Abstract:
To underscore the importance of evaluating the entrapment of the posterior femoral cutaneous nerve (PFCN) in patients exhibiting symptoms in the posterior thigh region. A 42-year-old male dentist, initially diagnosed with a semitendinosus muscle tear and persistent pain and tingling in the posterior thigh, sought treatment at our outpatient clinic. Despite unsuccessful physiotherapy, a comprehensive evaluation revealed an unusual entrapment of the PFCN between the sacrotuberous ligament and the semitendinosus muscle stump. The patient was subjected to a series of specialized therapeutic interventions, including soft tissue release, kinesiology taping, and lifestyle modifications. The patient\'s symptoms, including pain and tingling, were completely resolved, enabling him to sit on a stool for extended periods without discomfort. This case presentation emphasizes the need for physical therapists to consider the possibility of PFCN entrapment in patients experiencing pain and tingling in the posterior thigh. These symptoms can be easily mistaken for conditions such as sciatica or a hamstring muscle tear.
摘要:
强调在大腿后区表现出症状的患者中评估股后皮神经(PFCN)压迫的重要性。一名42岁的男性牙医,最初诊断为半腱肌撕裂,大腿后部持续疼痛和刺痛,在我们的门诊寻求治疗。尽管物理治疗不成功,综合评估显示,PFCN在骶结节韧带和半腱肌残端之间异常截留。患者接受了一系列专门的治疗干预,包括软组织松解术,运动学录音,和生活方式的改变。病人的症状,包括疼痛和刺痛,完全解决了,使他可以长时间坐在凳子上而不会感到不适。此病例报告强调物理治疗师需要考虑在大腿后部疼痛和刺痛的患者中发生PFCN截留的可能性。这些症状很容易被误认为是坐骨神经痛或腿筋肌肉撕裂等疾病。