Saphenous nerve neuralgia, although relatively frequent, is not well known. It may closely mimic vascular disease of the lower extremity. Of 44 patients seen, saphenous nerve entrapment in Hunter's canal was diagnosed in 36, 32 had pain in the lower thigh, four had pain along the inner aspect of the leg and eight had neuralgia secondary to saphenous vein thrombophlebitis with leg pain. Injection of novocain and hydrocortisone along the nerve in the painful areas was attempted in most cases, and when this did not provide long term relief the patient was operated on. Surgery consisted of neurolysis in the area of Hunter's canal or stripping the long saphenous vein, depending on the etiology. Conservative therapy resulted in long term relief of pain in 14 out of 40 patients while surgery gave permanent good results in 24 out of 26 patients.
|Published - 1975