Peripheral Nerve Pain
The human nervous system comprises both central and peripheral nerves that extend from the spinal cord to the trunk and limbs. In some instances, peripheral nerves can become compromised due to constricting muscles along their path or the presence of joints like the elbow, where they undergo bending.
Various factors can contribute to the development of discomfort or irritation in peripheral nerves. A-J, equipped with years of clinical expertise, is adept at recognizing the distinct tissue characteristics that impact nerves and can perform focused tests to pinpoint the affected nerves. Following this assessment, she can offer tailored treatment options.
Nerves travel through and beside muscles, through fascia (connective tissue), and around joints. They travel through foramen, or orifices in bones. Anywhere along their pathway they can get ‘stuck’ to the surrounding connective tissue, or be compressed, or get affected by inflamation.
There are tests to determoine where a nerve may be getting ‘entrapped’. Treatment includes techniques like; “nerve glides” where the nerve is encouraged to slide and glide through the tissues in which it is getting caught, gentle and precise massage to mobilise the nerve and release tight toissue around it, or joint mobilisations, and regular stretches. Yoga, whole body stretcehs, are particularly effective.
As an experienced Physiotherapist in this treatment, A-J can diagnose which nerve is cauaing your pain and how it needs to be moved or treated to relieve your pain.
Case Study: Knee Pain – entrapped Saphenous nerve
Have you had pain around your kneecap that has not responded to regular physio strengthening exercises? Chances are your knee pain is caused by an entrapped peripheral nerve called the saphenous nerve.
The saphenous nerve travels down from the lumbar spine to your inner thigh, then branches to below and around your kneecap. If it is compressed anywhere along its path, apticularly as it travels though inner thigh muscles, it can cause pain in the knee. You may feel a tender pint about 10cm up from your knee on your inner thigh. Treatment involves gently releasing the nerve where it may be being caught or entrapped.
Case Study: Sciatic pain – not from the spine, but a tight butt!
Sciatica can be caused by your sciatic nerve being irritated by a tight piriformis muscle. This muscle is one of the deep buttock muscles. The sciatic nerve may pass under this muscle and in a few individuals through the muscle, in doing so it is compressed and irritated.
Sciatica does not always originate from the spine, even if the spine shows radiolgical changes. They can be normal wear and tear.
Are you a butt gripper? Pain can be caused by holding tension in your butt, sitting on it for too long, or perhaps with legs crossed. Clenching your butt is when the butt cheeks are squeezed together or your tailbone “tucked”. Gluteals have a different action to “tucking and squeezing”. The correct action can benefit from specific retraining with a physio.