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Osteopathic Approach to the Treatment of a Patient With Idiopathic Iliohypogastric Neuralgia

Journal: The Journal of the American Osteopathic Association Date: 2020/12, 120(12):Pages: 907-912. doi: Subito , type of study: case report

Free full text   (https://www.degruyter.com/document/doi/10.7556/jaoa.2020.150/html)

Keywords:

iliohypogastric neuralgia [1]
lower abdominal pain [1]
iliohypogastric nerve [1]
osteopathic manipulative treatment [2973]
OMT [2951]
case report [514]

Abstract:

Iliohypogastric neuralgia is an uncommon etiology of lower abdominal pain caused by entrapment of the iliohypogastric nerve. Conventional management consists of medications, injections, and surgery; previous literature has not explored the use of osteopathic manipulative medicine for management of iliohypogastric neuralgia. Here, the author discusses the case of a 72-year-old woman who presented with 2 years of right lower abdominal pain, having failed multiple treatments, including exploratory laparoscopy and appendectomy. Following management of the patient's somatic dysfunctions with osteopathic manipulative treatment and a heel lift, her iliohypogastric neuralgia was significantly improved.


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