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Neurodynamic mobilization in a collegiate long jumper with exercise-induced lateral leg and ankle pain: A case report.
Physiother Theory Pract. 2018 Mar; 34(3):241-249.PT

Abstract

STUDY DESIGN

Case Report.

BACKGROUND

The purpose of this case report is to describe nerve mobilization in the treatment of lower extremity neuropathic pain in a female collegiate long jumper.

CASE DESCRIPTION

A 21 year-old long jumper presented 7 months after onset of ankle and leg pain. She complained of "aching" pain over the lateral ankle, radiating proximally to just superior to the lateral knee. Neurodynamic testing of the sural and superficial branch of the fibular nerves was positive. Interventions/Outcomes: Persistent neuropathic pain which impeded sport participation in a collegiate athlete did not improve using traditional rehabilitation intervention, but did ameliorate as a result of an intervention which included self-administered, supervised nerve mobilization of the sural and superficial branch of fibular nerve. The patient improved in all outcome measures including the Lower Extremity Functional Scale (LEFS), Numerical Pain Rating Scale (NPRS), and the Global Rating of Change (GROC).

DISCUSSION

In a female collegiate athlete with persistent neuropathic pain, initial improvements were achieved with traditional rehabilitation, but her pain continued. Considerable additional improvements were achieved following the addition of self-administered, supervised nerve mobilization. Neurodynamic testing should be performed on patients with possible peripheral nerve involvement and treatment commenced if positive.

Authors+Show Affiliations

a Department of Physical Therapy , Southwest Baptist University , Bolivar , MO , USA.a Department of Physical Therapy , Southwest Baptist University , Bolivar , MO , USA.a Department of Physical Therapy , Southwest Baptist University , Bolivar , MO , USA.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28937849

Citation

Cox, Terry, et al. "Neurodynamic Mobilization in a Collegiate Long Jumper With Exercise-induced Lateral Leg and Ankle Pain: a Case Report." Physiotherapy Theory and Practice, vol. 34, no. 3, 2018, pp. 241-249.
Cox T, Sneed T, Hamann H. Neurodynamic mobilization in a collegiate long jumper with exercise-induced lateral leg and ankle pain: A case report. Physiother Theory Pract. 2018;34(3):241-249.
Cox, T., Sneed, T., & Hamann, H. (2018). Neurodynamic mobilization in a collegiate long jumper with exercise-induced lateral leg and ankle pain: A case report. Physiotherapy Theory and Practice, 34(3), 241-249. https://doi.org/10.1080/09593985.2017.1377793
Cox T, Sneed T, Hamann H. Neurodynamic Mobilization in a Collegiate Long Jumper With Exercise-induced Lateral Leg and Ankle Pain: a Case Report. Physiother Theory Pract. 2018;34(3):241-249. PubMed PMID: 28937849.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neurodynamic mobilization in a collegiate long jumper with exercise-induced lateral leg and ankle pain: A case report. AU - Cox,Terry, AU - Sneed,Tom, AU - Hamann,Herb, Y1 - 2017/09/22/ PY - 2017/9/25/pubmed PY - 2018/8/28/medline PY - 2017/9/23/entrez KW - Ankle sprainankle KW - fibular nerve KW - nerve mobilization KW - sprainneurodynamics KW - sural nerve SP - 241 EP - 249 JF - Physiotherapy theory and practice JO - Physiother Theory Pract VL - 34 IS - 3 N2 - STUDY DESIGN: Case Report. BACKGROUND: The purpose of this case report is to describe nerve mobilization in the treatment of lower extremity neuropathic pain in a female collegiate long jumper. CASE DESCRIPTION: A 21 year-old long jumper presented 7 months after onset of ankle and leg pain. She complained of "aching" pain over the lateral ankle, radiating proximally to just superior to the lateral knee. Neurodynamic testing of the sural and superficial branch of the fibular nerves was positive. Interventions/Outcomes: Persistent neuropathic pain which impeded sport participation in a collegiate athlete did not improve using traditional rehabilitation intervention, but did ameliorate as a result of an intervention which included self-administered, supervised nerve mobilization of the sural and superficial branch of fibular nerve. The patient improved in all outcome measures including the Lower Extremity Functional Scale (LEFS), Numerical Pain Rating Scale (NPRS), and the Global Rating of Change (GROC). DISCUSSION: In a female collegiate athlete with persistent neuropathic pain, initial improvements were achieved with traditional rehabilitation, but her pain continued. Considerable additional improvements were achieved following the addition of self-administered, supervised nerve mobilization. Neurodynamic testing should be performed on patients with possible peripheral nerve involvement and treatment commenced if positive. SN - 1532-5040 UR - https://www.unboundmedicine.com/medline/citation/28937849/Neurodynamic_mobilization_in_a_collegiate_long_jumper_with_exercise_induced_lateral_leg_and_ankle_pain:_A_case_report_ L2 - http://www.tandfonline.com/doi/full/10.1080/09593985.2017.1377793 DB - PRIME DP - Unbound Medicine ER -