While in the Hamptons, my main man Cody Benz started developing some neck trouble.
We thought it might be helpful for y’all to see what I would do to help a cat like him.
Here you will see me go through an entire treatment session with Cody, while I do my best to explain every decision I make. A major kudos to Daddy-o Pops Bill Hartman for asking some great questions throughout the treatment.
Instead of the typical transcript I provide for these longer videos, I decided to write this up similarly to my neck pain with sitting case study format. I reflected on this case while editing the video, so you’ll see some added thoughts I had while you read through. I would recommend watching the video and reading the case study to get the most out of the material.
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.