Neurofascial Approach to Sciatic & Pelvic Entrapment

Conditions like sciatica, obturator neuralgia, and pelvic floor pain often have a neurofascial driver — a pattern of inflammation, neural tension, and protective spasm. In this class you will learn to assess and treat systematically the nerves of the lower extremity and their fascial environment.

Fundamentally, we need to stop conceiving of nerves as ‘wires’ strung through a musculoskeletal world. Nerves and their related tissues precede the mature skeleton, and will drive muscular behavior for their own protection. We need a model that starts the physiologic needs of peripheral nerves -- ample circulation and free movement -- and then flexes with the various ecological crises that nerves encounter.

We need nerve palpation skills, and also a respect for the limits of palpation. We need neurodynamic tests that localize and characterize the entrapment at hand. We need a language that lets us work effectively with the whole healthcare team.