Quad Fem referral

[Rachel Lampros]

Hello!

I have a patient that I have been doing quad fem trigger point dry needling. She has complained of some referred pain to her ipsilateral pelvis (more specifically, she reports her labia). It is fleeting. I am very cautious of pelvic cavity in this area. I was wondering if I am close to the puedenal nerve or if I am approximate to a branch of the sciatic nerve. Any thoughts?

Thanks!

[Susan Falsone]

Hi Rachel-
I double checked with our resident LPH and Pelvic Floor teacher Tonya Bunner. She stated:

She is definitely affecting the pudendal nerve. If that is what she is
targeting than great! If not then she either needs to go more lateral
towards the trochanter with her needle or just leave the QF alone. If
she is targeting sciatic nerve then she needs to go up to piriformis or
greater sciatic foramen which would be a better choice.

So I guess i would say- if you are aiming for pudental nerve…then you have got it! If not…see recs above. Hope that helps?
Sue

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