title: Chiropractic Management of a Patient With Perineal Numbness After Arthroscopic Hip Surgery: A Case Report.
abstract: OBJECTIVE
  The purpose of this case report is to describe the chiropractic management of a patient with postoperative perineal numbness as a result of hip arthroscopy.
  
  
  METHODS
  A female patient presented to a chiropractic clinic with 7 weeks of ongoing perineal numbness after right hip arthroscopic surgery with labral repair. The patient reported lack of sensation during urination, sexual intercourse, and the insertion and removal of female hygienic products into the vagina.
  
  
  RESULTS
  Conservative care included myofascial therapy to the psoas and obturator internus muscles and instrument-assisted soft tissue mobilization over the obturator internus. Manual manipulation to the pelvis was also performed. The patient reported complete resolution of perineal numbness after 3 chiropractic treatments.
  
  
  CONCLUSIONS
  With conservative chiropractic management, full resolution of sensation for this patient was achieved.
authors.affiliation: Chiropractic Department, Bigfork Valley Hospital, Bigfork, MN.
authors.forename: Harold M
authors.initials: HM
authors.lastname: Olson
authors.affiliation: Zetocha Chiropractic and Rehab, Casselton, ND.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Zetocha
authors.affiliation: Chiropractic Department, Bigfork Valley Hospital, Bigfork, MN.
authors.forename: Courtney A
authors.initials: CA
authors.lastname: Olson
keywords: Arthroscopic; Chiropractic; Mobilization; Perineal