Neuromusculoskeletal Medicine (OMT)  |   December 2020
Osteopathic Approach to the Treatment of a Patient With Idiopathic Iliohypogastric Neuralgia
Author Notes
  • From the Department of Osteopathic Manipulative Medicine at Philadelphia College of Osteopathic Medicine in Pennsylvania. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to David B. Fuller, DO, 2075 Paper Mill Road, Huntingdon Valley, PA 19006-5815. Email: davidfu@pcom.edu
     
Article Information
Neuromusculoskeletal Medicine (OMT)   |   December 2020
Osteopathic Approach to the Treatment of a Patient With Idiopathic Iliohypogastric Neuralgia
The Journal of the American Osteopathic Association, December 2020, Vol. 120, 907-912. doi:https://doi.org/10.7556/jaoa.2020.150
The Journal of the American Osteopathic Association, December 2020, Vol. 120, 907-912. doi:https://doi.org/10.7556/jaoa.2020.150
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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