Numbness in thigh

[strata]

I have a client who experiences numbness in his R thigh. From a bit of research on the internet(dangerous at times, I know) it sounds like MAYBE the lateral femoral cutaneous nerve could be entrapped. Any ideas about this and what would be the best way to help this client? Any help appreciated....

 

[valerie b]

Hi bluejeans, May I ask where he has the numbness? Lateral thigh? Or vague and all over the thigh?

 

[Bela Lugosi]

Carol, the numbness in mid to lateral thigh. It comes and goes.

 

[Catlover101]

Can you give us a bit more info?

What were your findings during the session? How is his posture? Is his pelvis rotated? How is his hip ROM? What does he do for work? Does he do any kind of exercise? What have you tried already? etc, etc ...

Any additional info you can give would be helpful.

Brian

 

[ann!belle]

I agree with Brian that a little more information would be helpful.
But for now I have found that many people with lateral thigh pain are having a referral from their lumbar spine area. TP's in the QL and/or glutes will refer into the lat. thigh.
In fact when you locate and initially start to treat the TP's you can sometimes duplicate that same pain sensation.

 

[Ashley J]

I'm wondering--are you talking about the quads or the hams? I have numbness in the lateral quads of my right leg, so I'm very curious to hear what people have to say. I've had multiple back issues over the years, including a wonky SI joint, lower back strain, and fairly severe piriformis syndrome.

I remember being given a diagram of the dermatomes and where the nerve branches exited the spine for each, but I can't find it...I bet that would be helpful! :?

Edit: a quick google of the term dermatome brings up lots of charts. Possible impingement at L2 or L3.....

 

[Trust and Believe]

He is an on-site engineer for waste management facilities, but he said he does more work outdoors at home(not as much now due to it being winter). He does alot of lifting stone ,twisting,bending, digging etc...his posture we are working on although I have seen worse. He has lumbar issues as far as a herniated L3-L4 and the surrounding muscles are all tight. Hip ROM is less than average as far as extension (maybe 20 degrees). I work extra on the the erectors and QL's,glutes,psoas (although I am not real good at this I feel),glutes, piriformis and all thigh muscles. I have only worked on him a few times but would like to try to do more for him. He always feels better afterwards but this problem returns.