Motion Stability's Blog

The Nerve of You! by Motion Stability
August 19, 2012, 3:30 am
Filed under: Courses, Lower Extremity, Nerve, Pain Sciences, Tissue Pathology

Have you ever experienced back pain with associated sciatica down one of your legs? Perhaps the pain / numbness down your leg and back have subsided, but a few years have gone by and that same leg now just doesn’t feel the same? Likely, the hamstring feels tight, maybe your calf cramps more or your foot now hurts.

A possible reason why is that even thought your sciatica and back pain symptoms calmed, the sciatic nerve is still irritated mildly that can cause the muscle, fascia, or other tissues that the sciatic nerve innervated down your leg can now become compromised and aches and pains can begin in sights other than your back and sciatic nerve – that are related to your previous back injury.

The Motion Stability team has the ability to differentially assess if your sciatic nerve is still a contributing factor to your pain, and provide the proper treatment regimens to treat the associated pain you have.

Please contact us if you have questions:


Specific Exercises for Nerve Pain by Motion Stability
March 3, 2009, 9:36 pm
Filed under: Nerve

In the March 2009 Journal of Orthopaedic Sports and Physical Therapy, Dr. Coppieters demonstrated that specific movement of the nerve caused different lengths of movement along the median nerve, measured by real-time ultrasound imaging. Greatest movement was found with a neurodynamic slider, with less in a neurodynamic tensioner. This helps us with our clinical reasoning process in treatment rationale when selecting specific nerve mobilizations and exercises for nerve rehabilitation, including sciatica and other radiculopathies.

Sciatic Nerve Causing Plantar Fascitis? by Motion Stability
November 9, 2008, 7:43 pm
Filed under: Fascia, Lower Extremity, Nerve

In the Journal of Orthopaedic Research – September 2006, Coppieters MW, Alshami AM, Babri AS, et al measured the strain and excursion of the sciatic, tibial and plantar nerves with a modified straight leg raise (SLR) test. By bending the ankle into dorsiflexion first before raising the leg, nerve movement at the ankle, particularly the tibial nerve was greatly increased. Clinically, the diagnosis of ‘plantar fascitis’ can be caused by multiple sources, one being sensitization of the tibial nerve which is a branch of the sciatic nerve. Thanks to Dr. Coppieters, as well as other neurodynamic specialists like Michael Shacklock MAppSc, DipPhysio, we now know that movement of nerves occurs greatest where joints move first, a concept called ‘neurodynamic sequencing’. By sensitizing the tibial nerve through the SLR test, or even a slump test (picture shown) we can differentially diagnose plantar fascitis as a peripheral nerve disorder.

nerves move. by Motion Stability
November 8, 2008, 9:20 pm
Filed under: Nerve

In patient care with complaints of recurring low back pain and sciatica. Patients need to consider that even though pain subsides down the leg through rest or interventions. That the sciatic nerve can become adhered through intraneural edema. And similar to a stiff elbow after removing a cast off it due to a fracture, the elbow may not be as painful but will be very stiff. Likewise, a reduction in symptoms down the leg, does not necessarily mean that the sciatic nerve is mobile. Thorough testing for nerve mobility, that is asymptomatic but could be asymmetrical to the unaffected side, at least from my clinical opinion, could be a factor to recurring sciatica and low back pain.