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Great to see so many of you at the Stagge course this past weekend. We would love to hear some of the clinical pearls that you took away from Jack’s material and perspective on treating UQ/LQ neuropathic symptoms. Here are some questions to stimulate discussion:
– Did you happen to think about a current or previous patient where this approach would have been appropriate? If so, briefly describe the situation and reflect on your practice (what did you do and what would you do if faced with a similar presentation in the future?).
– What are some ways you have or can use UQ/LQ neurodynamic positioning to “get in the door,” as Jack puts it?
– Interestingly, although the manual techniques Jack demonstrated are fairly non-specific, there is a great deal of specificity in his assessment techniques used to differentiate the level of impairment. From a patient management or medical intervention perspective, what do you think the value of this is?
– Any other thoughts you had from the weekend?Thanks,
Aaron -
I thought the course was very helpful to give more of a framework for identifying and treating neurodynamic components.
There have been a few patients that I feel I have gotten more clarity and have benefited from varied treatment because of what I learned. I either didn’t really consider neurodynamics as a component or just wasn’t sure the best way to incorporate this into their treatment.
One patient in particular is a lady with weird shoulder pain that just wasn’t really adding up to match a recognizable pattern, but with some more specific neurodynamic testing I got more clarity on what was contributing. It seemed neural to me but I just wasn’t specific enough on initial evaluation- I only did ULTT 1 and didn’t get much and could have done a better job with cervical assessment. But on the first follow up visit I assessed the other ULTT and radial was positive and then was able to follow that up with palpation and cervical PPIVM and PAIVM to continue to gather information. This then helped me to be more specific with my treatment and I have a better idea of how I want to progress her.
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