Conservative management of a saphenous nerve entrapment in a female ultra-marathon runner

J Bodyw Mov Ther. 2013 Jul;17(3):297-301. doi: 10.1016/j.jbmt.2012.10.005. Epub 2012 Nov 21.

Abstract

Entrapment of the saphenous nerve is a frequently overlooked cause of medial knee pain. Delayed or misdiagnosis is a result of a lack of detailed reporting of the vastoadductor membrane, and by direct visualization of the entrapment only being accomplished at the time of surgical decompression. To date there are no documented conservative interventions discussed in the literature. This is a case of diagnosis and conservative resolution of a spontaneous saphenous nerve entrapment in a competitive female ultra-marathon runner. In-office Active Release Technique(®) combined with an at-home rehabilitative exercise program relieved the patient's subjective pain and paresthesia with two treatments provided over a one week period of time.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arthralgia / etiology
  • Arthralgia / rehabilitation*
  • Exercise Therapy / methods*
  • Female
  • Femoral Nerve*
  • Humans
  • Knee Joint*
  • Nerve Compression Syndromes / complications
  • Nerve Compression Syndromes / rehabilitation*
  • Running*