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Body workers from all disciplines appreciate that maneuvers that move nerves often reproduce radiating pain. This symptom reproduction has important implications for the diagnosis and management of radiating pain symptoms. In the presentation at Fascia 2007 from which this manuscript is derived, two videos that were obtained with high resolution diagnostic ultrasound were presented that clearly showed median nerve gliding during normal finger and wrist movements. The movements were independent of the movements of the other surrounding structures. Such movements of the interface between the nerve and the surrounding structures constitute but one mechanical stimulus that nerves are susceptible to. Nerves are also bent around various structures, and indented by external pressures. Nerves have many anatomical features that allow them to accommodate such movements and mechanical stimuli. The reader is directed to books by Shacklock (Shacklock 2005) and Butler (Butler 2000) for full descriptions of nerve biomechanics.


© 2008. This manuscript version is made available under the CC-BY-NC-ND 4.0 license

Published version of this manuscript: Bove GM. Epi-perineurial anatomy, innervation, and axonal nociceptive mechanisms. Journal of Bodywork and Movement Therapies 12:185-90, 2008. doi:10.1016/j.jbmt.2008.03.004



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