Does anyone have advice for dealing with a trapped Saphenous nerve. I have a numb patch on the inside of my calf and occasional stabbing pain from above the knee down to the same area. The neuro-consultant diagnosed the problem but seems at a loss to know how to fix it (he tells me it's quite rare), suggesting I see a neuro-surgeon for a possible op. I'd prefer to try something less invasive. Rubbing the likely entrapment point (adductor channel above the knee) seems to make it worse. This has been a problem for about 6 months. Any ideas welcome.
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It's massively underdiagnosed an I think a real mismatch of terminology between PTs and OS. The tissue restriction (all the tissue, not just nerve) seem to focus around Hunters canal (lower 1/3rd thigh). Rubbing this will irritate the system. Neurolysis will just scar up later. Injecting it may provide a window of opportunity for you to move better with less pain.
Personally I think you'll need a combo of thoracic spine work (as it affect the sympathetic nervous system), release through Psoas and anterior hip structure, specific myofascial release around Hunters and tape to off load. All combo'd up with a good functional rehab program.
Bake in the oven for 40mins, gas mark 7
HW
Thanks HW for the post, I really appreciate the info! Love the last comment lol. I will discuss what you have suggested with my physio tomorrow, she is already working on my thoracic spine and release of my anterior hip structure. (She may be working on the psoas, im not sure... other physios have tried to release that in the past. and i do have problems with external hip rotation (it makes the symptoms worse) so that's interesting!!) I will also discuss the myofascial release too. Thanks again for the info, have you had this problem yourself or treated it before? (interested to find a practitioner who has successfully treated this - although happy with my current phsyio)
Midlife's right about the jab Into Hunters canal, but it's not a proven solution because the pain returns. It provides a window of opportunity for rehab to start at a higher level, to move better. Dysfunction sorted, pain goes.
HW
I have been having physio for similar sort of problems, I don't get the knee pain anymore. I make sure I stretch and do my exercises. I'm always conscious of my posture... But from time to time my back tightens up when running.
Any further advice on how you've improved since the comments most appreciated