What is an obturator nerve block?
Obturator nerve block is used to treat hip joint pain and is also used in the relief of adductor muscle spasm associated with hemiplegia or paraplegia.
What happens when the obturator nerve is stimulated?
Electrical stimulation of the nearby obturator nerve during electroresection of lateral wall tumors can result in a powerful adductor spasm of the leg known as an “obturator jerk”. An obturator jerk during TURBT greatly increases the risk of bladder perforation.
How do you treat an obturator nerve?
It can be damaged through direct injury to the nerve or to surrounding muscle tissue. Mild damage to the obturator nerve can be treated with physiotherapy. More severe cases may require surgery.
What are the signs and symptoms of obturator nerve entrapment?
Obturator neuropathy is a difficult clinical problem to evaluate. One possible cause of pain is due to fascial entrapment of the nerve. Symptoms include medial thigh or groin pain, weakness with leg adduction, and sensory loss in the medial thigh of the affected side.
What is a nerve block for knee surgery?
A nerve block is the injection of numbing medication (local anesthetic) near specific nerves to decrease your pain in a certain part of your body during and after surgery.
Will a nerve block help hip pain?
A femoral-obturator nerve block is used to treat chronic hip pain which may occur after hip surgery or trauma to the hip. The procedure may provide pain relief for patients with chronic hip pain after successful hip replacement and can be repeated to manage chronic hip neuralgia.
How does the obturator nerve get damaged?
Patients with obturator nerve injury usually present with hip adductor weakness and sensory deficits or neuropathic pain in the medial thigh region (1). The known causes of obturator nerve damage include surgery, hemorrhage, tumor compression, and sports-related injuries (1-5).
Which muscles are innervated by obturator nerve?
To sum up, the obturator provides motor innervation to the adductor longus, adductor brevis, gracilis, obturator externus and ischiocondylar part of adductor magnus muscle. Its cutaneous distribution covers the skin of the proximal part of the medial thigh, as well as the hip and knee joints.
How is an obturator nerve entrapment treated?
Obturator Nerve Entrapment
- Above: Therapist performing soft tissue massage to the groin muscles.
- Above: Soft tissue massage of the muscles and connective tissues around the groin by an experienced therapist.
- Above: Progressive strengthening hip exercises supervised by experienced therapist.
What causes obturator nerve damage?
What does obturator pain feel like?
Muscle weakness in your thigh. Numbness in your thigh. Pain that gets worse with side-to-side leg movements. Sensation of pins and needles in your groin.
How long does popliteal nerve block last?
How long does popliteal nerve block last? Popliteal nerve block performed with a short-acting local anesthetic can last between 30 minutes to one hour. When performed with long-acting local anesthetics, the nerve block can provide between 12 to 36 hours of pain relief after foot surgery.