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Thursday, December 15, 2016

Neural Flossing the Peroneal or Tibial Nerves: Advanced Video with some Caution

I have always taught a very simple sciatic nerve flossing for nerve symptoms. These exercises (by Drs Abelson and Mylanos) are much more stressful to the nerves, but may be able to produce better results. Do any exercise once or twice, and initially avoid the head tilts. Also, initially sit with good support behind your back. Do once a day for several days, then gradually up the exercises to 3 times a day if you see results. Nerves are funny. Positives results mean that numbness gets less, but pain also gets less. Pretty much the nerve is coming back to normal sensation. Because the cause of the nerve symptoms can be a bulging disc in the back, any back symptoms which increase means you need to stop doing the exercise until you are evaluated. Some modification may be more appropriate. These exercise the peroneal nerve. The tibial nerve is done with the foot pointed and flexed back and forth, with the same knee and hip motions or positions. You just take out the foot inversion you see that stretch the peroneal nerve. When patients come in with nerve symptoms, I like gentle neural flossing, topical Neuro-Eze, warmth (not ice), and discovering what positions really make it act up (sitting, sleeping, lifting, etc.) Hope this helps. Rich

1 comment:

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.