Postpartum femoral neuropathy

Femoral Neuropathy: Causes, Symptoms, and Diagnosis There are two postulated mechanisms of postpartum femoral neuropathy. Dec 2 20Femoral neuropathy can result from prolonged periods of time in the lithotomy position, tight clothing, and excess weight. The importance of recognizing this complication is to predict a favorable prognosis and thus eliminate anxiety for both patient and physician. Postpartum femoral neuropathy is associated with a good prognosis and is consistent with a neuropractic injury where axonal loss is less than 50. Postpartum femoral neuropathy is now a rare condition in modern obstetrics.

Improvement is to be expected within weeks and full recovery within months 4. While uncommon, when it occurs, it can be extremely debilitating for new mothers, and there is a lack of clear guidance on how to best to mange women who develop this complication.

Femoral Neuropathy: Causes, Symptoms, and Diagnosis

Complete functional recovery is typical of the excellent prognosis of puerperal femoral neuropathy. In addition to experiencing sensory symptoms in the anterior thigh and medial lower leg, patients may also experience weakness of hip flexion and knee extension, resulting in leg buckling, weakness, and falls. With vaginal delivery, hyperflexion, abduction, and external rotation of the thighs into the exaggerated lithotomy posture forces the femoral nerve against the inguinal ligament and may cause nerve damage.

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Postpartum femoral neuropathy: more common than you think

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