1,248 results match your criteria Femoral Mononeuropathy

Single direct right axillary artery cannulation using a modified Seldinger technique in minimally invasive cardiac surgery.

Gen Thorac Cardiovasc Surg 2022 May 31. Epub 2022 May 31.

Department of Cardiovascular Surgery, Chiba-Nishi General Hospital, 107-1 Kanegasaku, Matsudo, Chiba, 270-2251, Japan.

Objectives: Single direct right axillary artery cannulation is uncommon in minimally invasive cardiac surgery; however, the risk of cerebral infarction due to retrograde perfusion using the femoral artery remains high in patients with thoracoabdominal aortic atheroma. In our institution, we perform right axillary artery cannulation using a modified Seldinger technique in patients with atherosclerotic disease. This study aimed to evaluate the safety and effectiveness of this technique in minimally invasive cardiac surgery. Read More

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Common fibular nerve palsy due to fabella compression: An illustrative case report.

Neurochirurgie 2022 May 16. Epub 2022 May 16.

Department of neurosurgery, Jolimont Hospital, Rue Ferrer, 159, 7100 Haine-Saint-Paul, Belgium. Electronic address:

Background: The fabella is a sesamoid bone situated in the tendon of the lateral head of the gastrocnemius muscle behind the lateral femoral condyle. Common fibular nerve injury may occur anywhere on its course and the most common etiology remains compression at the level of the head of the fibula. Compression by a fabella is a very unusual cause of common fibular nerve palsy and only few case reports are described in the literature. Read More

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A translatable RNAi-driven gene therapy silences PMP22/Pmp22 genes and improves neuropathy in CMT1A mice.

J Clin Invest 2022 May 17. Epub 2022 May 17.

Neuroscience Department, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus.

Charcot-Marie-Tooth disease type 1A (CMT1A), the most common inherited demyelinating peripheral neuropathy, is caused by PMP22 gene duplication. Over-expression of wild-type PMP22 in Schwann cells destabilizes the myelin sheath, leading to demyelination and ultimately to secondary axonal loss and disability. No treatments currently exist that modify the disease course. Read More

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Risk factors for lower bone mineral density in older adults with type 1 diabetes: a cross-sectional study.

Lancet Diabetes Endocrinol 2022 Jul 13;10(7):509-518. Epub 2022 May 13.

Case Western Reserve University/Rainbow Babies and Children's Hospital, Cleveland, OH, USA.

Background: Type 1 diabetes is associated with lower bone mineral density (BMD) and increased fracture risk, but little is known regarding the effects of diabetes-related factors on BMD. We assessed whether these factors are associated with lower hip BMD among older adults with type 1 diabetes.

Methods: This cross-sectional study was embedded in a long-term observational study, the Epidemiology of Diabetes Interventions and Complications study (EDIC), a cohort of participants with type 1 diabetes, who were originally enrolled in the Diabetes Control and Complications Trial (DCCT), and were followed-up for more than 30 years at 27 sites in the USA and Canada. Read More

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Laparoscopic transabdominal preperitoneal repair for recurrent obturator hernia initially treated by open mesh plug repair: A case report with video.

Asian J Endosc Surg 2022 May 9. Epub 2022 May 9.

Department of Surgery, Yokohama Sakae Kyosai Hospital, Yokohama, Japan.

An 80-year-old woman presented to our emergency department with vomiting which had begun half a day prior to presentation. She had undergone open mesh plug repair for a right obturator hernia 1 year prior to presentation. Computed tomography detected recurrence of the right obturator hernia. Read More

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Surgical anatomy of the lateral femoral cutaneous nerve for meralgia paraesthetica: A simple technical guide for surgeons and trainees alike.

J Clin Neurosci 2022 Jul 6;101:52-56. Epub 2022 May 6.

Department of Neurosurgery, Wollongong Hospital, Wollongong, NSW, Australia; Illawarra Health and Medical Research Institute, Wollongong, NSW, Australia; Graduate School of Medicine, University of Wollongong, Wollongong, NSW, Australia; South Western Sydney Clinical School, University of New South Wales, Liverpool, NSW, Australia.

Meralgia paraesthetica is an entrapment neuropathy of the lateral femoral cutaneous nerve, usually due to compression at the inguinal ligament as the nerve passes from the pelvis into the thigh. Surgical decompression of the lateral femoral cutaneous nerve is a simple and effective treatment option, but the surgical anatomy of the area is not always familiar to neurosurgeons and neurosurgical trainees alike. This paper is a simple review of the relevant surgical anatomy and the surgical steps of lateral femoral cutaneous nerve decompression, with the aim of providing the busy surgeon and trainee a quick and easy reference guide to the procedure. Read More

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A Practical Guide to Lower Extremity Nerve Blocks for the Sports Medicine Surgeon.

Am J Sports Med 2022 Apr 19:3635465211051757. Epub 2022 Apr 19.

Columbia University Irving Medical Center, New York, New York, USA.

Background: Peripheral nerve blocks (PNBs) are vital in the administration of surgical analgesia and have grown in popularity for use in lower extremity arthroscopic procedures because of their capacity to safely and effectively control pain. The number and specificity of PNBs, however, have made choosing the best option for a procedure nebulous for orthopaedic surgeons.

Purpose: To present a narrative literature review of the PNBs available for arthroscopic hip and knee procedures that is adapted to an audience of orthopaedic surgeons. Read More

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Natural history of postoperative neuropathies in gynecologic surgery.

Int Urogynecol J 2022 Apr 6. Epub 2022 Apr 6.

Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, University of Iowa Hospitals & Clinics, 200 Hawkins Drive, Iowa City, IA, 52245, USA.

Introduction And Hypothesis: Neuropathy following pelvic surgery is an uncommon but important complication. The current literature about the natural history and treatment of these neuropathies is limited. We aim to describe the characteristics, treatments and natural history of postoperative neuropathy following benign gynecologic surgery. Read More

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Compressive femoral neuropathy caused by anticoagulant therapy induced retroperitoneal hematoma: A case report.

Medicine (Baltimore) 2022 Feb;101(7):e28876

Department of Physical Medicine and Rehabilitation, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea.

Rationale: Spontaneous retroperitoneal hematomas due to anticoagulant therapy rarely occur. Retroperitoneal hematomas can cause severe pain in the groin, quadriceps femoris muscle weakness, hemodynamic instability, and abdominal distension. They rarely cause compressive neuropathy of the femoral nerve transversing the iliacus muscle. Read More

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February 2022

Ultrasound-Guided Pulsed Radiofrequency Treatment for Meralgia Paresthetica.

Cureus 2022 Feb 8;14(2):e22015. Epub 2022 Feb 8.

Intervention and Musculoskeletal Rehabilitation Unit, Centro de Reabilitação do Norte, Vila Nova de Gaia, PRT.

Meralgia paresthetica (MP) is one of the most common mononeuropathies of the lower limb, characterized by injury or compression of the lateral cutaneous femoral nerve at the level of the anterior superior iliac spine and inguinal ligament. Many predisposing factors, such as weight gain, obesity, and restrictive clothing, contribute to the injury of the lateral cutaneous femoral nerve along its course from the pelvis towards the thigh. Although a great number of cases are successfully treated with conservative measures, a subgroup of patients suffer chronic dysesthetic pain with intermittent flare-ups in their lifetime, with a negative impact on quality of life, requiring additional treatment. Read More

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February 2022

Anatomical Analysis of the Lateral Femoral Cutaneous Nerve and Its Passage beneath the Inguinal Ligament.

Plast Reconstr Surg 2022 05 11;149(5):1147-1151. Epub 2022 Mar 11.

From the Department of Plastic, Aesthetic, and Reconstructive Surgery, Hospital of St. John of God Salzburg, Paracelsus Medical University Salzburg; Department for Plastic, Reconstructive, and Hand Surgery, Nuremberg Hospital, Paracelsus Medical University; and Gottfried Schatz Research Center, Macroscopic and Clinical Anatomy, Medical University Graz.

Background: Meralgia paraesthetica is a mononeuropathy of the lateral femoral cutaneous nerve. According to the literature, the nerve travels beneath the inguinal ligament 1.3 to 5. Read More

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Distal Acquired Demyelinating Symmetric Neuropathy Associated with Decreased Electrical Excitability of the Femoral Nerves.

Maedica (Bucur) 2021 Dec;16(4):707-712

Scientific Research Laboratory, Belarusian Medical Academy of Postgraduate Education, Minsk, Belarus.

There are many phenotypic variants of chronic inflammatory demyelinating polyneuropathy. An Ancient Greek aryvallos painted c. 480-450 BC, now on display at the Louvre museum, was meticulously studied regarding its painted surface, which presents an outpatient clinic in Ancient Greece. Read More

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December 2021

Spinal cord stimulation to treat meralgia paresthetica. Is it feasible? A case report.

Neurocirugia (Astur : Engl Ed) 2022 Mar 2. Epub 2022 Mar 2.

Servicio de Neurocirugía, Hospital Clínico San Carlos, Madrid, Spain.

Meralgia paresthetica is a neurological disorder caused by a neuropathy of the lateral femoral cutaneous nerve. Its aetiology can be spontaneous or iatrogenic. It is characterized by pain, paresthesia, and numbness in the anterolateral aspect of the thigh. Read More

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Rituximab and dupilumab improve eosinophilic granulomatosis with polyangiitis with multiple pulmonary thrombi.

Allergy Asthma Clin Immunol 2022 Feb 26;18(1):18. Epub 2022 Feb 26.

Department of Allergy and Respirology, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka, Kanagawa, 254-0065, Japan.

Background: Eosinophilic granulomatosis with polyangiitis (EGPA) is characterized by a necrotizing vasculitis with tissue and peripheral blood eosinophilia affecting small and medium-sized arteries, capillaries, and veins. Venous thromboembolic events are uncommon in EGPA. Moreover, there are only a few reported cases of EGPA complicated by pulmonary embolism or infarction. Read More

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February 2022

Midterm results of titanium conical Wagner stem with challenging femoral anatomy: Survivorship and unique bone remodeling.

Orthop Traumatol Surg Res 2022 Feb 11:103242. Epub 2022 Feb 11.

Surgery Department, Montreal University, Hôpital Maisonneuve-Rosemont, 5415, boulevard de l'Assomption, H1T 2M4 Montréal, Québec, Canada; Clinique Orthopédique Duval, 1487, boulevard des Laurentides, H7M 2Y3 Laval, Québec, Canada; Personalized Arthroplasty Society, 3525, Piedmont road NE, Building 5 suite 300, 30305 Atlanta, GA, USA. Electronic address:

Background: Complex anatomy of the proximal femur makes total hip arthroplasty (THA) more challenging. Short, straight, fluted and conical titanium stem like the Wagner Cone can be helpful to address small femoral canal, increased femoral neck version, important leg length discrepancy or proximal femoral deformity. The outcome in these patients is less assured and associated with high rate of complications. Read More

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February 2022

Bone Microarchitecture and Strength in Long-Standing Type 1 Diabetes.

J Bone Miner Res 2022 05 8;37(5):837-847. Epub 2022 Mar 8.

Department of Endocrinology, Diabetology and Metabolism University Hospital Basel, Basel, Switzerland.

Type 1 diabetes (T1DM) is associated with an increased fracture risk, specifically at nonvertebral sites. The influence of glycemic control and microvascular disease on skeletal health in long-standing T1DM remains largely unknown. We aimed to assess areal (aBMD) and volumetric bone mineral density (vBMD), bone microarchitecture, bone turnover, and estimated bone strength in patients with long-standing T1DM, defined as disease duration ≥25 years. Read More

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Successful application of spinal cord stimulation in a patient with refractory bilateral meralgia paresthetica.

Pain Manag 2022 May 21;12(4):409-416. Epub 2022 Jan 21.

Department of Physical Medicine & Rehabilitation, Resident Physician, Memorial Rehabilitation Institute at Memorial Healthcare System, Memorial Regional Hospital South, 3600 Washington St, Hollywood, FL 33021, USA.

We present a 38-year-old morbidly obese male who presented with functionally limiting bilateral anterior thigh pain consistent with meralgia paresthetica. His symptoms had been unresponsive to conservative measures which included physical therapy, oral medications and multiple nerve blocks. Patient underwent a trial of spinal cord stimulation (SCS), experiencing 70% of pain relief. Read More

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Spinal cord stimulation in the approach to chronic pelvic pain: A case report and literature review.

Medicine (Baltimore) 2021 Dec;100(52):e28379

Pain Management Unit, Hospital de Manises, Valencia, Spain.

Rationale: Chronic pelvic pain (CPP) is a pain related to pelvic structures that arise from posttraumatic pain, postsurgical pain, or somatic or visceral pain syndromes. Despite the available treatment options, CPP remains mostly untreated, due to difficulties in covering such a large area.

Patient Concerns: A 46-year-old woman presented chronic low back pain and CPP for more than 1 year and 6 months respectively after multiple pelvic fractures. Read More

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December 2021

Neurologic Complications in Heart Transplant Recipients Readmitted to the Intensive Care Unit.

Cureus 2021 Nov 10;13(11):e19425. Epub 2021 Nov 10.

Anesthesiology and Critical Care, Başkent University Faculty of Medicine, Ankara, TUR.

Introduction Neurologic complications after transplantation surgery are major causes of morbidity, and the incidence of neurologic complications among heart transplant recipients varies from 7% to 81%. In our study, we aimed to determine the incidence, etiologies, and risk factors of neurologic complications among patients readmitted to the intensive care unit (ICU) after heart transplantation. Method In this retrospective cohort study, the medical records of all patients who underwent cardiac transplantation from February 2003 to July 2019 were reviewed, and those admitted to the ICU due to neurologic complications during the early and late postoperative period were evaluated. Read More

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November 2021

Iatrogenic femoral nerve injuries: Analysis of medico-legal issues through a scoping review approach.

Ann Med Surg (Lond) 2021 Dec 10;72:103055. Epub 2021 Nov 10.

Department of Diagnostics and Public Health, Section of Forensic Medicine, University of Verona, Verona, Italy.

Purpose: Accidental femoral nerve injury is a well-known iatrogenic complication of orthopaedic, abdominal, and pelvic surgery. Because of the largely transitory nature of the symptoms associated with nerve damage, its true incidence is in all likelihood underestimated. This work aims to illustrate the surgical contexts within which this nerve injury is reported, based on the evidence obtained from a Scoping Review of the literature of the last 20 years, with specific reference to the underlying etiopathogenetic mechanisms and prognostic outcomes, to highlight the evaluation issues of medico-legal interest related to this pathology. Read More

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December 2021

An overlooked nerve in neuropathies associated with intragluteal injections: the posterior femoral cutaneous nerve.

Postgrad Med 2022 Jan 2;134(1):1-6. Epub 2021 Dec 2.

Department of Forensic Medicine, Nigde Training and Research Hospital, Nigde, Turkey.

Objective: The aim of this study was to investigate the frequency of posterior femoral cutaneous nerve (PFCN) lesions in patients referred to the electrophysiology laboratory with an initial diagnosis of sciatic nerve lesion following injection, and to create awareness that PFCN lesions can occur following intramuscular injections administered to the gluteal region.

Methods: Fifty-seven patients who were referred to the electrophysiology laboratory because of injection neuropathy were identified from the hospital records. In addition to the routine electrophysiological examination, PFCN sensory conduction study was performed according to the technique of Dumitru and Nelson. Read More

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January 2022

Common Focal Neuropathies in the Hospitalized Patient.

Neurol Clin 2022 02;40(1):175-190

University of California San Francisco, 400 Parnassus Avenue, 8th Floor, San Francisco, CA 94143, USA.

Neuropathies are a common problem encountered by neurologist in the hospitalized setting. Nerve injury may occur secondary to compression, stretch, and direct trauma, among other causes. Common focal neuropathies include the ulnar, median, and radial nerve in the upper extremities and sciatic, peroneal, and femoral nerve in the lower extremities. Read More

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February 2022

Peripheral neuropathy after extra-corporeal membrane oxygenation therapy in children: A case report.

Medicine (Baltimore) 2021 Nov;100(45):e27735

Department of Rehabilitation Medicine, Myongji Hospital, 14-55 Hwasu-ro, Deokyang-gu, Goyang-si, Gyeonggi-do, Republic of Korea.

Rationale: In recent years, the use of extracorporeal membrane oxygenation (ECMO) treatment for pediatric patients with cardiorespiratory failure has increased, with emphasis being given to the prevention of complications in ECMO-treated patients. Several studies have reported ECMO-related central nervous system complications, such as intracranial hemorrhage, cerebral infarction, and seizure. However, few cases of peripheral nerve injury have been reported in ECMO-treated adults; there have also been no reported cases of peripheral nerve injury in the pediatric population. Read More

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November 2021

Perioperative Complications and Adverse Events after Surgery for Peripheral Nerve- and Para-lumbar Spine Diseases.

Neurol Med Chir (Tokyo) 2022 Feb 10;62(2):75-79. Epub 2021 Nov 10.

Department of Neurological Surgery, Nippon Medical School Hospital.

Peripheral nerve diseases are common. Para-lumbar spine diseases (PLSDs) include peripheral neuropathy around the lumbar spine, e.g. Read More

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February 2022

[Decompression of the lateral femoral cutaneous nerve of the thigh : Treatment of meralgia paresthetica].

Oper Orthop Traumatol 2022 Apr 5;34(2):90-97. Epub 2021 Nov 5.

Abteilung für Plastische, Rekonstruktive und Ästhetische Chirurgie, Krankenhaus der Barmherzigen Brüder Salzburg, Paracelsus Medizinische Privatuniversität Salzburg, Kajetanerplatz 1, 5020, Salzburg, Österreich.

Objective: Treatment of non-responding pain to conservative treatment located at the anterolateral thigh with surgical decompression of the lateral femoral cutaneous nerve of the thigh (LFCN).

Indications: Compression syndrome of the LFCN; patients suffering from the following symptoms: pain (dysesthesia), numbness (paresthesia), hypersensibility to temperature (or temperature changes) along the course of the LFCN located at the anterolateral thigh.

Contraindications: A new or recrudescent hernia with additional pain or recent laparoscopic hernia repair as a supposed iatrogenically induced compression of the LFCN. Read More

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High-Resolution Ultrasonography in the Assessment of Lumbar Radiculoplexus Neuropathy in Diabetics: Preliminary Results of a Case-Control Study.

Reddy Ravikanth

J Neurosci Rural Pract 2021 Oct 20;12(4):792-795. Epub 2021 Sep 20.

Department of Radiology, St. John's Hospital, Bengaluru, Karnataka, India.

 The traditional diagnosis of lumbar radiculoplexus neuropathy (LRN) is based on a classical sequence of symptoms and targeted electrodiagnostic examination by means of electromyography. Ultrasonography reliably indicates the level of lumbar radiculopathy by assessing edema mesial to the site of compression.  This case-control study was undertaken at a tertiary care hospital between July 2017 and June 2019 on 15 diabetic patients with symptoms of LRN. Read More

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October 2021

COVID-19 Peripheral Neuropathy: A Report of Three Cases.

Cureus 2021 Sep 20;13(9):e18132. Epub 2021 Sep 20.

Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, USA.

This study includes three patients with various peripheral neuropathies after contracting coronavirus disease 2019 (COVID-19) infection, treated both conservatively and surgically. While cases of neurological complications have been described, neuropathy associated with COVID-19 is under-reported in orthopaedic literature. These patients presented with ulnar neuropathy, critical care polyneuropathy (CCP) with anterior interosseous nerve (AIN) neuropathy, and lateral femoral cutaneous nerve (LFCN) neuropathy. Read More

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September 2021

Median Nerve Mononeuropathy and Meralgia Paresthetica After Prone Positioning in a Patient with COVID-19 ARDS: A Case Report.

JBJS Case Connect 2021 09 17;11(3). Epub 2021 Sep 17.

Department of Orthopaedic Surgery, University of Illinois Medical Center at Chicago, Chicago, Illinois.

Case: Throughout the COVID-19 pandemic, prone positioning has decreased mortality in patients with severe acute respiratory distress syndrome. We present the unique case of a patient who developed left median nerve mononeuropathy and bilateral meralgia paresthetica after prone positioning while afflicted with COVID-19. These nerve injuries have been rarely reported in the literature and never before in the same patient. Read More

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September 2021

Suprainguinal Re-Resection of the Lateral Femoral Cutaneous Nerve in Persistence or Recurrence of Meralgia Paresthetica After Previous Transection: Results of a Case Series.

World Neurosurg 2021 11 11;155:e830-e835. Epub 2021 Sep 11.

Department of Surgery, Haaglanden Medical Center, The Hague, the Netherlands.

Objective: Suprainguinal re-resection of the proximal nerve stump can be performed in case of persistent or recurrent symptoms of meralgia paresthetica after previous transection of the lateral femoral cutaneous nerve (LFCN). Currently, no long-term results for this procedure have been reported in the literature.

Methods: In this study, 20 consecutive patients with persistent (13 cases) or recurrent (7 cases) symptoms of meralgia paresthetica were reoperated at a mean interval of 16 months after the first transection of the LFCN. Read More

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November 2021

Effect of Neurodynamics Nerve Flossing on Femoral Neuropathy in Haemophilic Patients: A randomized controlled study.

J Musculoskelet Neuronal Interact 2021 09;21(3):379-386

Department of Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, October 6 University, Egypt.

Objective: Heamophilia is considered a disorder in both children and adolescents which may affect their quality of life seriously than their normal peers; this study investigated the impact of the Neurodynamics Nerve Flossing Technique (NFT) on femoral neuropathy in patients with haemophilia.

Method: Thirty haemophilic children with Femoral Neuropathy were randomly allocated into two equivalent groups; the study group which received Neurodynamics NFT of the femoral nerve and conventional therapy program, and the control group which received only the conventional therapy program, three sessions/week for 12 weeks. Femoral nerve motor conduction velocity (MCV) and level of pain sensation according to the Visual Analogue Scale (VAS), were assessed pre and post interventions. Read More

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September 2021