You shed that mindset with the game on the line. You must do all in your power to get that player back on the court tonight, expediting the return process to the nth degree.
I had a problem.
Figuring out the most efficient way to treat an ankle sprain was needed to help our team succeed. I searched the literature, therapeutic outskirts, and tinkered in order to devise an effective protocol.
The result? We had 12 ankle sprains this past season. After performing the protocol, eight were able to return and finish out the game. Out of the remaining four, three returned to full play in two days. The last guy? He was released two days after his last game.
It’s a tough business.
The best part was we had no re-sprains. An impressive feat considering the 80% recurrence rate¹. Caveats aside, treating acute injuries with an aggressive mindset can be immensely effective.
15) Assess how injury affects creative outlets and assist the patient with regaining creativity and discovering new creative outlets.
There are several ways to incorporate neurodynamics into the patient’s plan of care which will be outlined below.
Posture and ergonomics.
There are many evaluation protocols that warrant constant reassessment after applying an intervention. Be it a comparable sign or audit, neurodynamic tests can be utilized well within these systems.
A word of caution with instant reassessment, as quick changes could merely be playing with impulses in a healing environment. The real sense of improvement is through improved function.
When working with Peripheral neuropathic pain (PNP), it is important to educate patients on normal responses. Many may find it weird that neck movements can change sensations at the wrist, but patients must realize that the nervous system is a continuous structure. Providing stimulus at one point of the structure can lead to responses at other ends of the same structure.
In central sensitization, the language provided must be spoken tactfully. The following points are important to hit home:
1) Acknowledge the specific dysfunction, but say it has had time to heal.
2) Real processes within the central nervous system occur that magnify inputs.
3) There are several reasons why this increased sensitivity occurs, including biopsychosocial inputs.
4) The nervous system produces chemicals that keep it sensitive.
Regardless of how we communicate with patients, the most important thing is to not be frightened by pain. If we are frightened of pain and do not understand it, this will be carried to the patient.
First some ground rule concepts.
1) Reject the notion of neural stretches and crude assessments.