Gone are the days when healthcare followed a strictly "authoritarian" approach, with professionals dictating the treatment path and patients expected to comply, no questions asked. The last two decades have witnessed a pivotal shift towards Patient-Centred Care — an approach that recognises you as an active participant in your healthcare journey. This evolution in care philosophy underscores the importance of your goals, preferences, and values in devising treatment plans. The shift is not just a matter of ethics; it's a proven pathway to enhanced patient satisfaction and better health outcomes (Rathert, Wyrwich & Boren, 2013).
According to the American Geriatrics Society Expert Panel on Person‐Centered Care (Brummel-Smith et al., 2016), the hallmark features of a patient-centred healthcare practice include:
However, the journey isn't always smooth. Signs of inadequate patient-centred care may include:
Navigating the healthcare landscape can be daunting, especially without a deep understanding of medical practices. Armed with the principles of patient-centred care, you're better equipped to question, evaluate, and, if necessary, seek alternatives to ensure your health journey aligns with your personal needs and aspirations.
While much of the conversation around physical health focuses on joint mobility and muscle flexibility, the crucial topic of neural mobility often remains overshadowed. Unlike other tissues, nerves have limited elasticity, preventing them from stretching and bouncing back easily. Despite their sensitivity, nerves are incredibly resilient and seldom suffer from damage. However, when nerve movement is restricted, a condition known as Mechanosensitivity or Neural Tension can arise, leading to muscle tightness and pain along the affected neural pathways. Symptoms can range from physical discomfort to sensory disturbances like burning, tingling, or numbness.
This condition frequently affects the sciatic nerve, causing pain in the hamstring and calf during physical activity or specific movements. In the upper body, Thoracic Outlet Syndrome represents a specific type of Mechanosensitivity impacting the nerves extending from the cervical spine through the arm and shoulder.
Evidence supports nerve mobilisation exercises as a potent tool for managing chronic pain, including neck, arm, and lower back discomfort (Basson et al., 2017). Athletes, in particular, may find these exercises beneficial for reducing muscle tension, improving mobility, and enhancing overall performance (Macias et al., 2023). Given these benefits, integrating neural mobilisation into regular training and rehabilitation programmes appears to be a wise strategy for a broad range of individuals.
If you're battling persistent muscle tightness or frequently experience muscle strains, it might be time to consider your neurodynamic health. Consulting with a physiotherapist to assess your neural mobility could unlock a new level of comfort and performance, signalling an end to your chronic discomfort.
In summary, Mechanosensitivity is a condition with significant implications for both pain and functionality. Through the strategic application of nerve mobilisation exercises, individuals can achieve remarkable improvements in their overall well-being and athletic performance. Remember, understanding and addressing neural mobility can be the key to overcoming persistent physical challenges.
References
Basson, A., Olivier, B., Ellis, R., Coppieters, M., Stewart, A., & Mudzi, W. (2017). The effectiveness of neural mobilisation for neuromusculoskeletal conditions: A systematic review and meta-analysis. Journal of Orthopaedic & Sports Physical Therapy, 47(9), 593-615.
Macías, C. H., Hernández, V. P., & Seguín, L. M. F. (2023). A systematic review of the efficacy of neural mobilisation in sport: A tool for the neural tension assessment. Journal of Bodywork and Movement Therapies.
