Probe is placed transversely at the level of the inguinal ligament to identify the LFCN anterior to the sartorius. Inplane lateral to medial needling approach. The nerve is very superficial, hence a really shallow angle of entry would be needed.
So, my problem was to actually see the nerve with the US. And I realized that that nerve is just 0.5 cm from the surface of the skin, in a normal person. Of course if its obese patient it would be deeper. So, 0.5 cm but how and where I can find it in less than 10 sec. It is fingers medial and then 2 fingers bellos from ASIS. So, measure 2 fingers from ASIS. From that point- go 2 fingers caudally and this is you spot. Tnx..
3 finger breadhs below ASIS, feel for the geoove between sartorius and tensor fascia lata. The nerve/branches will be lying superficially in the groove, you can then scan it cephalad to under the inguinal ligament. Even if you inject into the fat filled flat tunnel, your likelihood of blocking the nerve is very high even if you dont see the nerve
Excuse me sir .. but is it ASIS or AIIS .. I don`t know .. i think it will be better when u show us how to put tje Probe of US .. Isaw other videos and they write other thing .. do U put it just above or jist below the Ing. Lig. ? Thank U Very much .
none. Lfcn comes from the anterior branches of the lumbar plexus, while Sciatica comes of the posterior branches. lfcn comes of L 2-4, sciatica comes off L4-S3.
Mil gracias doctor estoy padeciendo de esta condición muy doloroso y siempre me reservas dolex Forte mil gracias
Que suplementos o ejercisios le a ayudado???
For correction it is rise from dorsal branches of lumber plexus not ventral
Meant to say Ventral Rami, but you are correct, its the dorsal divisions (of the ventral rami)
very beautifully demonstrated sir
Thank you
What’s the symptoms of this condition? Is than injections in the last part? What kind cortisone?
What is the placement of US Transducer and needle? How do you puncture, with what hand?
Probe is placed transversely at the level of the inguinal ligament to identify the LFCN anterior to the sartorius. Inplane lateral to medial needling approach. The nerve is very superficial, hence a really shallow angle of entry would be needed.
So, my problem was to actually see the nerve with the US. And I realized that that nerve is just 0.5 cm from the surface of the skin, in a normal person. Of course if its obese patient it would be deeper. So, 0.5 cm but how and where I can find it in less than 10 sec. It is fingers medial and then 2 fingers bellos from ASIS. So, measure 2 fingers from ASIS. From that point- go 2 fingers caudally and this is you spot. Tnx..
3 finger breadhs below ASIS, feel for the geoove between sartorius and tensor fascia lata. The nerve/branches will be lying superficially in the groove, you can then scan it cephalad to under the inguinal ligament. Even if you inject into the fat filled flat tunnel, your likelihood of blocking the nerve is very high even if you dont see the nerve
Thanks
Excuse me sir .. but is it ASIS or AIIS .. I don`t know .. i think it will be better when u show us how to put tje Probe of US .. Isaw other videos and they write other thing .. do U put it just above or jist below the Ing. Lig. ?
Thank U Very much .
Start at ASIS and move probe slightly caudad to be just below the inguinal ligament
Wonderful
What is co relation of lfcn and sytica nerve compresion
none. Lfcn comes from the anterior branches of the lumbar plexus, while Sciatica comes of the posterior branches. lfcn comes of L 2-4, sciatica comes off L4-S3.