Management of Meralgia Paresthetica

Dureja, G. P.; Gulaya, Veena; Jayalakshmi, T; Mandal, P.

doi:10.1213/00000539-199505000-00043

Cited by 18 publications

(21 citation statements)

References 4 publications

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“…Most cases of MP follows a benign course and 85% of patients recover with conservative treatment that includes avoidance of compressing factors, application of oral medication (nonsteroidal anti-inflammatory drugs, tricyclic antidepressants, anticonvulsant, antiarrhythmic) for neuropathic pain [15].…”

Section: Case Reportmentioning

confidence: 99%

Concurrent meralgia paresthetica and radiculopathy of the left leg -A case report-

et al. 2017

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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.Meralgia paresthetica (MP) is a painful mononeuropathy of the lateral femoral cutaneouse nerve (LFCN) characterized by localized symptoms of numbness, tingling, pain and paresthesia along the anterolateral thigh area. L4 and L5 radiculopathy is set of symptoms that include sharp, burning or shooting pain, which is usually localized to anterolateral leg area and along the dermatomal distribution. When symptoms of MP and lumbar disc disease occur together it is not easy to diagnose MP. We report a case of synchronous post-traumatic MP and radiculopathy due to intervertebral disc herniation at L3-4 and 4-5. A 59-year-old male patient was admitted to the emergency room with symptoms of low back pain with left severe L4, L5 radiculopathy. This patient also complained of numbness and paresthesia in the left anterolateral thigh. After detailed history taking and lateral femoral cutaneouse nerve block, he was diagnosed with MP. CASE REPORTA 59-year-old male patient was admitted to the emergency room with symptoms of lower back pain, severe pain and a tingling sensation of the left anterolateral thigh, knee and anterior part of lower leg, numbness of the left foot dorsum and big toe, and paresthesia in the left anterolateral thigh; all that had been exacerbated after playing golf that morning. The patient reported baseline numbness that began after climbing a mountain 7 days before. At the time of admittance, the patient was bedridden and could not walk due to severe pain, rated 7/10 on the numeric rating scale (NRS). A neurological examination revealed no weakness or abnormality in his reflexes.His height was 174 cm and his weight was 70 kg, with body mass index of 23.13 kg/m 2 . His past medical and surgical history were unremarkable. Lumbar magnetic resonance imaging revealed L3-4-5-S1 stenosis, L3-4, L4-5 and L5-S1 disc degeneration, left foraminal disc protrusion at L3-4, left subarticular disc protrusion at L4-5 and right paracentral disc protrusion at L5-S1 (Fig. 1). The next morning, he was referred to our pain clinic. We planned to perform caudal epidural steroid injection (ESI). After informed consent for ESI was obtained, the patient was brought to the fluoroscopy room

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Section: Case Reportmentioning

confidence: 99%

Concurrent meralgia paresthetica and radiculopathy of the left leg -A case report-

et al. 2017

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“…53 ) Femoral neuropathy [ 6 ] Quadriceps weakness (see Chap. 57 ) Hemangioma of pelvis [ 42 ] Imaging neuronal loop at the spinal segmental level, and will allow the patient to experience the anticipated results of a neurolytic procedure [ 56 ]. However, if there is no improvement of symptoms after the injection and clinical suspicion remains high, a more proximal LFCN irritation or compression site should be sought [ 57 ].…”

Section: Injection Techniquementioning

confidence: 99%

Lateral Femoral Cutaneous Nerve Entrapment

Witkin

Gulati

Zhang

et al. 2016

Peripheral Nerve Entrapments

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“…70 Blockade of the LFCN with local anesthetics and steroid is usually offered to patients as part of the multimodal therapy with pharmacological treatment and lifestyle modification. 16,42,67,69 Although the optimal frequency and dose has not been well examined, the procedure may be repeated for up to 3 to 5 times if required. 67 Different studies showed excellent results from the LFCN block.…”

Section: Conservative Treatmentmentioning

confidence: 99%

“…16,42,67,69 Although the optimal frequency and dose has not been well examined, the procedure may be repeated for up to 3 to 5 times if required. 67 Different studies showed excellent results from the LFCN block. Relief of symptoms can be achieved in 66% to 91%.…”

Section: Conservative Treatmentmentioning

confidence: 99%

Meralgia Paresthetica

Hui¹,

Peng

2011

Regional Anesthesia and Pain Medicine

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Meralgia paresthetica (MP) is an entrapment pain syndrome of the lateral femoral cutaneous nerve (LFCN) of thigh. Diagnosis is principally made on clinical ground with pain and paresthesia of the anterolateral thigh. Electrophysiological test and nerve block play important roles when the diagnosis is uncertain. Clinicians should be aware of the various etiological factors that can be potentially modified or treated. Most of the patients respond to conservative management including nerve block. Surgical options should be considered in patients refractory to those treatment options. Anesthesiologists are commonly involved in the management of MP because of their expertise in pain management and performance of the LFCN block. Blockade of the LFCN with local anesthetics and steroid serves both the diagnostic and therapeutic role.

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Management of Meralgia Paresthetica

Cited by 18 publications

References 4 publications

Concurrent meralgia paresthetica and radiculopathy of the left leg -A case report-

Concurrent meralgia paresthetica and radiculopathy of the left leg -A case report-

Lateral Femoral Cutaneous Nerve Entrapment

Meralgia Paresthetica

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