Main Article Content
Chiropractic; Spinal Manipulation; Physical Therapy
Objective: To describe the resolution of medial femoral cutaneous nerve palsy utilizing chiropractic interventions and IASTM.
Clinical Features: A 64-year-old man sought care for low back pain and pain extending into his right medial thigh that had been present for 1 month.
Intervention and Outcome: Chiropractic management, including spinal manipulation, McKenzie procedures, and IASTM was used to resolve medial femoral cutaneous nerve palsy.
Conclusion: Our case identifies a patient presentation that suggested discogenic pain combined with peripheral nerve entrapment. The combination of spinal manipulation with end-range loading should be studied in more detail.
2. Oh SJ, Hatanaka Y, Ohira M, Kurokawa K, Claussen GC. Clinical utility of sensory nerve conduction of medial femoral cutaneous nerve. Muscle Nerve 2012;45(2):195-199. doi:10.1002/mus.22287
3. Lee HJ, Bach JR, Delisa JA. Medial Femoral Cutaneous Nerve Conduction. Am J Phys Med Rehabil 1995;74(4):305-307. doi:10.1097/00002060-199507000-00008
4. Lo YL, Lee KT, Rikhraj IS. Isolated medial femoral cutaneous neuropathy. Muscle Nerve 2004;30(6): 812-813. doi:10.1002/mus.20143
5. Albert T, Balderston R, Heller J. Upper lumbar disc herniations. J Spinal Disord 1993;6:351–359
6. Suri P, Rainville J, Katz JN et al. The accuracy of the physical examination for the diagnosis of midlumbar and low lumbar nerve root impingement. Spine 2011;36(1):63-73. doi:10.1097/BRS.0b013e3181c953cc.
7. Hirabayashi H, Takahashi J, Hashidate H et al. Characteristics of L3 nerve root radiculopathy. Surg Neurol 2009; 2:36-40
8. Kortelainen P, Puranen J, Koivisto E. Symptoms and signs of sciatica and their relation to the localization of the lumbar disc herniation. Spine 1985;10:88–92
9. Pásztor E, Szarvas I. Herniation of the upper lumbar discs. Neurosurg Rev 1981;4:151–157
10. Skytte L, May S, Petersen P. Centralization: its prognostic value in patients with referred symptoms and sciatica. Spine 2005;30:E293-299
11. Donelson R, Aprill C, Medcalf R, Grant W. A prospective study of centralization of lumbar and referred pain. Spine 1997;22(10):1115-1122
12. Cook C, Hegedus EJ, Ramey K. Physical therapy exercise intervention based on classification using the patient response method: a systematic review of the literature. J Man Manipulative Ther 2005;13(3):152-162
13. Olson HM, Zetocha AJ, Olson CA. Chiropractic management of a patient with perineal numbness after arthroscopic hip surgery: a case report. J Chiropr Med 2016;15(4):305-309
14. Olson HM. Diagnosis and conservative chiropractic care of chronic idiopathic pudenal nerve entrapment causing saddle-like paresthesia and restless genital syndrome: a case study. J Spine 2016;5;346. Doi: 10.4172/2165-7939.1000346
15. Durante J, Macintyre IG. Pudendal nerve entrapment in an Ironman athlete: a case report. J Can Chiropr Assoc 2010;54:276-81.
16. Elliott R, Burkett B. Massage therapy as an effective treatment for carpal tunnel syndrome. J Bodyw Mov Ther. 2013;17(3):332-338