Saphenous nerve entrapment is a rarely seen pain syndrome. The patient will describe paresthesias in a distribution along the saphenous nerve that can fluctuate with activities or exertion. The nerve can be entrapped in Hunter's canal or the fascial soft tissue on the medial aspect of the thigh. Using Tinel sign to locate the involved area has been helpful as well as a diagnostic (and sometimes therapeutic) injection22 with local anesthetic and a corticosteroid. Release of the nerve from the involved area has been reported with satisfactory results. This is a syndrome that needs to be considered for nonspecific medial distal thigh pain of undetermined cause. Involvement including compression of the superficial femoral artery in the adductor canal (Hunter's)
Table 64-2 Hamstring Treatment Protocol6
Rest, ice, compression, elevation (RICE) Phase II
Ice, stretch, NSAIDs, electrical stimulation, isometrics ± isotonics, condition
Ice, stretch, NSAIDs ± electrical stimulation, isotonics ± isokinetics,* condition
Ice, stretch, isokinetics,* running, sport-specific training Phase V Return to sports
has also been reported.23 Vascular occlusion type of symptoms may be reported, and surgical release has been described.
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Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.