There are various evaluation tools that can be used to discriminate different types of pain to better inform clinical practice. The Douleur Neuropathique4 questionnaire (DN4) is a simple questionnaire that can assist with the diagnosis of neuropathic pain. It is a short, 1-minute questionnaire with a question and examination component. This resource includes the DN4 and a second page for clinicians which outlines current evidence surrounding the management of neuropathic pain.
Peripheral nerve entrapments can be challenging to assess, especially when considering less common nerve problems. This resource outlines the presentation of peripheral radial nerve entrapments and is an excellent resource for any clinician who treats nerve pain to have on hand to assist with diagnosis.
This handout describes the process involved with peripheral nerve damage and includes a visualization of the nerve itself. The handout breaks down the process of regeneration into 4 steps.
This handout provides clinicians with a visual and written guide to perform an upper-limb neurodynamic assessment. Includes demonstrations to assess the contribution of neural tension for the median, ulnar, and radial nerves.
Nervous system sensitization involves increased pain response in the absence of tissue damage. It is common in people with chronic pain. Identifying nervous system sensitization may improve care for these people by allowing the clinician to focus on time contingent exercise approaches and pain neuroscience education. This resource outlines several assessment strategies to identify nervous system sensitization.
Nerve glides, also known as nerve flossing, are a gentle and effective approach to treating irritated nerves due to entrapment or post surgery. This handout provides visuals and simple step by step instructions for ulnar, median, and radial nerve glide exercises.
Thoracic outlet syndrome (TOS) is a commonly overlooked condition that significantly impacts occupational performance. This handout designed for clinicians will provide key information to recognize TOS and demonstrate provocative/special tests to evaluate clients with suspected TOS. This handout will help clinicians understand the clinical presentation of TOS and proper evaluation methods.
This resource addresses facial nerve impairments, including Bell’s palsy. It describes the 6 grades of facial function related to nerve damage and can help classify and describe facial nerve impairments for evaluation purposes
This handout provides visual education for patient on how hypersensitivity presents following a peripheral nerve injury. The handout also examines why this is occurring and will normalize the symptoms, which can often be frightening.