This case study examines the treatment of a 14-year-old female patient suffering from a severe femoral nerve injury. The clinical presentation was striking: the perimeter of the patient’s right thigh was eight centimeters smaller than the left. Medical professionals described the condition as "skin and bone," with the atrophy clearly visible upon examination. Beyond the physical wasting, the patient experienced significant pain and difficulty with movement.
Dr. Ledev, the attending physician, noted that the injury had compromised the nutritive function of the femoral nerve. This meant that the nerve damage had disrupted not only motor function and sensation but also the essential nutrient supply to the muscle tissue, resulting in profound atrophy and chronic pain.
To address this condition, the patient underwent 45 coMra therapy sessions during the summer of 2016, with each session lasting approximately 25 minutes. The treatment protocol focused on the following areas:
* Lumbar Nerve Roots: Treatment was applied to the lumbar 3 and 4 nerve roots. Stationary points were treated at 50 Hz for one minute and 1000 Hz for one minute, totaling four minutes. Additionally, scanning was performed along the right side of the lumbar 3 and 4 region at 1000 Hz for five minutes. * Femoral Nerve Pathway: Treatment was also applied along the femoral nerve pathway, beginning at the top of the thigh and extending down to the knee. Four points were treated along the inside of the leg, spaced equally. Each point received 50 Hz for two minutes and 1000 Hz for two minutes, resulting in a total of 16 minutes for this portion of the protocol.
Following the course of coMra therapy, the patient experienced significant improvements. For the first time in a long period, she was free of pain and lameness. Furthermore, the perimeter of her right thigh increased from 31 centimeters to 34.5 centimeters. Dr. Ledev observed that muscle tissue was once again visible, a result he considered remarkable given the inherent difficulty of regenerating damaged nerves – particularly the restoration of the nutritive function of the nerve.
While the patient was concurrently undergoing standard physiotherapy, the hospital staff expressed being highly impressed by the progress achieved through the integration of coMra therapy.
The official diagnosis, laesio nervi femoralis dextri (right femoral nerve injury), was reached only after the family navigated multiple hospitals and extensive diagnostic testing. Upon confirming the diagnosis, the hospital informed the family that they could offer no further treatment and suggested seeking alternative care, though they were unaware of any effective options within Bulgaria. This underscores the significance of the recovery achieved through this protocol.
We extend our gratitude to Dr. Ledev for submitting this case. Dr. Ledev is a medical practitioner with over 40 years of experience, including his tenure as the head of the cardiovascular unit at a major hospital.