50y old male comes in my osteopathy clinic with upper lumbar backpain after reaching in his trunk. After 3 consults his backpain is gone, but has a numb feeling in his upper medial thigh. Not his groin. Patient is known with antherolysthesis L4-L5 for already 10 years. Did you see the real cause of his paresthesia?
Inhibition technique iliopsoas and dry needling of the quadratus lumborum was the most important. Manipulation is a no-go with the anterolysthese.
Real cause is a growing haemangioma in the upper lumbar region, affecting his femoral branch of his n genitofemoralis