How do you fix saphenous nerve entrapment?

Saphenous nerve entrapment in the adductor canal usually is treated conservatively by injecting an anesthetic (with or without a corticosteroid) at the point of maximal tenderness (usually 10 cm proximal to the medial femoral condyle). The injection may have to be repeated periodically.

What are the signs and symptoms of saphenous nerve entrapment?

Signs and Symptoms of Saphenous Nerve Entrapment

• pain on the inside/medial aspect of the knee.
• pain/tightness on the back of the leg above the knee.
• pain or tightness is often present with going upstairs.
• there may be tightness, burning, tingling, or numbness into the lower leg.

What causes saphenous nerve entrapment?

The cause of saphenous nerve entrapment can be direct though trauma such as a rotational injury or from compression for example a dashboard injury. The saphenous nerve can also be indirectly affected via lumbar disc disease, meniscal tear, or post-surgery. Most commonly during a total knee replacement.

How do you test for saphenous nerve entrapment?

Vigorous palpation at the exit point for the saphenous nerve may result in local pain and referred pain in the nerve’s distribution. Electrodiagnostic studies are a valuable tool in diagnosing saphenous nerve entrapment. Changes in latency and amplitude of the sensory nerve action potential (SNAP) can be seen.

Where does saphenous nerve get entrapped?

The saphenous nerve can become entrapped in multiple locations along its long descending course from the thigh to the leg. Common sites of entrapment include the site where the nerve penetrates the roof of the adductor canal, or at the infrapatellar branch during knee surgery or varicose vein stripping surgery.

How long does a saphenous nerve block last?

Local anesthetic is deposited around the nerve via a small needle. Pain relief is expected to last between 6 to 18 hours, depending on the mixture of local anesthetics used.

What is saphenous nerve entrapment?

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.

How is saphenous nerve entrapment diagnosed?

Clinical criteria for the diagnosis of saphenous nerve entrapment neuropathy include pain in the distribution of the saphenous nerve, normal motor function, and tenderness to palpation over the entrapment site. Entrapment site tenderness is a key feature of saphenous nerve neuropathy.

How do you treat great saphenous vein?

Treatment options for GSV incompetence include surgery (also known as high ligation and stripping), laser and radiofrequency ablation, and ultrasound-guided foam sclerotherapy. Newer treatments include cyanoacrylate glue, mechanochemical ablation, and endovenous steam ablation.

What are the symptoms of saphenous vein?

SYMPTOMS

• Heaviness, tiredness, aching, fatigue, swelling, or pain in your legs.
• Skin discoloration in the middle of the calf or the ankle.
• Skin ulcers, or wounds that do not heal.
• Varicose veins — or large, swollen, twisted veins — that you can see under your skin.