Doc, My Scrotum Hurts And I Swear I Do Not Have Chlamydia

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Doc, My Scrotum Hurts And I Swear I Do Not Have Chlamydia - Page #4

Working Diagnosis: -Genitofemoral nerve entrapment Treatment: Physical Therapy - Focus in Psoas stretching and core strengthening - Osteopathic Manipulative Treatment (OMT): Left innominate upslip with ant rotation - NSAIDs Outcome: Conservative management: Patient was treated with OMT for an upslip of the left innominate as well as Lumbar flexion/rotation/side bending with high velocity low amplitude manipulation. Followed by home exercise program that focused on psoas stretching and core strengthening. Patient was given NSAIDs for pain control. Follow up was completed one week from initial appointment, patient stated pain had decreased from everyday to every third day. OMT was repeated for upslip and lumbar with continued stretching and strengthening program. One month follow up; pain had completely resolved, encouraged patient to continue stretches and core strength. Patient return to full active duty as command security. Editor's Comments: The genitofemoral nerve runs through the posts muscle. Unlike the lateral femoral cutaneous nerve, the genitofemoral nerve does not have a superficial location and is not vulnerable to compression (e.g. from belts and clothing). Genitofemoral nerve entrapment typically leads to groin pain and altered sensation below the inguinal crease. This patient's fall onto his buttock's may be an incidental finding as this would be an uncommon mechanism for genitofemoral cutaneous nerve compression or traction. Return To The Case Studies List.		Back
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