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Postpartum femoral neuropathy has a reported incidence of less than 1% and its total recovery time extends up to 6 months to a year. A multidisciplinary approach is vital to rule out permanent disability and to assure a correct diagnosis and earlier rehabilitation. We report a case of a 37‐year‐old puerperal woman with a history of intrapartum epidural analgesia, who presented post‐labor unilateral lower‐limb motor weakness and sensory loss, with functional compromise on independent gait. A multidisciplinary team consisting of an anesthesiologist, a physiatrist, a neurologist, and an obstetrician was then established. In the initial physiatry and neurology assessment, the patient reported pain (numerical rating scale 7/10) over the inguinal ligament, lower limb hypoesthesia, and muscle weakness. Femoral neuropathy was suspected. Magnetic resonance imaging ruled out potential complications related to the anesthetic procedure. The patient was then enrolled in a supervised rehabilitation program and, 3 weeks later, electrodiagnostic studies confirmed the initial suspicion. Two months later, the patient had regained lower‐limb active range of motion and no pain nor paresthesia was reported. Our case report describes how an early multimodal rehabilitation program within a multidisciplinary framework allows for sooner neuromotor function improvement and activities of daily living independence. Synopsis: Postpartum femoral neuropathy total recovery time extends up to 6 months. A timely rehabilitation program within a multidisciplinary framework has shown earlier neuromotor function improvement. [ABSTRACT FROM AUTHOR]

Objective: To determine the normal values of the newly described distal stimulated medial femoral cutaneous (MFC) nerve conduction study in a healthy population using a wide range of ages and body mass index (BMI) values. Materials and Methods: Distal stimulated MFC nerve conduction studies were performed bilaterally in 144 healthy volunteers with no peripheral nerve diseases affecting the lower extremities according to clinical and electrophysiological evaluations. The volunteers were divided into three groups according to their age: 18–39.9 years (age 1), 40–59.9 years (age 2), and 60 years and above (age 3). They were also grouped according to their BMI: 24.9 or less (BMI 1), 25–29.9 (BMI 2), and 30 or more (BMI 3). Results: The mean MFC amplitude was 5.7 μV on both sides, the mean peak latency was 2.8 ms on both sides, and the mean conduction velocity was 61.5 m/s on the right and 61.9 m/s on the left. The MFC amplitudes obtained on the right and left sides were similar, and the mean amplitude difference between sides was 10.1 +- 9.1% (0–56.6). A negative correlation was identified between MFC amplitude and age and BMI. Conclusion: This study revealed that the newly described distal stimulated MFC sensory nerve conduction study is repeatable and easily applicable.

Objective: To determine the normal values of the newly described distal stimulated medial femoral cutaneous (MFC) nerve conduction study in a healthy population using a wide range of ages and body mass index (BMI) values. Materials and Methods: Distal stimulated MFC nerve conduction studies were performed bilaterally in 144 healthy volunteers with no peripheral nerve diseases affecting the lower extremities according to clinical and electrophysiological evaluations. The volunteers were divided into three groups according to their age: 18-39.9 years (age 1), 40-59.9 years (age 2), and 60 years and above (age 3). They were also grouped according to their BMI: 24.9 or less (BMI 1), 25-29.9 (BMI 2), and 30 or more (BMI 3). Results: The mean MFC amplitude was 5.7 pV on both sides, the mean peak latency was 2.8 ms on both sides, and the mean conduction velocity was 61.5 m/s on the right and 61.9 m/s on the left. The MFC amplitudes obtained on the right and left sides were similar, and the mean amplitude difference between sides was 10.1 ± 9.1% (0-56.6). A negative correlation was identified between MFC amplitude and age and BMI. Conclusion: This study revealed that the newly described distal stimulated MFC sensory nerve conduction study is repeatable and easily applicable. [ABSTRACT FROM AUTHOR]

Objectives: The study aimed to determine the incidence of femoral neuropathy in patients with haemophilia exhibiting iliopsoas haemorrhage. Methods: Patients with iliopsoas haemorrhage confirmed by ultrasonography or CT scan were studied retrospectively. Results: A total of 44 episodes of iliopsoas haemorrhage occurred in 20 patients with haemophilia (A17, B3). Most episodes in patients without inhibitors (14/16 = 87.5%) were adequately treated followed by prophylaxis. However, 11 of 28 episodes (39.3%) in patients with inhibitors were adequately treated and no prophylaxis was provided. An appropriate rehabilitation programme was arranged during hospitalisation and follow-up. Femoral neuropathy was observed in 28 of 44 episodes, while 16 episodes of persistent femoral neuropathy from previous bleeding were excluded. As a result, 11 of 28 episodes (39.3%) of femoral neuropathy were similarly found amongst patients with and without inhibitors. The mean time of onset and resolution of femoral neuropathy were 3.7 (1.8) and 23.4 (20.5) days after the onset of iliopsoas haemorrhage, respectively. Patients receiving inadequate and delayed replacement had a significantly higher rate of femoral neuropathy than those who received adequate and prompt replacement. Conclusion: Femoral neuropathy following iliopsoas haemorrhage was common in haemophilia patients with and without inhibitors. [ABSTRACT FROM AUTHOR]

Purpose: As a first step towards developing a core outcome set (COS) for lateral femoral cutaneous neuropathy, the goal of the current study was to perform a systematic review of the literature to identify outcome measures that have been previously reported in studies on lateral femoral cutaneous neuropathy., Methods: A systematic review of the literature from 2000-2024 was performed utilizing PubMed and Medical Subject Headings (MeSH). Identified articles were screened according to study inclusion/exclusion criteria. Outcome measures reported in each included study were recorded and categorized into motor, sensory, pain, patient-reported outcomes, psychological, electrodiagnostic outcomes, imaging outcomes, and other outcomes. Descriptive statistics were performed., Results: A total of 80 articles were initially identified, and 10 articles met criteria for inclusion and underwent analysis. The most common outcome domain was patient-reported outcomes, which were reported in 7 (70%) studies. However, the specific patient-reported outcomes were very heterogeneous. A pain outcome was reported in 6 (60%) studies. Motor, psychological, imaging, and electrodiagnostic outcomes were not reported in any study. Across the included studies, 14 unique outcomes were reported., Conclusions: We have identified the outcome measures that have previously been utilized in studies on lateral femoral cutaneous neuropathy. Patient-reported and pain outcomes were most commonly used across the included studies., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)

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BACKGROUND: The extreme lateral interbody fusion approach (XLIF) is a surgical technique introduced two decades ago for spinal fusions. However, little has been published on the particular complications associated with this surgical technique and the rehabilitation. The purpose of this report is to describe a case of post-operative complication of retroperitoneal hematoma following XLIF with subsequent femoral neuropathy and the physical therapy intervention approach applying the repetitions in reserve (RIR) concept. CASE PRESENTATION: A 60-year-old female presented with severe right hip flexor and quadriceps weakness from a retroperitoneal hematoma following a right-sided XLIF procedure for severe right L4-5 radiculopathy. Post-surgical physical therapy treatment and 6-month outcomes are described. OUTCOME AND FOLLOW-UP: By postoperative week 12, the patient obtained a knee brace that eliminated her falls due to quadriceps weakness. At 6 months post-operatively, she demonstrated significantly improved quadriceps and hip flexor strength (from 1/5 and 2+/5, respectively, to 3+/5), and improved lower extremity functional scale score, from 30 to 58. She was also able to complete a 6-minute walk test and ambulated 128 m. DISCUSSION: Significant improvement in motor function and functional outcomes was noted by post-operative month six. The role of physical therapy was to focus on the timing of muscle reactivation using electrical stimulation and progressive resistance exercises using the RIR concept as nerve function returned. [ABSTRACT FROM AUTHOR]

Abstract Background Although life-threatening complications of extracorporeal membrane oxygenation (ECMO) are well described, non-life threatening complications are less known. Herein, we report a case of femoral neuropathy (FN) due to nerve compression caused by cannula compression and deep vein thrombosis (DVT) after successful ECMO therapy, which seriously undermined one’s quality of life. Case presentation A 70-year old male presented to the emergency department for chest pain. The patient had cardiac arrest before percutaneous coronary intervention (PCI) and was inserted with ECMO. Although he was successfully weaned from ECMO 4 days after PCI, he consistently complained swelling, abnormal sensation, and weakness in his right lower extremity, where the cannulas were inserted. Imaging studies showed deep vein thrombosis (DVT) in his right leg, which was further treated with anticoagulants. Symptoms, however, remained after the regression of DVT. Nerve conduction study revealed femoral neuropathy, which may have been caused by ECMO cannula compression and tissue swelling. Conclusion The current case proposes that non-life threatening complications of ECMO therapy can seriously affect quality of life. Venous drainage distant from the arterial cannula may prevent such complications.

Introduction: The purpose of this study was to evaluate YouTube videos on meralgia paresthetica (MP) for reliability, quality, and differences between quality levels., Methods: We analyzed 59 videos related to MP. We evaluated several video characteristics, including views, likes, dislikes, duration, and speaker profile. We used view ratio, like ratio, Video Power Index (VPI), Global Quality Scale (GQS), JAMA criteria, and modified DISCERN (mDISCERN) to assess viewer engagement, popularity, educational quality, and reliability., Results: The videos received a total of 4,009,141 views (average 67,951.54), with 25.4% focused on exercise training and 23.7% focused on disease information. Mean scores were mDISCERN 2.4, GQS 2.8, and JAMA 2.1. Physician-led videos had higher mDISCERN scores, while allied health worker-led videos had more views, likes, dislikes, view ratios, and VPI. Poor and high-quality videos differed in views, likes, view ratio, VPI, and duration. Positive correlations existed among mDISCERN, JAMA, and GQS scores, with video duration positively correlated with GQS., Conclusion: The content of YouTube videos discussing diseases significantly influences viewer engagement and popularity. To enhance the availability of valuable content on YouTube, which lacks a peer review process, medical professionals must contribute high-quality educational materials tailored to their target audience., (© 2024. The Author(s) under exclusive licence to Belgian Neurological Society.)

Contemporary management of iatrogenic pseudoaneurysms is mostly performed using non-surgical techniques. Herein, we present a rare case of deep femoral artery (DFA) pseudoaneurysm with compression neuropathy, which required open repair. A 67-year-old female patient presented with increasing pain in the right groin, sensory neuropathy of the anteromedial thigh and upper leg, and quadriceps paralysis 4 days after coronary angiography via femoral puncture. Computed tomography angiography revealed a pseudoaneurysm of the DFA. The disabling compressive neuropathy warranted urgent open decompression rather than thrombin injection or endovascular therapy. Timely open evacuation of the hematoma, release of compression on the femoral nerve, and postoperative physiotherapy resulted in complete recovery of quadriceps power. The patient was pain free within 12 weeks and able to ambulate independently. This case report highlights the role of prompt open surgery for pseudoaneurysms with compression neuropathy.

Background: Anterior cruciate ligament (ACL) reconstruction is commonly associated with moderate-to-severe postoperative pain. Notably, various pain control strategies, a femoral nerve block (FNB) with a lateral femoral cutaneous nerve block (LFCNB), adductor canal block (ACB) with LFCNB, or periarticular cocktail injection (PI), have been investigated. However, no studies compare the effects of FNB with LFCNB, ACB with LFCNB, and PI for pain control after ACL reconstruction. This study aimed to evaluate the impact of FNB with LFCNB, ACB with LFCNB, and PI for pain relief in the early postoperative period after ACL reconstruction., Methods: This retrospective controlled clinical trial enrolled 299 patients who underwent primary ACL reconstruction at our hospital between April 2016 and October 2022. We categorized these cases into groups based on the use of PI (PI group), FNB with LFCNB (FNB group), and ACB with LFCNB (ACB group) for pain management. We selected 40 cases each, with matched age, sex, and body mass index (BMI) from each group, resulting in 120 cases for analysis. In the FNB and ACB groups, 0.75% ropivacaine 15 ml was injected under ultrasound guidance preoperatively. In the PI group, a mixture of 0.75% ropivacaine 20 ml, normal saline 20 ml, and dexamethasone 6.6 mg was injected half at the start of surgery and the rest just before wound closure. Patient demographics (age, sex, height, body weight, and BMI) and surgical data (the requirement for meniscal repair, operative time, and tourniquet inflation time) were analyzed. After ACL reconstruction, patients' numerical rating scale pain scores (NRS) (0-10) were recorded at 30 min and 4, 8, 12, 24, 48, and 72 h postoperatively. NRS were then compared among the three groups using analysis of variance. In addition, within each group, these data were compared between the NRS ≥7 and NRS ≤6 groups using a t -test., Results: There were no significant differences in patient demographics and surgical data. Pain scores were significantly higher in the PI group than in the FCB and ACB groups 30 min postoperatively, but they were lower at 12, 24, 48, and 72 h postoperatively. In the FNB group, there were no significant differences in the demographic and surgical data by NRS pain score. In the ACB group, the number of men was significantly higher in the NRS ≥7 group than in the NRS ≤6 group (p = 0.015). In the PI group, tourniquet inflation time was significantly longer in the NRS ≥7 group than in the NRS ≤6 group (p = 0.008)., Conclusions: Following ACL reconstruction using a hamstring autograft, periarticular cocktail significantly reduced early postoperative pain compared with nerve block combinations., Competing Interests: The authors did not receive support from any organization for the submitted work. The authors have no conflicts of interest to declare that are relevant to the content of this article. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript., (© 2024 Asia Pacific Knee, Arthroscopy and Sports Medicine Society. Published by Elsevier (Singapore) Pte Ltd.)

Compressive femoral neuropathy is a disabling condition accompanied by difficulty in hip flexion and knee extension. It may result from retroperitoneal hematoma or bleeding, or from complications associated with pelvic, hip surgery, and renal transplants. A 55-year-old female with autosomal dominant polycystic kidney disease presented with proximal muscle weakness in lower extremities. The patient experienced recurrent renal cyst infection, with aggravated weakness during each event. Electromyography and nerve conduction study revealed bilateral femoral neuropathy. Computed tomography and magnetic resonance images were added to further identify the cause. As a result, a diagnosis of femoral neuropathy caused by enlarged polycystic kidney was made. Cyst infection was managed with antibiotics. Renal function was maintained by frequent regular hemodialysis. While avoiding activities that may increase abdominal pressure, rehabilitation exercises were provided. Motor strength in hip flexion and knee extension improved, and was confirmed via electrodiagnostic studies.

Warfarin is a widely used drug in patients with a high risk of thromboembolism in cardiovascular diseases. Serious complications can be encountered as a result of high side effect profile and narrow therapeutic window. Iliopsoas hematoma and secondary femoral neuropathy are among the complications that may be encountered. The patient was admitted to the hematology clinic because of warfarin intoxication. Paresis was observed in the right lower extremity during follow-up. Iliopsoas hematoma was detected in the imaging study and electrophysiological study revealed femoral nerve neuropathy. After the diagnosis, conservative treatment and rehabilitation program was initiated immediately. In this article, a case of femoral nerve neuropathy following iliopsoas hematoma due to warfarin intoxication was presented.

Hematomas in close compartments and in pelvic gutters are always challenging to treat and diagnose. A young female on apixaban for recently diagnosed pulmonary thromboembolism (PE) presented to us for the complaints of right sided lower limb weakness. Neurological examination was positive for the right femoral nerve distribution deficit. Computed tomography (CECT) showed large right sided iliopsoas hematoma. Anticoagulation was stopped and was given blood transfusions with which she improved without need of any surgical evacuation. We hereby aim to enrich the understanding of our readers regarding this topic with a review of our experience and other recent publications in medical literature. It is important for the internists to be aware of varied and atypical presentations of retroperitoneal hematoma (RPH) especially following surgical/orthopaedic procedures or in association with anticoagulants and antiplatelets. [ABSTRACT FROM AUTHOR]

Background: The Pavlik harness has been used for approximately a century to treat developmental dysplasia of the hip (DDH). Femoral nerve palsy is a documented complication of Pavlik harness use, with an incidence ranging from 2.5% to 11.2%. Rare reports of brachial plexus palsy have also been documented. The primary purpose of the current study was to evaluate the incidence of various nerve palsies in patients undergoing Pavlik harness treatment for DDH. Secondary aims were to identify patient demographic or hip characteristics associated with nerve palsy., Methods: We performed a retrospective review of patients diagnosed with DDH and treated with a Pavlik harness from February 1, 2016, to April 1, 2023, at a single tertiary care orthopaedic hospital. Hip laterality, use of a subsequent rigid abduction orthosis, birth order, breech positioning, weight, and family history were collected. The median (and interquartile range [IQR]) or mean (and standard deviation [SD]) were reported for all continuous variables. Independent 2-sample t tests and Mann-Whitney U tests were conducted to identify associations between the variables collected at the initiation of Pavlik harness treatment and the occurrence of nerve palsy., Results: Three hundred and fifty-one patients (547 hips) were included. Twenty-two cases of femoral nerve palsy (4% of all treated hips), 1 case of inferior gluteal nerve palsy (0.18%), and 2 cases of brachial plexus palsy (0.37%) were diagnosed. Patients with nerve palsy had more severe DDH as measured by the Graf classification (p < 0.001) and more severe DDH as measured on physical examination via the Barlow and Ortolani maneuvers (p = 0.003)., Conclusions: Nerve palsies were associated with more severe DDH at the initiation of Pavlik harness use. Upper and lower-extremity neurological status should be scrutinized at initiation and throughout treatment to assess for nerve palsies. The potential for femoral, gluteal, and brachial plexus palsies should be included in the discussion of risks at the beginning of treatment. Families may be reassured that nerve palsies associated with Pavlik harness can be expected to resolve with a short break from treatment., Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence., Competing Interests: Disclosure: No external funding was received for this work. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJS/H864)., (Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.)

Meralgia paresthetica (MP) is a disorder of lateral femoral cutaneous nerve mononeuropathy caused by entrapment or compression of the nerve. It is characterized by numbing, tingling, and burning pain in the lateral aspect of the thigh. The current treatments for MP include conventional medical management, peripheral nerve blocks, and surgical interventions. Some patients who suffer from MP can experience intractable pain and medical management of MP is often inadequate to provide satisfactory pain control. Although regional anesthesia provides excellent pain relief, the analgesic effects of peripheral nerve block are short-lived. Emerging evidence suggests that cryoneurolysis has a low-risk safety profile and can provide prolonged pain relief of superficial nerves when administered appropriately. We present a successful case of a patient with intractable neuropathic pain resulting from MP treated with cryoneurolysis therapy. The patient demonstrated immediate pain relief by 100% after the procedure followed by 80% and 60% pain reduction at 1-month and 3-months follow-up, respectively. Cryoneurolysis may be an alternative modality for patients who fail at conventional medical treatments of neuropathic pain., Competing Interests: Name: Lisa Pearson, DNAP, CRNA, NSPMc Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Victoria Schmelzer, MS, CRNA, NSPMc Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: John Maye, PhD, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Sarah Jingying Zhang, PhD, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. This author is the corresponding author for this article. Disclosures: None., (Copyright © by the American Association of Nurse Anesthetists.)

The femoral and obturator nerves both arise from the L2, L3, and L4 spinal nerve roots and descend into the pelvis before emerging in the lower limbs. The femoral nerve's primary function is knee extension and hip flexion, along with some sensory innervation to the leg. The obturator nerve's primary function is thigh adduction and sensory innervation to a small area of the medial thigh. Each may be injured by a variety of potential causes, many of them iatrogenic. Here, we review the anatomy of the femoral and obturator nerves and the clinical features and potential etiologies of femoral and obturator neuropathies. Their necessary investigations, including electrodiagnostic studies and imaging, their prognosis, and potential treatments, are discussed in this chapter., (Copyright © 2024 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.)

The case exposes a lower left limb paresis within the cesarean section postoperative time, which was performed under subarachnoidal anesthesia. The reason for the cesarean section was the breech presentation. The pregnant patient, who suffered from gestational diabetes and overweight, presented a torpid postoperative due to a motor walking/standing deficiency, accompanied by left inguinal pain without apparent etiology. An MRI was performed to prevent possible complications, which discarded an epidural hematoma as well as an anesthetic complication over the lumbar roots. It only showed a wide soft tissue edema of considerable size, which was discarded as the cause of the neuropathy by the Radiology Service. Five days after discharge a 38,5°C fever and wound suppuration were added to the already existing clinic. She was diagnosed with celulitis, which required surgical drainage of the abscess. The intervetion provided pain relieved aluthough 3 weeks after she still presented a certain degree of difficulty when walking. Given the location of the femoral nerve near the cesarean incision zone (lower transversal abdominal section), it can be affected by surgical instruments and further complications (hematomas, abcesses). After the celulitis diagnose it was hypothesized that the femoral neuropathy had been an nervous irritation at the infrainguinal level. Other etiologies for an unilateral paresis in a puerpera could be: the pregnancy itself, the lithotomy position, the vasa nervorum ischemia or the retroperitoneal hematoma. (DOLOR. 2019;34:123-6) [ABSTRACT FROM AUTHOR]

Background: Peripheral neuropathy is a common complication of Lyme disease. Cranial mononeuropathy, particularly that affecting the facial nerve, can be a presenting symptom, and at times, it can be associated with polyradiculopathies or plexopathies. However, isolated femoral neuropathy has not yet been reported in Lyme disease; therefore, we felt the need to present this case. Case presentation: Laboratory investigations were performed on a 67-year-old man living in a region at high risk for Lyme disease after he developed erythema migrans on his chest, accompanied by the swelling of his left knee joint. A Western blot immunoglobulin assay was performed, including a screening for connective tissue disorders. Positive serological test results led to the administration of oral doxycycline therapy at a dosage of 100 mg twice daily. Shortly afterwards, he developed gait difficulties and frequent falls. The clinical examination and electrodiagnostic studies were consistent with femoral neuropathy. To look for etiologies other than Lyme disease, radiographic studies of his lumbar spine, pelvic cavity, retroperitoneal compartment, and hips were conducted. In addition, he was screened for diabetes. However, no other etiologies were found to explain the femoral neuropathy. Eventually, he recovered, and he was able to return to work. Conclusion: We firmly believe that the femoral neuropathy and Lyme disease seen in this patient were causally related. [ABSTRACT FROM AUTHOR]

Background and Purpose: Although femoral neuropathy is recognized as an adverse consequence following transfemoral neuroendovascular procedures, no reliable estimates are available. We analyzed data from a prospective registry to ascertain the frequency and characteristics of femoral neuropathy following transfemoral neuroendovascular procedures.Methods: Consecutive patients who underwent neuroendovascular procedures through the transfemoral route were included. Detailed assessment was performed if any patient reported occurrence of sensory or motor symptoms in the femoral or lower extremity region including neurological examination (sensory/motor deficits) and femoral region ultrasound.Results: Femoral neuropathy was diagnosed following 4 of 270 neurovascular procedures with an occurrence rate of 1.5% (95% confidence intervals = .4-3.7%). The symptoms were exclusively sensory without any motor involvement. The femoral neuropathy appeared to involve anterior femoral cutaneous nerves in all and medial cutaneous branches in 2 patients, and more than one nerve distribution in 1 patient in whom lateral cutaneous nerve appeared to be involved. All patients reported resolution of symptoms within a period ranging from 1 week to 2 months. No local hematoma or arterial pseudoaneurysm was identified at femoral region ultrasound.Conclusions: Femoral neuropathy is a rare occurrence following transfemoral neuroendovascular procedures and it usually occurs with pure sensory manifestations with complete resolution. [ABSTRACT FROM AUTHOR]

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Meralgia paresthetica is characterized by pain, paresthesia or burning sensation, and reduction of tactile and pain sensitivity in the anterolateral surface of the thigh. This disability is caused by a neuropathy of the lateral femoral cutaneous nerve (LFCN). Conservative treatment is often successful at relieving the symptoms in the majority of patients. We describe the case of a 44-year-old patient who presented with these symptoms caused by postoperative use of a surgical girdle after aesthetic surgery.