Neural Tension Points in the Body
Tension points are areas of the body with little or no movement between the nervous system and it's surrounding structures. Tension points can occur peripherally (at the carpal tunnel or superior tibiofibular joints for example) and centrally within the spinal column. The three main tension points of the spine are C6, T6, and L4. Clinically, it is important to investigate tension points whenever the patient reports radiating symptoms to an extremity.
Peripherally, tension points occur where the nervous system branches, at soft tissue or osseous tunnels, areas where the nervous system is relatively fixed, and areas where the nervous system passes closely to surrounding structures. Examples of each of these can be seen below.
EXAMPLES OF TENSION POINTS
11/21/2014 09:42:11 pm
What could be the physiotherapy management for neural tension point?
11/21/2014 11:46:06 pm
Where can I find more information about this? I second wanting to know about management, as well.
11/23/2014 07:52:08 am
Thanks for your posts!!!
11/24/2014 10:37:43 am
Thank you all for the comments! In general, management of tension points is neural mobilization, soft tissue mobilizations, and manipulation to restore function/ mechanics to the area. There is no rocket-science to the treatment and management of these tension points, but recognizing them will make you more aware of potential complications that could arise.
Notice how the neural points are right near junctional zones. C6 is just above the CT junction and L4 is just about the LS junction. I believe these get sticky because junctional zones are notoriously stiff or hypo mobile while the motion segments above and below junctional zones tend to be hyper mobile and facilitated. The other one T6 probably happens because T6 is the apex of the thoracic kyphosis and with all the technology (laptops, cell phones, desk jobs) readily available, much of the population lives in a forward headed hyperkyphotic position. Hence why manipulations to the junctions are so helpful to get those areas moving while our core exercises help to support the hypermobile segments in between. You do that and then give some tensioner and sliders and you have a full meal deal. I know I need to study more about sliders and tensioners and I agree with Jim that butler is the pioneer in this area. Great post guys, it was fun reading this
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