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Re: adherent nerve root, who knows how to treat it?
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Re: adherent nerve root, who knows how to treat it? - October 3, 2006 7:07:00 AM
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srcase
Posts: 551
Joined: November 30, 2004
From: Michigan
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Diane,
I am trying to remember reference for an article I was reading in the neurologists office a couple weeks ago (went with my kid sister for her optic neuritis). It was showing a study in which patient with chronic pain were taught to change their brain "pictures" using thought/emotions and biofeedback, and this decreased their pain. After practice, they were able to do it on their own. Anyone read this article?? Sorry I can't remember the reference, I think it was Neurology Today, but I can't find the article online.
Sarah
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Re: adherent nerve root, who knows how to treat it? - October 3, 2006 10:10:00 AM
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dfjpt
Posts: 238
Joined: April 9, 2006
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Sarah, I think we're going to need a bit more information to track it down.. can you remember any more details?
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Re: adherent nerve root, who knows how to treat it? - October 3, 2006 12:30:00 PM
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srcase
Posts: 551
Joined: November 30, 2004
From: Michigan
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Unfortunately no. I was so worried about my sister, I didn't actually think to look at the issue number or date of the article. She's fine by the way.
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Re: adherent nerve root, who knows how to treat it? - October 3, 2006 6:38:00 PM
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srcase
Posts: 551
Joined: November 30, 2004
From: Michigan
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Back to the topic of the thread, adherent nerve roots. I was discussing this with Michael Shacklock the other day via the internet and this is what he had to say: When asked do adherent nerve roots exist and can we diagnose or treat them?
"Yes, the "adherence"has been shown to occur whilst at surgery and when the adhesion is released (among other improvements) the movement and the physiology in the nerve root improves and this correlates with improvements in neurodynamics tests such as the SLR. Clearly though, this is only one type of nerve root problem.
"We don't know if it can be released with neural mobilisations. But I have a communication that should come out soon in Manual Therapy that shows in a patient with a swollen lumbar nerve root that neural mobilisations solved the problem in relation to symptoms and neurodynamic testing. I've looked at scar tissue and ligaments being cut at surgery and it is tough stuff. So we might be dealing with different types of problem at different stages. I think we have a better chance early rather than late."
Thank you to Michael for giving me permission to post this.
Sarah
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Re: adherent nerve root, who knows how to treat it? - October 4, 2006 4:04:00 PM
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Bournephysio
Posts: 576
Joined: April 25, 2002
From: Calgary
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Diane/Seb
Gee after 5 years of grad school I never learned that correlation and causation weren't the same. Give me a break.
This is what I said: "The Videman reference was just to provide an example of tissue damage that we would not likely to be able to detect."
The fact that they found a correlation with pain in the study doesn't change that they found tissue damage. I used it as a hypothetical example. Obviously it doesn't prove anything but what do you think is MORE LIKELY, that an innervated, damaged structure was the source of the nociception or some unrelated abnormal impulse generating site?
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Re: adherent nerve root, who knows how to treat it? - October 4, 2006 5:37:00 PM
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dfjpt
Posts: 238
Joined: April 9, 2006
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The nervous system is nothing if not arbitrary and fickle in how it outputs pain and about what. Lots of people walk around with discs that seem pretty tattered when viewed, but don't have pain. What about them? Of course anything innervated (and everything is innervated) can provide nocioceptive input... what the brain does with said nocioception, next, what sort of output it will create in response, is anyone's guess.
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Re: adherent nerve root, who knows how to treat it? - October 4, 2006 5:54:00 PM
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Bournephysio
Posts: 576
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From: Calgary
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That's a great non-answer. Thanks Diane. Now where's that rolls-eyes smilie.
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Re: adherent nerve root, who knows how to treat it? - October 4, 2006 7:11:00 PM
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dfjpt
Posts: 238
Joined: April 9, 2006
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As Holloway (an ex-Anglican primate who got turfed in the UK for his scientifically congruent point of view) says, "Each is entitled to have their own opinion, but no one is entitled to have their own set of facts." I'm so sorry the nervous system doesn't bend itself to all the neat little categorizations and protocols and predictablities that we PTs love oh so much. Mesoderm is so much easier to understand. It's not all wild and wiley the way ectoderm is.
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Re: adherent nerve root, who knows how to treat it? - October 5, 2006 1:56:00 AM
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Sebastian Asselbergs
Posts: 1106
Joined: September 29, 1999
From: Barrie, Canada
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OK Doug, sorry to have insulted your educational status with my post. :rolleyes:
I posted that to illustrate and draw attention to the fact that there is MORE opinion in our statements here than FACT.
That's all.
_____________________________
Mundi vult decipi
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