PROLOGUE:The adverse mechanical tension of the dura and the spinal cord are very common problems associated with the patients suffering from headache, neck pain, thoracic and low back pain. Dural torsioning, compression and impingement often result in mysterious pain patterns in the spine.If the dural tube is both overstretched and twisted due to from myofascial contractures, bony misalignment or spinal pathology, complex conditions such as migraines, sciatica, thoracic outlet syndrome and scoliosis can manifest.
The mobilizations of the neural tissues are used to treat the problems of the dura and the spinal cord to achieve optimum rehabilitation. The notion of adverse neural mechanics has been present for many years and probably longer than we know. Wittingly or unwittingly, the first known description of a neurodynamic test was on the Edwin Smith Papyrus by Imhotep in 2800 BC, in which a leg straightening manoeuvre was performed in the diagnosis of low back pain in workers injured whilst building the Egyptian pyramids (Beasley 1982; Dyck 1984).
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