慢性特发性感觉异常性股痛的整脊治疗：一项病例研究。
Chiropractic management of chronic idiopathic meralgia paresthetica: a case study.
作者信息
Houle Sébastien
机构信息
Master's Degree Student, Biophysique et Biologie Cellulaires, Département de Chimie-Biologie, Université du Québec à Trois-Rivières, Québec, Canada G9A 5H7.
出版信息
J Chiropr Med. 2012 Mar;11(1):36-41. doi: 10.1016/j.jcm.2011.06.008.
OBJECTIVES
This report describes the case of a patient with chronic idiopathic meralgia paresthetica associated with bilateral sacroiliac joint dysfunction who was managed with chiropractic care.
CLINICAL FEATURES
A 35-year-old white woman presented to a private chiropractic clinic with a complaint of numbness in the right anterolateral thigh region. Neurological assessment revealed a diminution of sensibility and discrimination on the right lateral femoral cutaneous nerve territory. Pain was rated as 8.5 on a numeric pain scale of 0 to 10. Musculoskeletal examination of the pelvic region disclosed bilateral sacroiliac joint dysfunction.
INTERVENTION AND OUTCOMES
Chiropractic management included pelvic mobilizations, myofascial therapy, transverse friction massage, and stretching exercises. After 3 visits (2 weeks later), result of neurological evaluation was normal, with no residual numbness over the lateral thigh.
CONCLUSION
In the present case, chiropractic management with standard and applied kinesiology techniques resulted in recovery of meralgia paresthetica symptoms for this patient.
目的
本报告描述了一例患有慢性特发性股外侧皮神经痛并伴有双侧骶髂关节功能障碍的患者，其接受了整脊治疗。
临床特征
一名35岁白人女性前往一家私人整脊诊所就诊，主诉右大腿前外侧区域麻木。神经学评估显示右侧股外侧皮神经支配区域的感觉和辨别能力减退。疼痛在0至10的数字疼痛量表上被评为8.5分。骨盆区域的肌肉骨骼检查发现双侧骶髂关节功能障碍。
干预措施及结果
整脊治疗包括骨盆松动术、肌筋膜疗法、横向摩擦按摩和伸展运动。3次就诊（2周后）后，神经学评估结果正常，大腿外侧无残留麻木感。
结论
在本病例中，采用标准和应用运动学技术的整脊治疗使该患者的股外侧皮神经痛症状得以恢复。
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