NMM/OMTCase Report

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

David B. Fuller, DO
Notes and Affiliations
Notes and Affiliations

Received: July 1, 2020

Accepted: July 14, 2020

Published: October 21, 2020

J Am Osteopath Assoc; 120(12): 907-912

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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