Current context
This routine records a history of C5/C6-related neck-to-arm symptoms. The glides are included as gentle neural-mobility work to help the nerves move smoothly while the neck, shoulder, elbow, and wrist move.
Supporting guide
Why the three upper-limb nerve glides are in the routine, how to keep them gentle, and where strict towel-supported shoulder rotation fits.
Updated August 15, 2026 · General education, not a diagnosis or replacement for individual clinical advice
Purpose
This routine records a history of C5/C6-related neck-to-arm symptoms. The glides are included as gentle neural-mobility work to help the nerves move smoothly while the neck, shoulder, elbow, and wrist move.
When appropriately selected, relaxed slider movements may help manage neural sensitivity and maintain comfortable movement. They should feel like motion—not a hard stretch or strength exercise.
Nerve glides do not guarantee prevention of future symptoms, remove structural compression, or replace assessment when numbness or weakness is changing.
Technique rules
Stay relaxed. Keep the neck, jaw, and shoulder easy rather than bracing.
Move slowly out and back. One end of the pathway lengthens as the other softens.
Use the prescribed pattern and dose. More range or more repetitions are not automatically better.
Symptoms must settle promptly. Reduce the range or stop if tingling, numbness, or pain builds or remains afterward.
Current warm-up
Palm-forward pattern
Open the palm and gradually lengthen the elbow as the wrist extends, then soften the elbow and wrist to return.
Hand-to-face pattern
Move the hand toward the side of the face as the elbow bends, then reverse the sequence smoothly.
Thumb-in pattern
Use a small inward arm turn and wrist-flexed position as the arm moves slightly behind and away, then return.
Use only the pattern and range that your clinician has selected. Symptom location alone cannot reliably identify a specific cervical nerve root or peripheral nerve.
Separate strengthening exercise
This strengthens the shoulder external rotators while the towel gives immediate feedback that the elbow is staying fixed. It supports shoulder control; it is not a C5/C6 nerve glide or a decompression exercise.
Setup: Anchor the band at elbow height. Stand tall with the working elbow bent 90 degrees and place a folded towel between the elbow and the side of the ribs, just above the hip.