Dear List,
I propose three queries to you all (not related).
1. I have a patient who exhibits signs of lateral femoral cutaneous
nerve entrapment. His L/s is fine (x-ray and palpn), his psoas
is fine, his TFL does not evoke symptoms, and he does not have
peritoneal problems/surgery to his descending colon. Thus the
only place it could be entrapped is the inguinal lig, though I have
had trouble reproducing symptoms by sustained pressure over the
nerve as it pierces 1cm medial to the ASIS (but managed to
today with about 3 mins of ressure).
This problem has another name, something paraesthetica??
Anyway, my question is this - cortisone injection under the inguinal
lig. is often helpful,but does the list think that ultrasound and
deep frictions over the site could resolve this patients pain?
Your thoughts are appreciated.
2. I have noticed that De Quervains seems to be very resistant
to treatment, and whilst the patient I have at the moment
is probably more resistant to returning to work than his DQ is to
treatment, I was wondering how others treat this epidemic!!
3. Has anyone noticed patients with neck problems often have a
seemingly depressed and exteremly tender T3. well, if not, I have.
It is very difficult to settle because it is so sore. I was wondering
if anyone has any thoughts on why it is like this, what causes it to
appear depressed (is it anteriorly tilted or something), what the
MET for correction might be if so etc. Just an interesting observation
that I thought the list might be occasioned to discuss.
Thanks Guys,
Scott Epsley.
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