Introduction
Neural tissue mobilisation is a manual therapy technique used in physiotherapy to treat conditions involving nerve pain and restricted nerve mobility. It involves gentle, controlled movements to mobilise the nerves and surrounding tissues, promoting normal nerve function, reducing pain, and restoring mobility. This technique is particularly effective for conditions such as sciatica, carpal tunnel syndrome, and nerve entrapment syndromes.
In this article, we’ll explore the benefits, techniques, and applications of neural tissue mobilisation in physiotherapy.
What is Neural Tissue Mobilisation?
Neural tissue mobilisation, also known as neurodynamics or nerve gliding, is a hands-on technique designed to restore the normal movement and function of nerves. When nerves become irritated, compressed, or entrapped, they can cause symptoms such as pain, tingling, numbness, or weakness. Neural tissue mobilisation aims to reduce these symptoms by gently stretching and mobilising the nerves, improving their mobility and the ability to glide through surrounding tissues.
The physiotherapist uses specific movements and positions to target the affected nerve. The intensity and technique are adjusted based on the patient’s condition and tolerance.
Benefits of Neural Tissue Mobilisation
- Pain Reduction
This technique helps alleviate pain by relieving pressure on the irritated or compressed nerves. It can be effective for conditions involving nerve-related pain, such as sciatica or carpal tunnel syndrome.
- Improved Nerve Function
By restoring the normal movement of the nerves, neural tissue mobilisation enhances nerve function and reduces symptoms such as tingling or numbness.
- Increased Mobility and Flexibility
The technique helps improve the range of motion in areas affected by nerve entrapment or restriction, allowing for better functional movement and flexibility.
- Reduction of Nerve Irritation
Neural tissue mobilisation helps decrease irritation and inflammation of the nerve by encouraging healthy movement and reducing mechanical stress on the nerve.
- Complementary to Other Physiotherapy Techniques
This therapy can be combined with other treatments, such as manual therapy, exercise, or massage, to provide a comprehensive approach to pain relief and rehabilitation.
Conditions Treated with Neural Tissue Mobilisation
Neural tissue mobilisation is effective for treating a variety of nerve-related conditions, including:
- Sciatica: Mobilising the sciatic nerve can help reduce pain radiating down the leg and improve mobility.
- Carpal Tunnel Syndrome: This technique can help alleviate symptoms like numbness and tingling in the hands by mobilising the median nerve.
- Nerve Entrapment Syndromes: Conditions such as ulnar nerve entrapment, radial tunnel syndrome, or tarsal tunnel syndrome can benefit from neural tissue mobilisation.
- Peripheral Neuropathies: Mobilisation can help improve nerve function and reduce symptoms associated with conditions like diabetic neuropathy.
- Post-Surgical Nerve Pain: Patients experiencing nerve pain after surgery can benefit from this technique to restore nerve mobility.
Is Neural Tissue Mobilisation Safe?
Neural tissue mobilisation is considered a safe and effective treatment when performed by a qualified physiotherapist. It is important to note that the technique should be applied gently, especially for acute or highly irritated conditions. In certain cases, such as severe nerve compression, recent surgery, or active inflammation, neural tissue mobilisation may not be appropriate. A thorough assessment by a physiotherapist is essential to ensure the technique is suitable for the individual.
What to Expect During a Neural Tissue Mobilisation Session
During the session, the physiotherapist will guide the patient through specific movements designed to target the affected nerve. The movements encourage nerve gliding by adjusting the position of the limbs, neck, or spine.. The intensity of the mobilisation will be tailored to the patient’s symptoms and tolerance.
Patients may experience a gentle stretching or tingling sensation during the technique, but it should not be painful. Some soreness may occur after the session, but this typically resolves within a day. Multiple sessions may be necessary to achieve optimal results, depending on the severity of the condition.
Conclusion
Neural tissue mobilisation is an effective manual therapy technique for treating nerve-related conditions. It helps alleviate pain, improve mobility, and restore normal nerve function by gently mobilising the nerves. When used as part of a comprehensive physiotherapy treatment plan, neural tissue mobilisation can significantly enhance the rehabilitation process and improve the quality of life for patients suffering from nerve pain.