Beyond Neural Tension: Exploring Neurodynamics with Michael Shacklock

The Modern Pain Podcast

In this conversation, Mark Kargela interviews Michael Shacklock about his journey and influences in the field of neurodynamics. They discuss the transition from the traditional view of neural tension testing to neurodynamics, the influence of pain science on clinical practice, and the importance of integrating the biological examination with psychosocial factors. Michael also shares his focus on lumbar radiculopathy in his PhD research, specifically looking at unloading the nerve root for pain relief. In this conversation, Michael Shacklock discusses the use of neurodynamic techniques in the treatment of radiculopathy. He explains that movement-related pain should respond quickly to movement, and shares his favorite patient profile for this type of treatment. Shacklock emphasizes the importance of ruling out contralateral tests if they provoke pain, as this indicates reduced cord movement. He also discusses the role of radiology in diagnosing radiculopathy and the challenges of interpreting radiology reports. Shacklock addresses the misconceptions around neurodynamic tests and highlights the need for a comprehensive approach that integrates neurodynamics with musculoskeletal function. He concludes by discussing the application of neurodynamic techniques in acute radiculopathy and the importance of adapting treatment to the individual patient's needs.
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**TIMESTAMPS**
00:00:00 Start
00:02:04 Interview Begin
00:07:15 The movement to neurodynamics versus neural tension
00:10:37 How has pain science influenced MIchael's approach
00:14:40 There is a time to specifically treat the tissues
00:18:51 Michael's PhD focus
00:23:32 Crossed straight leg raising as treatment
00:26:50 Differneces between mechanical compresison and inflammtory nerve root issues
00:32:05 Difficulties with radiolgy
00:34:16 Where physios are missing the mark in application
00:38:51 Use of neurodynamics in irritable patients
00:42:04 Michael's view on other movement approaches
00:45:09 Michael's courses and where to find him next

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