Firstly …..
……a bit of ‘history’ – The 1989 Adverse Mechanical Tension in the nervous system, or ‘AMT’ papers that Butler and I wrote for the Journal Physiotherapy. For those of you who may be unaware, AMT is now called ‘neurodynamics’!
Please read the ‘neurodynamics a bit of history‘ blog to get the context of this material
The second article follows the first…. it’s all in one.
Secondly….
A bit more history… my Olive Sands’ Memorial Lecture for the Organisation of Chartered Physiotherapists in Private Practice…It was of course a great honour to be asked to present this annual lecture. I re-read it now and shudder a bit, but historically you can see that this was round about the time in my career when I was starting to shift and get a handle on neuropathic and central pain generation and mechanisms… But note the big tissues and small brain! And also, the way I was describing the crazy presentations of chronic pain…an criticising the value of Maitland manual therapy! This was heresey back then! The cartoon, figure 9 sums it up!! Pleasingly I mention pain generated from within the CNS, see 2nd column page 19. But there’s still a strong tie to ‘skilled manual treatment’…!!
Download here….
Thirdly….
It’s always been my experience with nerve root type problems – cervical and lumbar – that the pain could easily be reproduced with nerve pinch type movements often in preference to nerve ‘tension’ type movements. These two articles and the one chapter on neurodynamics feature this quite strongly.
louisgiffordachesandpains 