Nerve glide

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A therapeutic technique for nerve mobilization



Nerve glide, also known as nerve flossing or neural gliding, is a therapeutic technique used in physical therapy and rehabilitation to improve the mobility and function of peripheral nerves. This technique is often employed to alleviate symptoms associated with nerve compression or irritation, such as carpal tunnel syndrome, sciatica, and cubital tunnel syndrome.

Mechanism[edit | edit source]

Nerve gliding exercises are designed to mobilize the nerve within its surrounding structures. The exercises involve specific movements that aim to "floss" the nerve through its anatomical pathway, reducing adhesions and improving blood flow. This can help decrease pain and improve range of motion.

Nerves are surrounded by connective tissue and can become restricted due to injury, inflammation, or prolonged compression. By performing nerve glides, the nerve is gently stretched and moved, which can help to break down adhesions and promote healing.

Applications[edit | edit source]

Nerve gliding exercises are commonly used in the treatment of:

Carpal Tunnel Syndrome[edit | edit source]

Carpal Tunnel Syndrome

Carpal tunnel syndrome is caused by compression of the median nerve as it travels through the carpal tunnel in the wrist. Nerve gliding exercises for this condition involve movements of the wrist and fingers to promote mobility of the median nerve.

Sciatica[edit | edit source]

Sciatica nerve

Sciatica is characterized by pain radiating along the path of the sciatic nerve, which extends from the lower back through the hips and buttocks and down each leg. Nerve gliding exercises for sciatica focus on mobilizing the sciatic nerve to relieve pressure and reduce pain.

Cubital Tunnel Syndrome[edit | edit source]

Ulnar Nerve

Cubital tunnel syndrome involves compression of the ulnar nerve at the elbow. Nerve gliding exercises for this condition aim to improve the movement of the ulnar nerve through the cubital tunnel, reducing symptoms such as tingling and numbness in the ring and little fingers.

Technique[edit | edit source]

Nerve gliding exercises should be performed under the guidance of a qualified healthcare professional, such as a physical therapist. The exercises typically involve:

  • Positioning: The patient is positioned to allow for optimal movement of the nerve.
  • Movement: Slow, controlled movements are performed to "floss" the nerve through its pathway.
  • Repetition: Exercises are repeated several times to achieve the desired effect.

It is important to perform these exercises gently to avoid exacerbating symptoms.

Benefits[edit | edit source]

The benefits of nerve gliding exercises include:

  • Reduction in pain and discomfort
  • Improved range of motion
  • Enhanced nerve function
  • Decreased risk of further nerve injury

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Contributors: Prab R. Tumpati, MD