If you’ve been dealing with pain, tingling, or numbness along the back of your arm, wrist, or hand, the radial nerve glides could assist. This nerve runs from your neck, down the back of your upper arm, and into your forearm and hand.
When the radial nerve becomes irritated or restricted, it can cause frustrating symptoms that affect everyday activities such as typing, lifting, or gripping. One of the most effective techniques we use as physiotherapists to address this problem is radial nerve glides.
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What Are Radial Nerve Glides?
Radial nerve glides are gentle, controlled movements designed to improve the mobility of the radial nerve.
Your nerves need to be able to slide and glide freely as your body moves. When a nerve becomes irritated—whether due to muscle tightness, postural strain, or an injury—it may not move smoothly. This can result in pain, tingling, or weakness.
Radial nerve glides work by carefully moving your arm and wrist through a sequence of positions that stretch the nerve in one direction while releasing it in another. This “flossing” action encourages better nerve movement and reduces sensitivity.
Why We Prescribe Radial Nerve Glides
We may recommend radial nerve glides as part of a treatment plan when you’re experiencing:
- Tingling or numbness along the back of the hand or thumb
- Pain in the back of the arm, elbow, or wrist
- Weakness with gripping or lifting
- Symptoms related to conditions such as radial tunnel syndrome or nerve irritation from postural strain
By performing these glides, you may notice:
- Reduced nerve-related discomfort
- Improved mobility in your arm and wrist
- Greater confidence using your arm in daily activities
It’s important to remember that radial nerve glides are not a “one-size-fits-all” exercise. We assess your condition thoroughly—often using neurodynamic testing or an Upper Limb Tension Test—before prescribing them.
How to Perform a Radial Nerve Glide (Step by Step)
We’ll demonstrate and guide you through radial nerve glides in your appointment to make sure you’re doing them correctly and safely. A common version of the exercise looks like this:
- Starting position: Stand tall with your arm relaxed by your side.
- Arm position: Gently extend your arm out to the side, keeping your elbow straight.
- Wrist and hand: Flex your wrist and fingers (bend them towards your palm).
- Shoulder movement: Slowly tilt your head away from your arm to increase the stretch, then tilt towards your arm to reduce it.
- Gliding motion: Repeat this gentle movement 5–10 times, always staying within a comfortable range.
We’ll adapt the exact sequence for you depending on your symptoms, flexibility, and comfort level.
Important: Radial nerve glides should never be painful. You may feel a light stretch or mild reproduction of symptoms, but sharp pain or strong tingling means the nerve is being irritated. If that happens, stop and let us know.
Safety and Precautions
Not every patient should perform radial nerve glides. We avoid prescribing them if there’s:
- Acute nerve inflammation
- Recent trauma or surgery
- Severe neurological symptoms (such as significant weakness)
That’s why it’s essential to have a thorough assessment with us before starting. We’ll use tests such as the Upper Limb Tension Test to confirm whether nerve glides are appropriate for you.
How Radial Nerve Glides Fit Into Treatment
On their own, nerve glides can provide relief. But they’re most effective when combined with:
- Posture correction: Improving neck and shoulder alignment to reduce strain on nerves.
- Strengthening exercises: Building support in surrounding muscles.
- Hands-on therapy: Manual techniques to release tight tissues and improve mobility.
- Education: Teaching you how to modify daily activities that may be aggravating your symptoms.
This holistic approach ensures we’re not just easing your symptoms, but also addressing the root cause.
Conclusion
Radial nerve glides are a simple yet powerful tool for easing nerve-related pain and improving mobility in your arm, wrist, and hand. When prescribed and guided by a physiotherapist, they can play an important role in restoring function and helping you return to the activities you enjoy.
If you’re experiencing nerve-related symptoms, don’t try to self-manage with random exercises from the internet. A thorough assessment with our experienced team at Northwest Physiotherapy Group will ensure you get the right diagnosis and a safe, effective treatment plan.
Book your appointment today and take the first step towards lasting relief.
References
- Shacklock M. Clinical Neurodynamics: A New System of Musculoskeletal Treatment. Elsevier; 2005.
- Butler DS. The Sensitive Nervous System. NOI Group; 2000.