Oberschenkel dehnen? Oberschenkelrückseite verkürzt? Vorsicht beim Stretching!

Many people repeatedly try to stretch their seemingly "shortened" hamstrings. The problem: Often, the restricted movement isn't primarily due to the muscle itself, but rather to an irritated sciatic nerve or nerve root – often, but not always, in connection with a herniated disc. In this video, I explain why neural irritation can feel like a shortened hamstring and why intensive stretching can sometimes even worsen the symptoms. For the sake of clarity: In the video, I use the term "straight leg raise test" for simplicity. This refers not only to the classic straight leg raise, but also to the neurodynamic examination, including extensions and additional tests such as the slump test, the Neri sign (achieved by flexing the cervical spine), and the Bragard sign (achieved by dorsiflexing the foot). In practice, these tests are often combined directly – therefore, for me personally, it's "one test" – clinically useful, but not scientifically rigorous, I'm aware of that. Therefore, my statement regarding specificity doesn't apply universally to the classic straight leg raise alone. In some studies, the slump test shows high sensitivity and moderate to good specificity for lumbar disc herniations. The straight leg raise is often sensitive, but less specific depending on the study. The crucial factor is always the combination of a thorough medical history, neurological examination, spinal examination, and several appropriate tests. You can learn this, for example, in my assessment workshop: https://www.strengthfirst.de/produkt/... So, importantly: Not every pulling sensation in the back of the thigh means the muscle is shortened. If the mobility of the back of the thigh is significantly altered by the position of the spine, head, or foot, this could indicate that the nerve is limiting the movement, rather than the muscle. In that case, further aggressive stretching isn't automatically the best solution, but could potentially be the cause of your symptoms! So, be careful! : ... You can find more information about herniated discs in my blog posts: https://www.chriseikelmeier.de/hilfe-... https://www.chriseikelmeier.de/was-tu... Learn more about assessment and examination for trainers and physiotherapists in my Assessment² workshop: https://www.strengthfirst.de/produkt/... You can find some sources for the tests and my statements here. Here: https://www.ncbi.nlm.nih.gov/books/NB... https://pubmed.ncbi.nlm.nih.gov/28722... https://pubmed.ncbi.nlm.nih.gov/18391... https://www.jospt.org/doi/full/10.251... https://pubmed.ncbi.nlm.nih.gov/26107... _______________ ► More about health & performance on my website: https://www.chriseikelmeier.de _______________ About Chris Eikelmeier and this channel: ➥ Hi! My name is Chris. I've been a state-certified physiotherapist, kPNI therapist (Master Proprio, University of Salamanca), nutritionist, coach, and passionate athlete for almost 20 years. Having overcome serious injuries and chronic conditions myself, I now support people in regaining their resilience, health, and performance by identifying the root causes of their issues. On this channel, we combine evidence-based knowledge from sports and physiotherapy with applied kPNI and lifestyle therapy. No standard health jargon here, but strategies that work in practice! Having overcome serious injuries and chronic conditions myself, I now support people in regaining their resilience, health, and performance. _______________ ► If this video helped you, subscribe to the channel: @chriseikelmeier ► Here you can find me & my projects: 🌱 Our premium supplements: https://www.goetterspeise.de 🚀 Training courses, workshops & seminars: https://www.strengthfirst.de/events/ 📸 Instagram:   / chriseikelmeier   👥 Facebook:   / strengthfirstgermany   _______________ ► Medical Disclaimer: The videos on this channel are for informational and general health education purposes only. They do not constitute medical advice, diagnosis, or treatment, make no promises of healing, and are in no way a substitute for visiting a doctor or specialist. ► ... Legal notice: https://www.chriseikelmeier.de/impres... #kpni #physiotherapy #rehabilitation #strengthtraining #nutrition #injuries #lifestyletherapy #lifestyle #sport #health #biochemistry #sciatica #sciaticnerve #herniateddisc #thighstretching #hamstringstretching #straightlegraise #slumptest #backpain