Nerve Mobilizations Are Used To Assess for an increased mechanosensitivity of the nervous system
Neurovascular bundles may be exposed to mechanical irritation or a noxious biochemical environment at many different points. Prolonged irritation may result in a reduction of intraneural blood flow. In turn, local hypoxia of a peripheral nerve leads to a drop in tissue pH that triggers the release of inflammatory mediators, known as “inflammatory soup”. This noxious substance may contribute to ongoing nociception without overt nerve damage (Govea et al. 2017).
Straight Leg Raise or Slump test to assess the neuroimmune system will give valuable information about the clinical presentation (Urban et al. 2015).
Sometimes patients still may test negative, but this does still not rule out nerve irritation (Schmid et al. 2013), in these cases a more refined neurological assessment approach may be needed.
Nerve Mobilizations Are Used To Restore the Altered Homeostasis in and Around The Nervous System
If the nervous system is involved, nerve mobilizations have shown to be of use for sciatic pain (Basson et al. 2017, Neto et al. 2017). The application of specific soft tissue treatment may help to diminish intraneural edema and/or pressure by mobilizing neural tubes (Gilbert et al. 2015).
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