Beyond Neural Tension: Exploring Neurodynamics with Michael Shacklock

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.If you are looking to go deeper on topics, get training, and become a better pain care clinician, then check out our community at https://modernpaincare.com**TIMESTAMPS**00:00:00 Start00:02:04 Interview Begin00:07:15 The movement to neurodynamics versus neural tension00:10:37 How has pain science influenced MIchael's approach00:14:40 There is a time to specifically treat the tissues00:18:51 Michael's PhD focus00:23:32 Crossed straight leg raising as treatment00:26:50 Differneces between mechanical compresison and inflammtory nerve root issues00:32:05 Difficulties with radiolgy00:34:16 Where physios are missing the mark in application00:38:51 Use of neurodynamics in irritable patients00:42:04 Michael's view on other movement approaches00:45:09 Michael's courses and where to find him next*********************************************************************📸 - Follow us on Instagram  -  https://www.instagram.com/modernpaincare/🐦 - Follow us on Twitter -  https://www.twitter.com/modernpaincare/🎙️ - Listen to our Podcast - https://www.modernpaincare.com____________________________________Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness