Have you ever told someone “hey, you’re getting on my nerves?” Well I’m about to get alllll up on those nerves. as we talk about neural tension. This video and article will cover some basic anatomy of the nervous system, causes and symptoms of neural tension in the upper extremities, testing, possible misdiagnoses, treatments, and we’ll answer some questions submitted by you, our subscribers!
Scroll down for some of the ultra in-depth show notes (too long to fit all of them here) or go to: https://www.hoopersbeta.com/library/n...
// Timestamps //
Video Overview (00:00)
Part 1: What is Neural Tension and What Causes It? (00:35)
Part 2: Anatomy of Neural Tension (01:52)
Part 3: Symptoms of Neural Tension (03:08)
Part 4: About Neural Tension Testing (04:47)
Part 5: Neural Tension Testing Guidelines (05:27)
Part 6: Upper Limb Neural Tension Tests - ULTTs
Upper Limb Tension Test 1: Median Nerve (07:01)
Upper Limb Tension Test 2: Median Nerve (08:24)
Upper Limb Tension Test 3: Radial Nerve (08:56)
Upper Limb Tension Test 4: Ulnar Nerve (09:19)
Disclaimer About Other Nerve Pathologies (09:54)
Part 7: Further Testing and Results (10:15)
Part 8: Navigating Misdiagnoses (11:10)
Part 9: Treatments for Neural Tension (13:10)
Part 10: Neural Tension Prognosis (17:19)
Part 11: Neural Tension FAQ + Subscriber Q&A (18:18)
Part 12: Final Takeaways and Conclusion (22:04)
Bloopers (22:43)
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Let’s start by learning what neural tension is and what causes it in the first place.
CAUSES OF NEURAL TENSION (ETIOLOGY)
Neural tension, otherwise known as nerve entrapment, is an abnormal physiological and mechanical response created by the nervous system when its normal range of motion or stretch capacity is limited. Lack of nerve mobility can be caused by compression from tight, swollen, or scarred surrounding tissues. The location of this compression is called an “entrapment site,” which is why neural tension is also referred to as “neural entrapment.”
Think of a string threaded through a straw. The string is your nerve and the straw is the surrounding tissue. If you pull either end of the nerve, it glides smoothly through the tissue. But if you pinch the tissue and pull the nerve again, the nerve becomes entrapped and can no longer move smoothly.
The resulting pressure and tension on the nerve is, well, not appreciated, so it responds by producing symptoms such as numbness, tingling, pain, burning, and more.
The reason this is important for climbers to understand is because it can easily be misdiagnosed as tennis elbow (lateral tendinopathy) or climber’s elbow (medial tendinopathy), which are two of the most common overuse pathologies in climbing. And if you don’t have the right diagnosis, you won’t be able to treat your injury and recover. In fact, you could even make things worse.
Now that we know what causes neural tension, let’s jump into the anatomy so we can get our “biological bearings.”
ANATOMY REVIEW
Reviewing some basic anatomy will be helpful in diagnosing which nerve is causing your issues, which we’ll have tests for later in the video. Don’t worry about memorizing all this stuff, you can always come back to reference this section and we’ve got all this written out in the show notes on our website (link in the description!).
So, the three nerves to be aware of here are the Median, Radial, and Ulnar nerves. These are the three main nerve branches that can become entrapped and cause issues for climbers (and the general population).
Ran out of room!! For the FULL SHOW NOTES head to the website www.hoopersbeta.com or go to: https://www.hoopersbeta.com/library/n...
// Image Attributions //
FDS: Henry Gray, Public domain, via Wikimedia Commons
Golfer's Elbow: www.scientificanimations.com, CC BY-SA 4.0 https://creativecommons.org/licenses/..., via Wikimedia Commons
Disclaimer:
As always, exercises are to be performed assuming your own risk and should not be done if you feel you are at risk for injury. See a medical professional if you have concerns before starting new exercises.
Written and Presented by Jason Hooper, PT, DPT, OCS, SCS, CAFS
IG: @hoopersbetaofficial
Filming and Editing by Emile Modesitt
www.emilemodesitt.com
IG: @emile166
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