
Median nerve has four positionsPosition #4
After this position can be maintained, add cervical side flexion.
