Nerve Related Musculoskeletal Pain

The lecture aims to provide an overview of the definitions, classification, and pathophysiological mechanisms behind nerve-related MSK conditions. Some of the most pertinent assessment and management strategies are detailed and the evidence both from a mechanistic perspective as well as considering the efficacy from human studies is discussed. There is a short practical video where I demonstrate assessing neurological integrity (in an MSK setting) and some tests for heightened nerve mechanosensitivity. Whilst these are basic skills that most people will have been taught as an undergraduate, I give some tips on optimizing these skills to try to ensure a more repeatable and accurate assessment.

At the end of the session you will:

1. Have an understanding of the most common nerve-related MSK conditions and their prevalence
2. Be able to discuss the main characteristics of neuropathic pain and how it differs from mechanical nociceptive pain
3. Understand the difference between somatic, radicular pain, and radiculopathy
4. Explain some of the main pathophysiological mechanisms associated with common nerve-related MSK conditions
5. Be able to develop your practical skills in assessment of people with these conditions understanding the main principles behind these tests and how to enhance these skills.
6. Be able to choose an appropriate management strategy and support it with the latest scientific evidence.