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

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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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The Journal of the American Osteopathic Association

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This article was published in Journal of the American Osteopathic Association.

The published version is available at https://doi.org/10.7556/jaoa.2020.150.

Copyright © 2020.

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