Table 1.
Posterior Nerve Entrapments | ||
---|---|---|
Involved Nerve | Common Site of Entrapment | Key Signs and/or Symptoms |
Sciatic | Priformis and obturator internus/gemelli complex Proximal hamstring Lesser trochanter and Ischium |
Positive seated piriformis stretch and/or active piriformis tests Ischial tenderness Pain in the posterior thigh to the popliteal fossa aggravated with running Positive ischial femoral impingement test |
Pudendal | Ischial spine, sacrospinous ligament, and lesser sciatic notch entrance Greater sciatic notch and piriformis Alcock's canal and obturator internus |
Pain medial to ischium Sciatic notch tenderness and piriformis muscle spasm and tenderness Obturator internus spasm and tenderness |
Anterior Nerve Entrapments | ||
---|---|---|
Obturator | Obturator canal Adductor muscle fascia |
Pain in medial thigh Aggravation with movement into abduction |
Femoral | Beneath iliopsoas tendon Inguinal ligament Adductor canal |
Reproduction of symptoms with modified Thomas test position Quadriceps muscle weakness Pain in the anteromedial knee joint, medial leg, and foot. |
Lateral Femoral Cutaneous | Inguinal ligament | Positive pelvic compression test |