Manual Approach to Neural Tension Syndromes: Neurodynamics for the Upper Extremity
Live Event

Manual Approach to Neural Tension Syndromes: Neurodynamics for the Upper Extremity

Wed, May 20th, 2026
7:00pm – 10:00pm US Eastern Time
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About the Event

Do your patients present with abnormal sensations, pain, and weakness of the upper extremity (UE) related to nerve compression or entrapment syndromes? Patients commonly undergo surgery for carpal tunnel, cubital tunnel, and radial neuropathies, when a more conservative approach may be best. Current research indicates a neurodynamic approach including manual therapy and exercise may be an effective alternative to surgery, especially in the earlier stages of the disorder.

In this live interactive course, discover fast and easy methods to assess nerve entrapment syndromes. Explore neurodynamic options emphasizing manual therapy and movement to manage nerve compression to achieve positive outcomes and an improved quality of life. Distinguish between local entrapment and spinal entrapment syndromes to identify best management practices to release abnormal fascial tension that impacts the peripheral nerves. Additionally, we will discuss how to Incorporate neurodynamics into your approach to nerve entrapment of the UE.

Live Event
This live online event will be held as a Zoom Webinar. Attendees will have the option to interact through features such as the Chat and Q&A, but cameras and microphones will not be enabled.

Live Event Instructor

Theresa A. Schmidt, PT,DPT,MS,OCS,LMT,CEAS

Theresa A. Schmidt, PT,DPT,MS,OCS,LMT,CEAS

Dr. Theresa Schmidt PT,DPT,OCS,LMT,CEAS of Educise.com is an Orthopedic Certified Specialist PT, Expert Consultant, educator, massage therapist, hypnotherapist and author in private practice at Educise PC Health & Wellness in NH. She is a Clinical Specialist in the Pain program at New Hampshire VA. She received her DPT at UNE., served as faculty in PT and massage programs and presented for International Fascia Research Congress, APTA, AMTA, AOTA, NASA, Johns Hopkins, and Cleveland Clinics. She focuses on hands-on natural solutions to pain and mobility problems integrating manual therapy, precision exercise, functional training and alternative medicine approaches. Her engaging seminars inspire clinicians with practical tools they can apply immediately for measurable results clients rave about.

Target Audience

This live interactive webinar is intended for Physical Therapists, Physical Therapy Assistants, Occupational Therapists, Occupational Therapy Assistants, and Massage Therapists (PT, PTA, OT, COTA, LMT)

Learning Objectives

After taking this activity, you should be able to:

  1. 1 Describe the neurodynamic approach to management of adverse neural tension syndromes in the upper extremity (UE).
  2. 2 Apply neurodynamic interventions to manage symptoms of peripheral nerve entrapment of the UE to improve ADL functions.
  3. 3 Discuss current research regarding outcomes of neurodynamics to improve mobility, ease pain and improve function in cases of UE peripheral nerve entrapment syndromes.

Alharmoodi, B. Y., Arumugam, A., Ahbouch, A., & Moustafa, I. M. (2022). Comparative effects of tensioning and sliding neural mobilization on peripheral and autonomic nervous system function: a randomized controlled trial. Hong Kong Physiotherapy Journal : Official Publication of the Hong Kong Physiotherapy Association Limited = Wu Li Chih Liao, 42(1), 41–53. https://doi.org/10.1142/S1013702522500056

Arulsingh, W., Kandakurti, P. K., Muthukrishnan, R., & Shanmugam, S. (2021). Effectiveness of neural mobilisation combined with postural correction exercises in a patient with lateral knee pain- a case report. Journal of Bodywork and Movement Therapies, 27, 364–367. https://doi.org/10.1016/j.jbmt.2021.02.010

Ballestero-Pérez Ruth, Plaza-Manzano, G., Urraca-Gesto, A., Romo-Romo, F., Atín-Arratibel María de los Ángeles, Pecos-Martín Daniel, Gallego-Izquierdo Tomás, & Romero-Franco, N. (2017). Effectiveness of nerve gliding exercises on carpal tunnel syndrome: a systematic review. Journal of Manipulative and Physiological Therapeutics, 40(1), 50–59. https://doi.org/10.1016/j.jmpt.2016.10.004

Baptista, F. M., Cruz, E. B., Afreixo, V., & Silva, A. G. (2022). Effectiveness of neural mobilization on pain intensity, disability, and physical performance in adults with musculoskeletal pain-a protocol for a systematic review of randomized and quasi-randomized controlled trials and planned meta-analysis. Plos One, 17(3), 0264230. https://doi.org/10.1371/journal.pone.0264230

Barker, P. J., Briggs, C. A., & Bogeski, G. (2004). Tensile transmission across the lumbar fasciae in unembalmed cadavers: effects of tension to various muscular attachments. Spine, 29(2), 129–38.

Basson, A., Olivier, B., Ellis, R., Coppieters, M., Stewart, A., & Mudzi, W. (2017). The effectiveness of neural mobilization for neuromusculoskeletal conditions: a systematic review and meta-analysis. The Journal of Orthopaedic and Sports Physical Therapy, 47(9), 593–615. https://doi.org/10.2519/jospt.2017.7117

Beddaa, H., & Azemmour, Y. (2021). Pourquoi mobiliser le nerf médian en cas de syndrome du canal carpien. Kinésithérapie, La Revue, 21(236-237), 47–47. https://doi.org/10.1016/j.kine.2021.06.001

Beltran-Alacreu, H., Jiménez-Sanz, L., Fernández Carnero, J., & La Touche, R. (2015). Comparison of hypoalgesic effects of neural stretching vs neural gliding: a randomized controlled trial. Journal of Manipulative and Physiological Therapeutics, 38(9), 644–652. https://doi.org/10.1016/j.jmpt.2015.09.002

Boyd, B. S., Gray, A. T., Wanek, L., & Topp, K. S. (2009). Mechanosensitivity of the Lower Extremity Nervous System During Straight-Leg Raise Neurodynamic Testing in Healthy Individuals. Journal of Orthopedics and Sports Physical Therapy, 29(11).

Bueno-Gracia, E., González-Rueda, V., Pérez-Bellmunt, A., Estébanez-de-Miguel, E., López-de-Celis, C., Shacklock, M., & Caudevilla-Polo, S. (2022). Differential movement of the median nerve and biceps brachii at the elbow in human cadavers. Clinical Biomechanics (Bristol, Avon), 94, 105370–105370. https://doi.org/10.1016/j.clinbiomech.2021.105370

Butler, D.S. Mobilisation of the Nervous System. (1991). Churchill Livingstone.

Carta, G., Fornasari, B. E., Fregnan, F., Ronchi, G., De Zanet, S., Muratori, L., Nato, G., Fogli, M., Gambarotta, G., Geuna, S., & Raimondo, S. (2022). Neurodynamic treatment promotes mechanical pain modulation in sensory neurons and nerve regeneration in rats. Biomedicines, 10(6). https://doi.org/10.3390/biomedicines10061296

Chaudhary, K., H.M., Singh, A.K., & Rajbanshi, S.K. (2022). Effect of neurodynamic slider technique combined with conventional therapy and conventional therapy alone in sciatica: a comparative study. Indian Journal of Physiotherapy and Occupational Therapy - an International Journal, 16(1). https://doi.org/10.37506/ijpot.v16i1.17774

Chhabra, A., Ahlawat, S., Belzberg, A., & Andreseik, G. (2014). Peripheral nerve injury grading simplified on MR neurography: As referenced to Seddon and Sunderland classifications. Indian Journal of Radiology and Imaging, 24(3), 217-224.

Coppieters, M. W., & Butler, D. S. (2008). Do 'sliders' slide and 'tensioners' tension? An analysis of neurodynamic techniques and considerations regarding their application. Manual therapy, 13(3), 213–221. https://doi.org/10.1016/j.math.2006.12.008

Coppieters, M. W., Kurz, K., Mortensen, T. E., Richards, N. L., Skaret, I. A., McLaughlin, L. M., & Hidges, P. W. (2004). The impact of neurodynamic testing on the perception of experimentally induced muscle pain. Journal of Manual Therapy, 10(1).

Ellis, R., Carta, G., Andrade, R.J., and Coppieters, M.W. (2022). Neurodynamics: is tension contentious? Journal of Manual & Manipulative Therapy, 30:1, 3-12. DOI: 10.1080/10669817.2021.2001736

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Event Agenda

Agenda times are listed in US Eastern Time. That is 3 hours later than US Pacific Time. The event starts at 4:00pm US Pacific Time.

7:00pm - 8:00pm Introduction - - - Neurodynamic Therapy and adverse neural tension mechanisms, introduction - Pain Science and Nervous System Sensitization - Examination for UE Neural Tension Conditions - Signs and Symptoms of Neural Movement System Impairment - Pain Scale, (Resting and activity-related VAS) Fear Avoidance Behavior Questionnaire, (FABQ), Short-form McGill Pain Questionnaire, Quick DASH, Neck Pain Disability Index, Functional Scale, ROM, Strength, Sensation, Reflexes - Provocative Tests with Lab Demonstrations - Brachial plexopathy, Cervical and upper limb tension tests (Elvey Tests) - Upper limb neural tension exam - Median (2 McGee Bias tests), ulnar, radial, musculocutaneous, prone neck flexion test 8:00pm - 9:15pm - - - Treatment Strategies for neuromuscular impairment and movement dysfunction with Lab Demonstrations - Neural Excursion: Neuro-Fascial Mobilization with Lab - Manual and Instrument Assisted soft tissue mobilization: cups and hands with Lab 9:15pm - 9:50pm - - - Therapeutic exercise review with Lab - Patient Case Scenarios discussion and clinical reasoning practice in groups - Discuss current research in neurodynamics - Clinical Pearls 9:50pm - 10:00pm Conclusion, Q&A

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