The nerve thread in physiotherapy


The nerve wire is an exercise technique often used in physical therapy to improve neural performance. Brushing the nerve strand is also known as nerve slip or nerve slip. Muscles, joints, and tendons can sometimes become strained after injury or illness. Guess what? Nerves can also get strained after an injury, and your physical therapist may decide that flossing is necessary to improve neurodynamics (movement of the nerves) and help you move and feel better. Your therapist can assign nerve endings to help you make a full recovery. But what is flossing and how is it done?

triocean / Getty Images

Neurodynamics in physiotherapy

Your nervous system is roughly divided into two parts: the central nervous system, which is made up of the brain and spinal cord, and the peripheral nervous system . The peripheral nervous system is the nerves that leave your spinal cord and travel through your body to your arms, trunk, and legs. These nerves carry information from your body to your brain to tell you what is happening. They sense things like temperature, pain, pressure, and position. The peripheral nerves also transmit information from the brain to the muscles, telling them to move or relax.

After injury, these peripheral nerves can contract. Consider the sciatic nerve in the leg. It is the largest nerve in your body. (It has two; one on each side). If this nerve is pinched by a facet joint or a herniated disc , mild damage to the nerve sheath can occur. This damage can cause a small amount of scar tissue to form around the nerve, resulting in tension, pain, or tingling in the area where the nerve passes. The nerve runs up the leg, and stress can limit your ability to fully move your hip, knee, or ankle joints.

A dense nerve is sometimes also called an attached or attached nerve root.

The hands can also be pinched and traumatized, resulting in tension. This can happen after a pinched nerve in the cervical spine or after repetitive stress or an injury to an arm or hand. A common nerve injury in the upper extremities is called carpal tunnel syndrome . This often results in pain, tingling, and weakness in the muscles of the hand and thumb.

Why is nerve cleansing prescribed?

After an injury or illness, physical therapy (FT) can help you make a full recovery. Your therapist will evaluate you for various disorders. These can include measurements:

If your physical therapist determines that tension and stiffness may be a component of your pain or limited movement, he or she may prescribe nerve cleansing exercises to improve movement of the nerve (s).

Common diagnoses that may require nerve thread cleaning exercises may include:

The goal of a nerve brush is to reduce pain, improve range of motion and flexibility, and improve function and movement.

How should you feel while brushing with a nervous floss?

It is important to understand what the sensations should be when performing nerve gliding exercises. Brushing the nerve strand often causes pain or a tingling sensation. Once you have finished the brushing exercise, you will be back to normal in a matter of minutes.

Most of the time, you should feel little or no pain when there is no strain or strain on the damaged or distended nerve; symptoms are only felt when the nerve is stretched.

If you feel persistent pain or tingling after performing the nerve thread cleaning exercise, you may be doing the movements too aggressively. If this happens, talk to your physical therapist to find out what to do next .

Slipping of the nerves of the upper extremities.

If you have an arm or hand problem and your physical therapist determines that an upper extremity nerve slip may help, they may prescribe a flossing exercise. They may include:

Slipped median nerve

To floss your median nerve :

  1. Stand up straight.
  2. Place the hand to be extended to the side, palm up.
  3. Slowly bend your wrist down, stretching the front of your wrist and palm.
  4. Then tilt your head away from your outstretched arm. Make sure you maintain correct posture and an even shoulder position while flexing your wrist and neck.
  5. Hold this position for 2 seconds and then return to the starting position with your wrist and head.
  6. Repeat for 10 to 15 repetitions.

Ulnar nerve slippage

To floss the ulnar nerve :

  1. Stand up, put your hand out to the side, palm toward the ground.
  2. Slowly bend your elbow and wrist so that the palm of your hand moves toward your face. You should feel slight tension in your wrist, little finger, or elbow.
  3. Hold for 2 seconds and then release.
  4. Repeat for 10 to 15 repetitions.

Radial nerve slippage

To floss your radial nerve :

  1. Stand with your hand at your side next to your thigh, palm back.
  2. Bend your wrist and then slowly extend your shoulder into an extension.
  3. While holding this position, tilt your neck out of your hand.
  4. Hold for 2 seconds and then slowly release.
  5. Repeat for 10 to 15 repetitions.

Each exercise should be done slowly and rhythmically for 10-15 repetitions. Make sure to stop if you experience prolonged or worse pain.

The nerve of the lower extremities slips.

If a physical therapist assesses lower extremity pain and believes that nerve cleansing may be beneficial, a lower extremity nerve slip may be prescribed. Most often, the progression of exercises is carried out to floss the sciatic nerve. The types of dental floss for the sciatic nerve can be the following examples.

Slipping of the sciatic nerve while lying on your back

  1. Lie on your back with your legs straight and straight.
  2. Bend one knee and grab it with both hands. Then straighten your knee. Once you straighten your knee, bend your ankle up and down several times. You should feel a slight stretch below the knee and calf.
  3. Slowly lower your leg back to a bent knee position.
  4. Repeat 10-15 times.

Seated sciatic nerve slippage

  1. Sit up straight in a chair.
  2. Bend your back and bow your head.
  3. Point and bend your legs.
  4. Tilt your head forward. Hold this position for a few seconds and then return to the starting position.
  5. Repeat for 10 to 15 repetitions.

Slipped sciatic nerve while standing

This is known as the standing stride curl. The gradual standing stretch is a Mackenzie exercise that can be used to actively stretch the sciatic nerve. Do it:

  1. Stand with one foot on a chair. The straight leg is standing with the foot on the ground.
  2. Lean forward slowly until you feel a stretch in your supporting leg.
  3. Hold this position for a few seconds and then return to the standing position.
  4. Repeat 10-15 times.

Be sure to consult with a physical therapist before beginning any nerve thread cleaning exercise. Note that the symptomatic response should be "pain that occurs at the end of the stretch that does not get worse as a result."

Can you floss too much?

What happens if you clean your nerve thread too often? Can you stretch things out? The short answer is yes. If you stretch too aggressively or pull too hard on your delicate nerves, you can squeeze objects too much and cause more pain in your arm or leg. Most likely it won't cause irreparable damage, but it will irritate your nerves a bit and make your symptoms a bit worse. If this happens, rest for a few days and start flossing again. Also check with your doctor or physical therapist.

The best way to prevent overstretching of nerve tissue is to proceed with caution. As you stretch, repeat to yourself: "The pressure, the pressure is released." Your symptomatic response to nerve cleansing should be pain or tingling at the end of the stretch, but not worse. You will know that it has been exaggerated if your pain lasts more than 30 minutes after stretching.

How long does it take to improve?

If you have tightness or pain due to nerve fusion, it should gradually improve as you practice nerve cleansing exercises. The nervous tension usually subsides slowly over six to eight weeks. You should feel less pain or tingling a few weeks after starting, and you may need to stretch your nerves more and more as you go. After six to eight weeks of regular daily nerve training, you can expect no tension or pain. During this time, your physique may ask you to stop exercising.

Get the word of drug information

If you have a pinched nerve or an injury that restricts its movement, you may have increased nerve tension. In this case, neural thread gliding or cleaning exercises may be prescribed. Flossing can cause a temporary worsening of pain, but symptoms should go away quickly. These exercises can help you regain full mobility. In this way, you can quickly and safely return to your previous level of functionality and activity.

Related Articles
Foods to Avoid If You Have Dry Mouth From Radiation

Dry mouth (xerostomia) is a common side effect of radiation therapy for people undergoing treatment for head and neck cancer. Read more

Thyroid adenoma: Causes, Treatment, and Diagnosis

The thyroid is a small, butterfly-shaped gland in the front of your throat that produces hormones affecting a number of Read more

NSAIDs and You Thyroid Function

Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most frequently taken over-the-counter medications. Due to their systemic or whole body effects, it's Read more

How Doctors Are Failing Thyroid Disease Patients

The thyroid disease community has continually mentioned the lack of support they experience and the difficulty they have navigating the Read more