Which manual therapy is cited for meralgia paresthetica by Dr. Fabry?

Which manual therapy is cited for meralgia paresthetica by Dr. Fabry?

• A. Rectofemoral stretching and lumbar soft tissue
• B. Myofascial release of the lower extremities only
• C. Massage therapy of the thigh
• D. Acupuncture

Answer: (A)

Meralgia paresthetica arises when the lateral femoral cutaneous nerve is compressed as it passes beneath the inguinal ligament near the ASIS. This entrapment is often helped or worsened by hip flexor and lumbar region tension. The manual therapy approach of rectofemoral stretching plus lumbar soft-tissue work targets the two main contributors: lengthening the rectus femoris reduces anterior pelvic tilt and inguinal region strain, while releasing lumbar fascia and paraspinal tension lessens overall traction on the nerve along its course. By addressing these mechanical factors directly, this method more effectively diminishes nerve compression and symptoms than more generalized or distal therapies.

Meralgia paresthetica arises when the lateral femoral cutaneous nerve is compressed as it passes beneath the inguinal ligament near the ASIS. This entrapment is often helped or worsened by hip flexor and lumbar region tension. The manual therapy approach of rectofemoral stretching plus lumbar soft-tissue work targets the two main contributors: lengthening the rectus femoris reduces anterior pelvic tilt and inguinal region strain, while releasing lumbar fascia and paraspinal tension lessens overall traction on the nerve along its course. By addressing these mechanical factors directly, this method more effectively diminishes nerve compression and symptoms than more generalized or distal therapies.