Approach to Low Back Pain- Neural Tissue Mobilization

Lumbar-spine disorders rank fifth among disease categories. Intervention in patients with a disease requires that the intervention has to be more beneficial, safer, and cost-effective. This dilemma is particularly important in patients with low back dysfunction (LBD) with radiculopathy. Conservative treatment for sciatica is primarily aimed at pain reduction, but improving the range of SLR has a beneficial effect in restoring normal movement and reducing the degree of impairment due to low back dysfunction. Neural mobilization techniques are passive or active movements that focus on restoring the ability of the nervous system to tolerate the normal compressive, friction and tensile forces associated with daily activities. Neural mobilization is used for treatment of adverse neurodynamics, to restore the dynamic balance between the relative movement of neural tissues and surrounding mechanical interfaces, thereby allowing reduced intrinsic pressures on the neural tissue and thus promoting optimum physiologic function.