Chiropractic management of chronic idiopathic meralgia paresthetica: a case study

J Chiropr Med. 2012 Mar;11(1):36-41. doi: 10.1016/j.jcm.2011.06.008.

Abstract

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.

Keywords: Chiropractic; Meralgia paresthetica; Musculoskeletal manipulations; Sacroiliac joint.