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股外侧皮神经痛的保守治疗与整脊治疗:综述与病例报告

Conservative and chiropractic treatment of meralgia paresthetica: review and case report.

作者信息

Kadel R E, Godbey W D, Davis B P

出版信息

J Manipulative Physiol Ther. 1982 Jun;5(2):73-8.

PMID:7119595
Abstract

Meralgia paresthetica, a neuritis of the lateral femoral cutaneous nerve, appears to be usually a nerve entrapment syndrome but may also arise from other nerve insults or neuropathies. This paper reviews the anatomy of the affected nerve, differential diagnosis of the condition and the available treatments from conservative to surgical. The authors suggest that, because of failure to recognize it, the condition may be more prevalent than has been assumed, and they propose a role for chiropractic care in the sequence of management. This proposal is supported by a case report of a patient in which we describe our procedure for diagnosis of meralgia paresthetica and for monitoring progress; we then explain our course of conservative chiropractic treatment. That the symptoms of nine month's duration diminished progressively during six weeks of chiropractic treatment and have not returned in the six months post-treatment period offers no conclusive proof, but has encouraged us to investigate a larger sample of cases in our clinics.

摘要

股外侧皮神经痛是一种股外侧皮神经炎,通常似乎是一种神经卡压综合征,但也可能由其他神经损伤或神经病变引起。本文回顾了受累神经的解剖结构、该病的鉴别诊断以及从保守治疗到手术治疗的可用方法。作者认为,由于未能识别该病,其实际发病率可能比预期的更高,他们提议在治疗过程中采用整脊疗法。一名患者的病例报告支持了这一提议,在该病例中,我们描述了诊断股外侧皮神经痛及监测病情进展的过程;然后解释了我们的保守整脊治疗方案。虽然在整脊治疗的六周内,持续九个月的症状逐渐减轻,且在治疗后的六个月内未再复发,但这并不能提供确凿的证据,不过这鼓励我们在诊所对更多病例进行研究。

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Conservative and chiropractic treatment of meralgia paresthetica: review and case report.股外侧皮神经痛的保守治疗与整脊治疗:综述与病例报告
J Manipulative Physiol Ther. 1982 Jun;5(2):73-8.
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Successful treatment of meralgia paresthetica with pulsed radiofrequency of the lateral femoral cutaneous nerve.采用股外侧皮神经脉冲射频成功治疗股外侧皮神经感觉异常。
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[Meralgia paresthetica. Pathogenesis, clinical aspects and therapy of compression of the lateral cutaneous nerve of the thigh].[股外侧皮神经卡压综合征。发病机制、临床特点及治疗]
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Meralgia paresthetica: a report on two cases treated surgically.股外侧皮神经痛:两例手术治疗报告
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J Manipulative Physiol Ther. 1983 Jun;6(2):77-9.
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[Meralgia paresthetica: an uncommon entrapment neuropathy (author's transl)].
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Diagnosis and treatment of meralgia paresthetica.股外侧皮神经痛的诊断与治疗
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引用本文的文献

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Chiropractic management of bilateral meralgia paresthetica: a case report.双侧感觉异常性股痛的整脊治疗:一例报告
J Can Chiropr Assoc. 2023 Aug;67(2):175-185.
2
Ultrasound-Guided Treatment of Meralgia Paresthetica: With or Without Corticosteroid? A Double-Blinded, Randomized Controlled Study.超声引导下治疗股外侧皮神经痛:是否联合使用皮质类固醇?一项双盲、随机对照研究。
Ann Indian Acad Neurol. 2023 Jan-Feb;26(1):67-72. doi: 10.4103/aian.aian_883_22. Epub 2023 Jan 4.
3
Meralgia paresthetica: a review of the literature.股外侧皮神经痛:文献综述
Int J Sports Phys Ther. 2013 Dec;8(6):883-93.
4
Chiropractic management of chronic idiopathic meralgia paresthetica: a case study.慢性特发性感觉异常性股痛的整脊治疗:一项病例研究。
J Chiropr Med. 2012 Mar;11(1):36-41. doi: 10.1016/j.jcm.2011.06.008.