Neural mobilization can be performed actively as exercise (see the video below)or passively performed by osteopaths, physiotherapists and manual therapists. It is very effective in the management of nerve-related low back pain, nerve-related neck and arm pain, and plantar heel pain and tarsal tunnel syndrome.
A different approach to patients suffering of non-traumatic musculoskeletal pain can improve pain conditions and limit the disability level. Practitioners need to explain the condition and the strategy to manage the problem. Improving education, exercise and lifestyle are key points to engage the patient taking control.
Pain education for musculoskeletal disorders is very effective reducing disability, improving movement and reducing medication use.
Movement is a key factor for getting better, together with explaining to patient what to do to improve their confidence in their physical ability. "Your pelvis is out of place" is a misleading description of the cause of your pain and is increasing patient fear of movement.
This review findings support that therapeutic exercise can improve posture and helping patients to decrease neck pain.
The most recent low back pain management guidelines recommend to remain active, patient pain education, exercise therapy and cognitive behavioural therapy.
Glutes exercise work is very important in order to decrease the risk of knee injury.
WHERE the MRI is performed, WHO interprets the examination may have an impact on radiological diagnosis, sub sequentially on treatment strategy and clinical outcome. Thanks again Lee Higginbotham for the info-graphic.
Are anatomical abnormalities, normal in a healthy population? Very high percentage of abnormalities found by scans in patient who weren't in pain.
Disk bulging, disk degeneration, cartilage defect, meniscal tear, CAM deformity, labral injury, pincer deformity. These are only some of the abnormalities found analysing asymptomatic patients with MRI scan, US scan and arthroscopy diagnostic modalities. Thanks to Lee Higginbotham.
Knee clicking has not relationship to pain and function in patient with anterior knee pain or patellofemoral pain
Knee crepitus has not relationship with pain and function in patients with patellafemoral pain.
Massimo Monticelli M.Ost