The E3 Rehab Podcast 135. Questioning Neural Mobilization w/ Aaron Kubal
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Feb 13, 2024 Aaron Kubal, an expert in neurodynamics, questions the narratives, mechanisms, and research surrounding it. Topics discussed include differentiating radicular pain and radiculopathy, alternative strategies for managing nerve pain, setting realistic expectations, and the importance of individualized treatment approaches.
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Questioning Neural Mobilizations
- Neural mobilizations are based on the theory that nerves become stuck and need movement to get unstuck.
- Aaron Kubal questions this mechanism due to lack of strong evidence supporting it.
Evidence Doubts Specific Nerve Glides
- Evidence shows nerve adhesions exist but targeted gliding may not be more effective than general movement.
- Nerve mobilizations might not uniquely unstuck nerves; normal movements likely do the same.
Prioritize Load Management Over Flossing
- Focus on load management by modifying provocative activities instead of forcing nerve glides.
- Work around symptoms to maintain normal activities and reduce flare-ups.