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

David B Fuller
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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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整骨疗法治疗特发性髂胃下神经痛1例。
髂腹下神经痛是一种罕见的由髂腹下神经压迫引起的下腹部疼痛。传统的治疗方法包括药物、注射和手术;以前的文献没有探讨使用整骨手法治疗髂胃下神经痛。在这里,作者讨论了一个72岁的女性,她出现了2年的右下腹痛,多次治疗失败,包括腹腔镜探查和阑尾切除术。在对患者的躯体功能障碍进行整骨手法治疗和足跟抬高后,她的髂腹下神经痛得到了显著改善。
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JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION
JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION MEDICINE, GENERAL & INTERNAL-
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期刊介绍: JAOA—The Journal of the American Osteopathic Association is the official scientific publication of the American Osteopathic Association, as well as the premier scholarly, peer-reviewed publication of the osteopathic medical profession. The JAOA"s mission is to advance medicine through the scholarly publication of peer-reviewed osteopathic medical research. The JAOA"s goals are: 1. To be the authoritative scholarly publication of the osteopathic medical profession 2. To advance the traditional tenets of osteopathic medicine while encouraging the development of emerging concepts relevant to the profession"s distinctiveness
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