Document Detail


A manual therapy and exercise approach to meralgia paresthetica in pregnancy: a case report.
MedLine Citation:
PMID:  19674679     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To present a case of a pregnant patient with meralgia paresthetica who improved using manual therapy and exercise procedures.
CLINICAL FEATURES: A 22-year-old patient in the sixteenth week of pregnancy had low back pain, bilateral anterolateral thigh paresthesia and groin pain for a duration of 1 month. She had no motor deficits in either lower extremity and her reflexes were intact. As a standard clinic procedure, a battery of functional tests were performed including: active straight leg raise, long dorsal ligament test, and the pelvic pain provocation procedure. Based on her clinical history and physical responses to the aforementioned functional tests, the diagnosis of meralgia paresthetica was deduced.
INTERVENTION AND OUTCOME: Treatment was provided at 6 visits over a 6-week period where the patient underwent evaluation, manual intervention, and exercise prescription. Active Release Technique (ART) was performed to the restricted right sacroiliac (SIJ) complex and quadratus lumborum muscles. ART and post-isometric relaxation were applied to the illiopsoas muscles. The home exercise program consisted of pelvic/low back mobility, stabilization and relaxation exercises. After 6 treatments, the patient reported complete resolution of low back pain and left lower extremity symptoms and a 90% improvement in the right thigh symptoms. At her one-year follow-up, the patient reported no further complications and the absence of pain.
CONCLUSIONS: Manual therapy and exercises may serve as an effective treatment protocol for pregnant patients experiencing low back pain complicated by paresthesia. Because these conservative procedures offer a low-risk intervention, additional clinical studies are warranted to further study this treatment.
Authors:
Clayton D Skaggs; Brett A Winchester; Michael Vianin; Heidi Prather
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of chiropractic medicine     Volume:  5     ISSN:  1556-3707     ISO Abbreviation:  J Chiropr Med     Publication Date:  2006  
Date Detail:
Created Date:  2009-08-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101163637     Medline TA:  J Chiropr Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  92-6     Citation Subset:  -    
Affiliation:
Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO; Division of Research, Logan College of Chiropractic, St. Louis, MO.
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