The E3 Rehab Podcast

135. Questioning Neural Mobilization w/ Aaron Kubal

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.

56:00

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Episode guests

Aaron Kubal

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Quick takeaways

Questioning the effectiveness and mechanisms of neurodynamics in relieving nerve pain.

Differentiating between radicular pain and radiculopathy to determine appropriate management options.

Working around radicular pain symptoms by modifying movements and exercise routines to reduce nerve tension.

Deep dives

Neurodynamics and Radicular Pain

In this podcast episode, the host interviews Aaron Kubal to discuss neurodynamics and radicular pain. They explore the theoretical underpinnings of neurodynamics and question its effectiveness in relieving nerve pain. They emphasize the distinction between radicular pain and radiculopathy and discuss alternative strategies for managing nerve pain. The focus is on setting realistic expectations for recovery and the importance of time in resolving radicular pain. They also discuss the temporary analgesic effect of nerve glides and the need to work within manageable limits while waiting for the natural course of healing.

Introduction

4min

Evolving Approach and Audience

2min

Neuro Dynamics and Neural Mobilization in Radiculopathy Management

16min

Questioning the Test-Retest Approach

3min

Initial Conversation with Patients Experiencing Nervous Symptoms

4min

Understanding the Difference: Radiculopathy vs Radicular Pain

23min

Questioning Treatment Approaches and the Importance of Individualization

4min

Chris sat down with Aaron Kubal to discuss all things neurodynamics. We dive into Aaron’s questioning of the narratives, proposed mechanisms, and research surrounding neurodynamics, differentiating between radicular pain and radiculopathy, alternative strategies for managing nerve pain, the importance of setting realistic expectations, and much more.

Watch the full episode: https://youtu.be/gaCC8jorRI0

Resources:

JOSPT Neural Mobilization CPG

Nikolai Bogduk: Definitions and Physiology of Back Pain, Referred Pain, and Radicular Pain

Tom Jesson’s Writing

More about Aaron:

Aaron’s Instagram

Aaron’s TikTok

Pain and Rehab Mentorship Program

Why Telehealth Course

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YouTube: https://www.youtube.com/e3rehab