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Published on: October 6, 2022
Severe isolated sciatic neuropathy due to a modified lotus position
Jacob Wycher Bosma1, Juerd Wijntjes1, Ton Antonius Hilgevoord1
1Jacob Wycher Bosma, Jan Veenstra, Department of Internal Medicine, Sint Lucas Andreas Hospital, 1061AE Amsterdam, The Netherlands.
A man developed severe sciatic neuropathy due to prolonged sitting in a modified lotus position. This "lotus neuropathy" caused significant leg weakness and foot drop, with minimal recovery over a year.
Area of Science:
- Neurology
- Orthopedics
Background:
- Sciatic neuropathy can arise from various causes, including prolonged compression.
- The modified lotus position is an uncommon but documented risk factor for lower limb nerve issues.
Observation:
- A 51-year-old man presented with progressive right leg pain, muscle atrophy, foot drop, and paralysis of anterior tibial and gastrocnemicus muscles.
- Electromyography confirmed severe, isolated sciatic neuropathy localized to the thigh.
- The patient habitually sat in a modified lotus position.
Findings:
- The patient's symptoms were attributed to "lotus neuropathy," a sciatic neuropathy induced by the modified lotus position.
- After over a year, there was minimal improvement, with the development of Achilles tendon contracture and pes equinus due to immobility.
Implications:
- Highlights the potential for nerve damage from specific sustained postures.
- Emphasizes the importance of patient history in diagnosing peripheral neuropathies.
- Suggests the need for awareness regarding positional risks in neurological and orthopedic care.
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