Ivan Zamorano

Acupunture Treatment

Nerve Flossing | ChiroUp.com Evidence-Based Chiropractic Research.

Nerve Flossing | ChiroUp.com Evidence-Based Chiropractic Research.

Hi, this is Tim from ChiroUp, and I want
to show you three simple nerve flossing exercises for upper extremity
radiculopathies and neuropathies. Last month, The Spine Journal had an article
showing that irritated cervical nerve roots were actually larger than their
counterparts, and this was because of edema. And we know that that edema can trickle down into the peripheral nerves, as well distal to the site of irritation, and this leads to adhesions and fibrosis. And that’s a problem because nerves need to move. They need to be able to stretch, they need to be able to glide in their
canals, and when they’re in trapped, they’re vulnerable to the two things
that nerves don’t like: compression and stretch. So nerve flossing is a way to
help restore normal neural dynamics. Now nerve flossing is different from a nerve
tension. In one of our prior blogs, we talked about how to tension a nerve.
Think about the slump test, that we’re tensioning both ends, versus a treatment
that would be a nerve floss. We’re going to tension one end at a time in hopes
of moving that nerve back and forth through its channel, breaking up those
adhesions. Now this is obviously specific to whichever nerve is irritated, so I’ll
show you the nerve flossing exercises for the median, the radial, and the ulnar
nerve. And the good news is, they’re really simple. You can give these
exercises at home or perform them in office. For the median nerve, the way that
we’re going to stretch one end– think carpal tunnel, we’re going to stretch by
moving the wrist into extension, and we’re going to take tension off of the
other end by having the patient bend their head toward that side. Now to floss
it, we’re going to do just the opposite. We’ll now take the tension off of the
wrist side and put some tension on the cervical side. And we have that patient
move back and forth through that movement into extension and laterally
flexing their head as they come back into flexion, and laterally flexing the
other way. For the radial nerve, this is a very similar process, that the way that
we’re going to tension it though, is move that patient into a “Butler Tip”
position. And we’re going to take the tension off by laterally flexing toward
the same side, so now it’s loose at the neck. It’s tight at the wrist. And then we
swap those, in much the same movement, having them bring their hand up, and then
coming back into that “Butler Tip” position, while laterally flexing their
head towards the site of involvement. And
finally for the ulnar nerve, we’re going to have that patient make a circle with
their hand, and flip it upside down and then take that out into a handshake. And
bring it back up to their face, upside down, and into a handshake. So those are
three movements that you can do in office or send the patient home with. The
bottom of this blog also has videos of each of those home versions and the
clinical version, so that you can get a better grasp. You’re also welcome to
visit ChiroUp.com to see neuroflossing exercises for any neuropathy throughout
the body, or to review the “best practice” protocols for those conditions, as well
as ninety-five others.

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