Fuller DB. Osteopathic Approach to the Treatment of a Patient With Idiopathic Iliohypogastric Neuralgia. J Am Osteopath Assoc 2020;120(12):907–912. doi: https://doi.org/10.7556/jaoa.2020.150.
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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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