Physio Edge podcast with David Pope

104. Peripheral nerve sensitisation & neural tissue pain disorders with Dr Toby Hall

Jun 18, 2020

01:25:03

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Episode guests

Toby Hall

Highlights

AI Chapters

Episode notes

Is Palpation the Final Piece of the Puzzle?

02:10

Neurodynamic Tests and Nerve Valve Patients

02:44

Should You Test the Radial Nerve?

02:15

Introduction

3min

Dr Toby Hall, Is It a Difficult Time?

2min

What's on Hold for the University of Western Australia?

3min

What's the Best Tool to Assess Neuropathic Pain?

4min

Do You Use the Lands in the Clinic?

2min

Physiotherapy and Manual Therapy

2min

What's the Difference Between a Positive and a Negative?

2min

The Third Category of Sensitization

2min

Is There a Primary Driver for Carpal Tunnel?

2min

10.

What Is Radiculopathy?

2min

11.

Somatic Referred Pain

2min

12.

Somatic Referred Pain

4min

13.

Is There a Nerve Sensitization in a Patient?

2min

14.

Is There a Compressive Disorder?

2min

15.

Is There a Serious Sensitization of a Nervous System?

4min

16.

Is There a Mechanism of Occurrence of Pain?

2min

17.

Postural Evaluation - Is There a Compressive Disorder?

2min

18.

Is There a Compressive Nerve Sensitization?

2min

19.

Do You Have a Sensitive Screening Test?

2min

20.

Is There a Potential for Pain in the Upper Lung?

1min

21.

Is There a Nerve Problem?

2min

22.

Neurodynamic Tests and Nerve Valve Patients

3min

23.

Do You Use Ankle Dorsiflexion for Straight Leg Raises?

2min

24.

Do You Think About Differential Diagnosis When It Comes to Lower Limb Pain?

2min

25.

Should You Test the Radial Nerve?

2min

26.

How Do You Test the Femoral Nerve?

2min

27.

Physiotherapy for Heel Pain

3min

28.

Do You Have a Drug Problem?

3min

29.

Is There a Role for Cabbapentinoids in Low Back Pain?

3min

30.

Is Palpation the Final Piece of the Puzzle?

2min

31.

Palpation of the Median Nerve

2min

32.

Do You Need This Next Step of the Palpation to Be Positive to Confirm That This Is the Problem?

2min

33.

Is There a Modified Straight Leg Raise Test?

3min

34.

Diagnostic Blocks

2min

35.

Is There a Treatment for Sensitization?

2min

36.

Is There a Course on Neuronal Tissue Disorders on the Podcast?

4min

How can you identify the source of your patients leg, shoulder or arm pain? Is it from neural tissue compression, sensitisation or irritation or nearby joints, tendons or muscles? What questions and objective tests will help you diagnose a neural tissue pain disorder (NTPD)?

In this podcast with Dr Toby Hall (Specialist Musculoskeletal Physiotherapist, FACP, PhD), you’ll discover:

Three types of neural tissue pain disorders, and how to identify each one
What is Peripheral nerve sensitisation (PNS)?
What clues in your subjective examination will help you identify PNS?
Why do nerves become inflamed or irritated?
How to identify & differentiate radiculopathy and radicular pain in patients with radiating limb pain.
Do all patients with NTPD have obvious neuro symptoms such as pins and needles, numbness or weakness?
Quick screening tests you can use in your assessment to identify PNS.
How to identify if your patients shoulder and arm pain is from neural tissue or from local shoulder structures.
How to diagnose a NTPD in patients with hip or leg pain.
How to perform passive neurodynamic tests such as the straight leg raise (SLR), upper limb neurodynamic test (ULNT), slump test and femoral nerve slump test.
What information does a positive or negative neurodynamic test provide?
Can we identify the location of a nerve lesion or irritation with our passive neurodynamic tests or palpation?
Initial PNS treatment options
Is exercise helpful or harmful in patients with PNS?
How can you palpate over neural tissue, and what information does this provide?
Do opioids provide pain relief, or prolong recovery in patients with NTPD?

This podcast is the first part in a two part series on neural tissue pain disorders with Dr Toby Hall. Part 1 (this podcast) guides you through the types of NTPD, and how to assess and diagnose NTPD. Part 2 (available soon) will take you through how to treat PNS.

I highly recommend listening to this episode (part 1) prior to part 2, to have a thorough understanding of when and how to treat PNS.

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