Background. Research has shown that the condition of meralgia paresthetica, or femoral neuropathy, can be treated by means of surgical, pharmaceutical, and manual therapy interventions. However, there is limited research on providing noninvasive, long-lasting pain relief via an independent home program in this population. Purpose. The purpose of this study was to evaluate the effectiveness between self-stretching and the current research on the use of manual therapy and neural mobilization to treat meralgia paresthetica. Literature review. Eleven articles were included in the literature review. Current literature has supported surgical, pharmaceutical, and manual therapy interventions as treatment for meralgia paresthetica. While recent research has revealed that manual hip flexor lengthening can result in decreased pain and decreased neural tension, what has been currently lacking in research on this population has been the use of an independent plan of care that can transition to a home exercise plan. Case description. The patient was a 54-year-old female who suffered a motor vehicle accident and complained of significant pain and paresthesia in her left anterior thigh region. The outcomes used were a neural tension test and numeric pain rating scale. The results revealed decreased neural tension in the lateral femoral cutaneous nerve (LFCN) and decreased pain. Discussion. Neural tension and pain are key measures in assessing meralgia paresthetica. With this patient, independent hip flexor stretching was shown to significantly decrease neural tension of the LFCN over the use of neural mobilization exercises.
|School:||Azusa Pacific University|
|School Location:||United States -- California|
|Source:||DAI-B 81/6(E), Dissertation Abstracts International|
|Subjects:||Physical therapy, Pharmacology, Medicine|
|Keywords:||Femoral neuropathy, Hip flexor length, Lateral femoral cutaneous nerve, Meralgia paresthetica, Nerve mobilization, Neural tension|
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