Inguinal Ligament and Nerve Entrapment at the Groin: A Key Player in Hip/Leg Pain

This beautiful week after the July 4th holiday, I am taking some time to sit down and share something I learned and liked at the recent ICAK International Meeting in Edinburgh, Scotland.

Dr. Eric Pierotti presented on nerve entrapment, particularly in the groin area. Nerve entrapments, in short, occur when a nerve gets constricted, compressed, or distorted. This can cause sharp, burning, or tingling pain, cramping, difficulty walking, muscle weakness, and more. 

I appreciate that within the world of Applied Kinesiology, we learn the various many possible causes of pain and symptoms. We are not limited to simply assessing and treating spinal joint pain, but also ligaments, nerves, discs, organs, and more. In this case with Dr. Pierotti, we learned how nerve lesions can cause pain, how to asses for this, and how to treat it.

Many of my patients present with complaints about their lower back, hips and/or legs. Dr. Pierotti taught us how to check for inguinal canal (groin area on each side) nerve entrapment in this area. As usual, the assessment involves certain muscles that will muscle test weak if the nerves/vessels running through this canal are in fact compromised, as well as certain orthopedic tests to see if pain or clicking in the area is produced.

Dr. Pierotti then taught us how to treat this condition, which involves manual work to the ligament in this area. Now, not only can I asses for spinal misalignments in the hips/low back/lower extremities, I can asses and treat possible nerve compression in this area as well, which may very well be contributing to the pain that people experience in the lower body.

Thanks to Dr. Pierotti for sharing his wisdom, and thanks to my patients, family and friends for reading!