Materiały źródłowe

• #1 Meralgia paresthetica – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/meralgia-paresthetica/symptoms-causes/syc-20355635

  Meralgia paresthetica is a condition that causes tingling, numbness and burning pain in the outer part of the thigh. The condition is caused by compression of the lateral femoral cutaneous nerve, which supplies feeling to the upper leg. […] Meralgia paresthetica often can be relieved with conservative measures, including wearing looser clothing. If symptoms aren’t relieved by those measures, treatment may include medicines. Rarely, surgery is needed. […] See your healthcare professional if you have symptoms of meralgia paresthetica. […] Meralgia paresthetica occurs when the lateral femoral cutaneous nerve is pinched, also known as compression. The nerve supplies feeling to the surface of the outer thigh. The nerve only affects sensation and doesn’t impact your ability to use your leg muscles.

• #2 Meralgia Paresthetica: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17959-meralgia-paresthetica

  Meralgia paresthetica is a medical condition that causes pain and sensations of aching, burning, numbness or stabbing in your thigh area. The condition results from compression (pressure on or squeezing) of your lateral femoral cutaneous nerve (LFCN). This large nerve supplies sensation to the front and side of your thigh. […] Treating meralgia paresthetica involves treating the underlying cause. […] The majority of cases improve with conservative treatment, such as losing weight, wearing loose clothing or avoiding certain restrictive items like belts. […] Most cases of meralgia paresthetica improve with conservative treatment or may even resolve on their own. […] If the condition is interfering with your quality of life, talk to a healthcare provider. They can determine the underlying cause and recommend treatments.

• #3 Meralgia paresthetica – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/meralgia-paresthetica/symptoms-causes/syc-20355635

  Meralgia paresthetica is a condition that causes tingling, numbness and burning pain in the outer part of the thigh. The condition is caused by compression of the lateral femoral cutaneous nerve, which supplies feeling to the upper leg. […] Meralgia paresthetica often can be relieved with conservative measures, including wearing looser clothing. If symptoms aren’t relieved by those measures, treatment may include medicines. Rarely, surgery is needed. […] See your healthcare professional if you have symptoms of meralgia paresthetica. […] Meralgia paresthetica occurs when the lateral femoral cutaneous nerve is pinched, also known as compression. The nerve supplies feeling to the surface of the outer thigh. The nerve only affects sensation and doesn’t impact your ability to use your leg muscles.

• #4 Meralgia Paresthetica Missouri | Pain Prevent

  https://www.painprevent.com/meralgia-paresthetica/

  Meralgia paresthetica is a condition attributed to entrapment or injury to the lateral femoral cutaneous nerve (LFCN) at the site where the nerve leaves the pelvis. The LFCN originates from the L2 and L3 nerve levels and is a pure sensory nerve with no motor (movement) function. The nerve exits the pelvis just medial (inside) to the anterior superior iliac spine by traversing the fibers of the inguinal ligament. Various hypotheses have been formulated for the cause of this condition including: compression of the nerve, friction against the inguinal ligament and ASIS (bony anatomy of the pelvis), or compression through ligament or muscular structures. […] Symptoms of meralgia paresthetica may include a dull ache, itching, numbness, tingling, or burning sensation over the lateral and anterolateral thigh. The pain associated with this condition may vary in intensity from mild to very severe and frequently occurs following activity with relief following rest. If symptoms involve the lower leg or include weakness of the leg then it is highly unlikely that meralgia paresthetica is the problem.

• #5 Meralgia Paresthetica: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.meralgia-paresthetica-care-instructions.av2711

  Meralgia paresthetica (say „muh-RAL-juh par-uhs-THET-ick-uh”) is pain and numbness in the outer part of your thigh. The pain might get worse after you walk or stand for a long time. […] Most of the time the problem goes away on its own in a few months. Lowering any pressure on the thigh area may help. Wear loose clothes, and lose weight if you need to. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Most times the problem gets better on its own. Try wearing loose clothing to see if this helps. […] Watch closely for changes in your health, and be sure to contact your doctor if: You have new symptoms, such as pain that gets worse or new numbness in your thigh. You do not get better as expected.

• #6 Meralgia Paresthetica – Neurosurgery | UCLA Health

  https://www.uclahealth.org/medical-services/neurosurgery/conditions-treated/meralgia-paresthetica

  Meralgia paresthetica occurs when the lateral femoral cutaneous nerve of the thigh becomes trapped in the groin area. […] The disorder affects men three times as often as women. […] The primary symptom is paresthesia, or numbness in the thigh. The numbness may include burning, stinging, tingling, prickling, or a feeling „like pins and needles.” […] In advanced stages, paresthesia develops into shooting pains that are unaffected by position change. […] Diagnosis is based on the patients medical history and evidence of sensory loss strictly within the area of the thigh served by the lateral femoral cutaneous nerve. […] Non-surgical treatments include eliminating clothing or accessories that may cause compression; weight loss and exercise to strengthen abdominal muscles; and non-steroidal anti-inflammatory medications.

• #7 Meralgia paresthetica – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/meralgia-paresthetica/symptoms-causes/syc-20355635

  Common causes of this compression include any condition that increases pressure on the groin, including tight clothing, obesity or weight gain, wearing a heavy tool belt, pregnancy, fluid accumulation in the abdomen causing increased abdominal pressure, and scar tissue near the inguinal ligament due to injury or past surgery. […] Nerve injury also can cause meralgia paresthetica. Nerve injury can be due to diabetes, trauma after surgery or seat belt injury after a motor vehicle accident. […] The following might increase your risk of meralgia paresthetica: Extra weight. Being overweight or obese can increase the pressure on your lateral femoral cutaneous nerve. […] Pregnancy. A growing belly puts added pressure on your groin, through which the lateral femoral cutaneous nerve passes. […] Diabetes. Diabetes-related nerve injury can lead to meralgia paresthetica. […] Age. People between ages 30 and 60 are at a higher risk.

• #8 Meralgia paresthetica – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/meralgia-paresthetica/symptoms-causes/syc-20355635

  Common causes of this compression include any condition that increases pressure on the groin, including tight clothing, obesity or weight gain, wearing a heavy tool belt, pregnancy, fluid accumulation in the abdomen causing increased abdominal pressure, and scar tissue near the inguinal ligament due to injury or past surgery. […] Nerve injury also can cause meralgia paresthetica. Nerve injury can be due to diabetes, trauma after surgery or seat belt injury after a motor vehicle accident. […] The following might increase your risk of meralgia paresthetica: Extra weight. Being overweight or obese can increase the pressure on your lateral femoral cutaneous nerve. […] Pregnancy. A growing belly puts added pressure on your groin, through which the lateral femoral cutaneous nerve passes. […] Diabetes. Diabetes-related nerve injury can lead to meralgia paresthetica. […] Age. People between ages 30 and 60 are at a higher risk.

• #9 Meralgia Paresthetica Missouri | Pain Prevent

  https://www.painprevent.com/meralgia-paresthetica/

  Numerous factors may contribute to mechanical damage of the LFCN as it exits under the inguinal ligament, such as obesity, tight/constricting clothing or girdles, direct pressure on the thigh in the region of the nerve, positional alterations, or increased demands placed on the abdominal muscles secondary to pregnancy or high leg lifts. Meralgia paresthetica affects men more than women due to possible occupational considerations and may be bilateral in approximately 25 percent of individuals. Clinically, the history may reveal that the pain is potentiated by extension and relieved by flexion, as well as being aggravated by long periods of standing or walking. Physical examination may reveal a sensory loss taking the form of a reduction of tactile (touch) sensation in the distribution of the LFCN.

• #10 Meralgia paresthetica (lateral femoral cutaneous nerve entrapment) – UpToDate

  https://www.uptodate.com/contents/meralgia-paresthetica-lateral-femoral-cutaneous-nerve-entrapment

  The median age at presentation is 50 years. The incidence is approximately sevenfold higher in patients with diabetes compared with the general population. […] The most commonly identified risk factors are obesity, diabetes mellitus, and older age. […] A more specific cause is identified in approximately one-third to one-half of patients.

• #11 Advanced Healthcare – Chiropractor in Toronto, ON, Canada :: Meralgia Paresthetica (Upper Thigh Pain) Advanced Healthcare – Chiropractor in Toronto, ON, Canada

  https://www.advancedhealth.ca/conditions/pain-conditions/leg-pain/meralgia-paresthetica.html

  Meralgia paresthetica is a condition classically characterized by dull ache, itching, tingling, numbness and/or burning pain in the outer part of your thigh. […] The pain associated with this condition may vary in intensity from mild to very severe and frequently occurs following activity with relief following rest. […] Meralgia paresthetica can also occur in pregnancy and if there is tense ascites. […] Various sports and physical activities have been implicated, including gymnastics, baseball, soccer, bodybuilding and strenuous exercise. […] Treatment for Meralgia Paresthetica: In most cases, meralgia paresthetica can be relieved with conservative measures, such as wearing looser clothing and hands on chiropractic treatment combined with other modalities. […] Chiropractic treatment for patients with this condition is vital to hasten the healing process, ensure an optimal outcome and decrease the likelihood of injury recurrence.

• #12 Meralgia Paresthetica – Neurosurgery | UCLA Health

  https://www.uclahealth.org/medical-services/neurosurgery/conditions-treated/meralgia-paresthetica

  Meralgia paresthetica occurs when the lateral femoral cutaneous nerve of the thigh becomes trapped in the groin area. […] The disorder affects men three times as often as women. […] The primary symptom is paresthesia, or numbness in the thigh. The numbness may include burning, stinging, tingling, prickling, or a feeling „like pins and needles.” […] In advanced stages, paresthesia develops into shooting pains that are unaffected by position change. […] Diagnosis is based on the patients medical history and evidence of sensory loss strictly within the area of the thigh served by the lateral femoral cutaneous nerve. […] Non-surgical treatments include eliminating clothing or accessories that may cause compression; weight loss and exercise to strengthen abdominal muscles; and non-steroidal anti-inflammatory medications.

• #13 Meralgia paresthetica – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/meralgia-paresthetica/diagnosis-treatment/drc-20355639

  Your healthcare professional can make a diagnosis of meralgia paresthetica based on your medical history and a physical exam. You may need a test to check the feeling in your thigh. Your healthcare professionals also may ask you to describe the pain and to trace the numb or painful area on your thigh. […] For most people, the symptoms of meralgia paresthetica ease in a few months. Treatment focuses on relieving nerve compression. […] Conservative measures include: Wearing looser clothing. Losing excess weight. Taking pain relievers available without a prescription. They might include acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin. […] If symptoms last for more than two months or if your pain doesn’t go away with conservative measures, treatment might include: Corticosteroid injections. Injections can reduce inflammation and relieve pain for a short time. Possible side effects include joint infection, nerve damage, pain and lightening of skin around the injection site.

• #14 Differential Etiological Diagnosis of Meralgia Paresthetica: A Concise Review

  https://clinmedjournals.org/articles/ijnn/international-journal-of-neurology-and-neurotherapy-ijnn-10-120.php?jid=ijnn

  Paresthesia meralgia (MP) is a condition in which there is compression of the lateral femoral cutaneous nerve (LFCN), with its entrapment. Clinically presents with burning pain and dysesthesia in the anterolateral region of the thigh. […] The involvement that occurs in meralgia is due to compression of the lateral femoral cutaneous nerve, which when crossing towards the anterior face of the thigh, becomes more likely to be compressed. Given this, the main symptom that patients complain about is burning pain, unilateral, subacute onset and may be associated with worsening of the symptom by promoting hip extension. […] There are tests that we can use to help diagnose this pathology, including the neurodynamic test of the femoral nerve, in addition to pelvic compression. However, other diagnostic managements are used because they have greater specificity, such as evoked somatosensory potentials, high-resolution ultrasound and magnetic resonance imaging.

• #15 Meralgia Paresthetica Missouri | Pain Prevent

  https://www.painprevent.com/meralgia-paresthetica/

  In diagnosing meralgia paresthetica, care should be taken to rule out intraspinal, retroperitoneal, abdominal, or pelvic pathologies, diabetes mellitus, and L3 disc prolapses. Clinically, the L3 disc prolapse may produce alteration of the patellar reflex. In contrast, the reflex will not be altered in meralgia paresthetica. Most cases of meralgia paresthetica will respond to conservative treatment. Modalities that may prove helpful in the treatment of this condition may include ultrasound, electrical stimulation, or transverse friction techniques to break up possible adhesions affecting the LFCN at the inguinal region. Postural alterations and functional spinal problems should also be addressed in the management of this condition.

• #16 Meralgia Paresthetica – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK557735/

  Approximately 85% of patients with meralgia paresthetica report spontaneous recovery with conservative management. Cases due to iatrogenic causes typically improve within 3 months, and pregnancy-associated meralgia paresthetica typically improves after delivery. […] Meralgia paresthetica is not a life-threatening disease, but it can result in morbidity if not diagnosed and treated appropriately. Interprofessional communication and patient education are key. The condition can be recognized and treated by multiple clinicians to include primary care, obstetricians/gynecologists, urologists, neurologists, and surgeons. A proper diagnosis can be challenging without a dedicated history taking, and physical exam and misdiagnosis can lead to unnecessary referrals and procedures. With adequate interprofessional communication and patient education, meralgia paresthetica can be diagnosed and treated in a timely fashion to improve patient outcomes.

• #17 Meralgia Paresthetica – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK557735/

  Approximately 85% of patients with meralgia paresthetica report spontaneous recovery with conservative management. Cases due to iatrogenic causes typically improve within 3 months, and pregnancy-associated meralgia paresthetica typically improves after delivery. […] Meralgia paresthetica is not a life-threatening disease, but it can result in morbidity if not diagnosed and treated appropriately. Interprofessional communication and patient education are key. The condition can be recognized and treated by multiple clinicians to include primary care, obstetricians/gynecologists, urologists, neurologists, and surgeons. A proper diagnosis can be challenging without a dedicated history taking, and physical exam and misdiagnosis can lead to unnecessary referrals and procedures. With adequate interprofessional communication and patient education, meralgia paresthetica can be diagnosed and treated in a timely fashion to improve patient outcomes.

• #18 Treatments for Meralgia Paresthetica – Jason Williams DC Chiropractic and Rehab

  https://www.jasonwilliamschiro.com/treatments-for-meralgia-paresthetica/

  The best treatment for Meralgia Paresthetica is chiropractic care and physical therapy from a reputable provider who has experience with the condition. […] These last two medical procedures have high success rates in relieving Meralgia Paresthetica thigh pain, but still don’t have the effectiveness of conservative care (91% effective) like chiropractic care and physical therapy. […] I really hope my content has been helpful, but there’s one last thing it’s important for me to tell you. If you’re suffering from Meralgia Paresthetica you CAN find relief.

• #19 Meralgia paresthetica – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/meralgia-paresthetica/diagnosis-treatment/drc-20355639

  Your healthcare professional can make a diagnosis of meralgia paresthetica based on your medical history and a physical exam. You may need a test to check the feeling in your thigh. Your healthcare professionals also may ask you to describe the pain and to trace the numb or painful area on your thigh. […] For most people, the symptoms of meralgia paresthetica ease in a few months. Treatment focuses on relieving nerve compression. […] Conservative measures include: Wearing looser clothing. Losing excess weight. Taking pain relievers available without a prescription. They might include acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin. […] If symptoms last for more than two months or if your pain doesn’t go away with conservative measures, treatment might include: Corticosteroid injections. Injections can reduce inflammation and relieve pain for a short time. Possible side effects include joint infection, nerve damage, pain and lightening of skin around the injection site.

• #20 Meralgia Paresthetica Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/1141848-treatment

  A national cohort study in Germany conducted between 2005 and 2018 found a trend toward nonsurgical management of meralgia paresthetica. […] Removing the cause of compression is the best therapy for meralgia paresthetica. In some patients, this entails weight loss and wearing loose clothing. […] Most patients with meralgia paresthetica will have mild symptoms that respond to conservative management. […] When the pain is severe, a focal nerve block can be done at the inguinal ligament with a combination of lidocaine and corticosteroids. This should temporarily relieve the symptoms for several days to weeks. […] In rare and particularly painful cases of meralgia paresthetica that are unresponsive to nerve block, surgical decompression may be warranted.

• #21 Meralgia Paresthetica Treatment

  https://www.healthline.com/health/meralgia-paresthetica-treatment

  Meralgia paresthetica can also be the result of trauma to the thigh or a disease, such as diabetes. In this case, recommended treatment may include medications to relieve symptoms or, in rare cases, surgery. […] If your pain is severe or your symptoms have not responded to more conservative treatment methods for more than 2 months, your doctor might recommend: […] Often, the numbness, tingling, or pain of meralgia paresthetica can be remedied with simple steps such as weight loss, exercise, or wearing looser clothing. […] If initial treatment is not effective for you, your doctor has a number of medication options, such as corticosteroids, tricyclic antidepressants, and anti-seizure medications. […] If you have severe, long-lasting symptoms, your doctor may consider surgical approaches for treating your meralgia paresthetica.

• #22 Meralgia paresthetica: Exercises for pain relief and mobility

  https://www.medicalnewstoday.com/articles/meralgia-paresthetica-exercises

  As well as the above treatments, a person may wish to try exercises and stretches to relieve meralgia paresthetica. […] Although physical therapy is not a proven treatment for meralgia paresthetica, some exercises may help stretch the muscles and tissues in the pelvis and thighs to prevent them from pressing on the LCF nerve. […] That said, a person with meralgia paresthetica should take care to not overstrain the nerves and muscles while exercising. […] Below are five exercises that may help ease meralgia paresthetica symptoms. […] A clamshell and other hip strengthening exercises might help relieve pressure on a compressed LFC nerve. […] Exercises for meralgia paresthetica focus on stretching and strengthening the muscles in the hips and legs. However, many types of exercise can help ease symptoms of the condition. […] Most cases go away on their own or with conservative treatment, such as wearing looser clothing, losing weight if a doctor advises it, and becoming more active.

• #23 Guide | Physical Therapy Guide to Meralgia Paresthetica (Bernhardt-Roth Syndrome) | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-meralgia-paresthetica

  Meralgia paresthetica is a condition that causes numbness, tingling, or burning pain in the outer thigh. It is also known as Bernhardt-Roth syndrome. It occurs as a result of nerve compression. The condition most commonly affects people in middle age, and women more than men. However, it can occur at any age. Physical therapists help people safely and effectively manage the symptoms, and some causes, of meralgia paresthetica. […] Physical therapists are movement experts. They improve quality of life through hands-on care, patient education, and prescribed movement. […] Each case of meralgia paresthetica is different. No matter what the cause, a physical therapist can design a treatment plan to help manage your symptoms. […] Conservative care, such as physical therapy, has been shown to be the most effective treatment for this condition.

• #24 Meralgia Paresthetica: A Commonly Overlooked Cause of Thigh Pain — ChiroUp

  https://chiroup.com/blog/meralgia-paresthetica-a-commonly-overlooked-cause-of-thigh-pain

  Manual therapy plays a central role in relieving lateral femoral cutaneous nerve irritation. […] The primary tools of spinal and pelvic manipulation help restore joint function and reduce mechanical stress on the nerve. […] In addition, targeted hands-on therapies, such as soft tissue work and nerve mobilization, can further relieve tension, improve nerve mobility, and support lasting symptom resolution. […] Therapeutic exercises also play a crucial role in recovery. […] Exercise regimens should include home nerve flossing for the lateral femoral cutaneous nerve, as well as stretching for associated muscles such as the iliopsoas and tensor fascia lata. […] One of the most crucial aspects of successful management is reducing or eliminating repetitive compression of the lateral femoral cutaneous nerve.

• #25 Advanced Healthcare – Chiropractor in Toronto, ON, Canada :: Meralgia Paresthetica (Upper Thigh Pain) Advanced Healthcare – Chiropractor in Toronto, ON, Canada

  https://www.advancedhealth.ca/conditions/pain-conditions/leg-pain/meralgia-paresthetica.html

  Treatment may comprise of spinal and pelvic postural realignment, low-level laser therapy (LLLT), joint adjustments/manipulation, spinal and joint mobilization, dry needling/acupuncture, ice or heat treatment, transverse friction, deep tissue massage/myofascial release, physiotherapy modalities such as electrotherapy and ultrasound, kinesiology (KT) taping, exercise programs to stretch, self treat and improve proprioception, balance, strength and core stability, biomechanical assessment, neural mobilization, education/training advice/phased return to exercise, activity modification advice, customized foot orthotic/insole advice, clinical Pilates, and injection advice for severe cases. […] The evidence base for the treatment of meralgia paraesthetica is weak, and randomised controlled trials are needed. […] Most cases are self-limiting. The paraesthesia tends to resolve over time but the numbness can persist.

• #26 Meralgia paresthetica – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/meralgia-paresthetica/diagnosis-treatment/drc-20355639

  Your healthcare professional can make a diagnosis of meralgia paresthetica based on your medical history and a physical exam. You may need a test to check the feeling in your thigh. Your healthcare professionals also may ask you to describe the pain and to trace the numb or painful area on your thigh. […] For most people, the symptoms of meralgia paresthetica ease in a few months. Treatment focuses on relieving nerve compression. […] Conservative measures include: Wearing looser clothing. Losing excess weight. Taking pain relievers available without a prescription. They might include acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin. […] If symptoms last for more than two months or if your pain doesn’t go away with conservative measures, treatment might include: Corticosteroid injections. Injections can reduce inflammation and relieve pain for a short time. Possible side effects include joint infection, nerve damage, pain and lightening of skin around the injection site.

• #27 Meralgia Paresthetica Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/1141848-treatment

  A national cohort study in Germany conducted between 2005 and 2018 found a trend toward nonsurgical management of meralgia paresthetica. […] Removing the cause of compression is the best therapy for meralgia paresthetica. In some patients, this entails weight loss and wearing loose clothing. […] Most patients with meralgia paresthetica will have mild symptoms that respond to conservative management. […] When the pain is severe, a focal nerve block can be done at the inguinal ligament with a combination of lidocaine and corticosteroids. This should temporarily relieve the symptoms for several days to weeks. […] In rare and particularly painful cases of meralgia paresthetica that are unresponsive to nerve block, surgical decompression may be warranted.

• #28 Meralgia Paresthetica, Cause of Diagnostic Mistake in the Vascular Clinic

  https://www.heraldopenaccess.us/openaccess/meralgia-paresthetica-cause-of-diagnostic-mistake-in-the-vascular-clinic

  After the initial treatment the patients were reevaluated and the patients that still present an important complain (moderate or severe according with the Visual analog score) and how the complaints interfere in a diarys routines, were treated with local infiltration of corticosteroid. […] Surgical intervention was reserved for patients with intractable symptoms who responded to the nerve block test but had no long-term relief following 3 corticosteroid injections. […] The treatment of the MP could be conservative or surgical. Initial treatment for MP often may include the use of NSAIDS, analgesics, protection of the area, avoiding compression activities, and physical therapy. […] Other non-surgical interventions include pulsed radiofrequency ablation and LFCN nerve block. […] The medical treatment describe above (NSAIDS, analgesics, protection of the area, avoiding compression activities, and physical therapy) followed by a medical nerve block together with 150 mg of pregabalin a day in case of the medical treatment was no successful gave us a very good results in our cases, with just 4% of recidiva. […] A good clinical history and pertinent physical examination combined with the nerve block test, is essential to making the diagnosis and rule out other etiologic factors of secondary Meralgia paresthetica.

• #29 Meralgia paresthetica – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/meralgia-paresthetica/diagnosis-treatment/drc-20355639

  Your healthcare professional can make a diagnosis of meralgia paresthetica based on your medical history and a physical exam. You may need a test to check the feeling in your thigh. Your healthcare professionals also may ask you to describe the pain and to trace the numb or painful area on your thigh. […] For most people, the symptoms of meralgia paresthetica ease in a few months. Treatment focuses on relieving nerve compression. […] Conservative measures include: Wearing looser clothing. Losing excess weight. Taking pain relievers available without a prescription. They might include acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin. […] If symptoms last for more than two months or if your pain doesn’t go away with conservative measures, treatment might include: Corticosteroid injections. Injections can reduce inflammation and relieve pain for a short time. Possible side effects include joint infection, nerve damage, pain and lightening of skin around the injection site.

• #30 Meralgia Paresthetica: Neurolysis or Neurectomy?

  https://www.mdpi.com/2673-4095/5/3/66

  Meralgia paresthetica is a compressive neuropathy of the lateral femoral cutaneous nerve. Surgery is the gold standard for severe cases. However, no high-quality evidence exists on which strategy is best: decompression or neurectomy. The management of MP includes conservative attempts, e.g., patient education about avoiding tight clothing, weight loss, medications (e.g., NSAIDs, topical capsaicin, lidocaine, gabapentin, phenytoin, carbamazepine) and a trial of physical therapy. […] If symptoms persist despite conservative therapies, the gold standard of treatment is surgery. […] According to our results, the combination of a carefully performed surgical approach with neurolysis and the decompression of the LFCN should be considered the first choice in MP. It provides excellent results with a very low complication rate. Adequate nerve decompression and accurate patient selection are key factors in achieving a good outcome. […] In our experience, neurectomy is the best therapeutic strategy in cases of iatrogenic MP, when the nerve has been already severely damaged, but it should be considered a second-line option in case of failed neurolysis.

• #31 Meralgia Paresthetica: Neurolysis or Neurectomy?

  https://www.mdpi.com/2673-4095/5/3/66

  Meralgia paresthetica is a compressive neuropathy of the lateral femoral cutaneous nerve. Surgery is the gold standard for severe cases. However, no high-quality evidence exists on which strategy is best: decompression or neurectomy. The management of MP includes conservative attempts, e.g., patient education about avoiding tight clothing, weight loss, medications (e.g., NSAIDs, topical capsaicin, lidocaine, gabapentin, phenytoin, carbamazepine) and a trial of physical therapy. […] If symptoms persist despite conservative therapies, the gold standard of treatment is surgery. […] According to our results, the combination of a carefully performed surgical approach with neurolysis and the decompression of the LFCN should be considered the first choice in MP. It provides excellent results with a very low complication rate. Adequate nerve decompression and accurate patient selection are key factors in achieving a good outcome. […] In our experience, neurectomy is the best therapeutic strategy in cases of iatrogenic MP, when the nerve has been already severely damaged, but it should be considered a second-line option in case of failed neurolysis.

• #32 Meralgia Paresthetica – Neurosurgery | UCLA Health

  https://www.uclahealth.org/medical-services/neurosurgery/conditions-treated/meralgia-paresthetica

  These measures bring relief in approximately 90 percent of cases and should be tried prior to considering surgery. […] Surgery may involve decompression of the nerve or division of the nerve (neurectomy), which is more effective at relieving pain but leaves permanent numbness in the area supplied by the nerve.

• #33 CE Activity | Meralgia Paresthetica | NPs

  https://www.statpearls.com/nursepractitioner/ce/activity/98711

  Meralgia paresthetica is a clinical condition that includes pain and dysesthesia in the anterolateral thigh associated with lateral femoral cutaneous nerve compression. This activity outlines the evaluation, treatment, and management of meralgia paresthetica and highlights the role of the interprofessional team in treating patients with this condition. […] This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners. […] Summarize the management of meralgia paresthetica. […] Review the importance of collaboration and communication among the interprofessional team to enhance the delivery of care for patients affected by meralgia paresthetica. […] Outline the pharmacologic therapy as it applies to Meralgia Paresthetica.

• #34 Meralgia Paresthetica – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557735/

  Meralgia paresthetica is a clinical condition that includes pain and dysesthesia in the anterolateral thigh associated with lateral femoral cutaneous nerve compression. […] This activity outlines the evaluation, treatment, and management of meralgia paresthetica and highlights the role of the interprofessional team in treating patients with this condition. […] Treatment focuses on patient reassurance and ways to reduce pressure and irritation over the nerve and groin region. This includes patient education that the condition is benign, counseling the patient to avoid tight-fitting garments, and discussion of weight loss if obesity is a contributing factor. […] Approximately 85% of patients with meralgia paresthetica report spontaneous recovery with conservative management. […] Meralgia paresthetica is not a life-threatening disease, but it can result in morbidity if not diagnosed and treated appropriately. Interprofessional communication and patient education are key. […] With adequate interprofessional communication and patient education, meralgia paresthetica can be diagnosed and treated in a timely fashion to improve patient outcomes.

• #35 Meralgia Paresthetica: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.meralgia-paresthetica-care-instructions.av2711

  Meralgia paresthetica (say „muh-RAL-juh par-uhs-THET-ick-uh”) is pain and numbness in the outer part of your thigh. The pain might get worse after you walk or stand for a long time. […] Most of the time the problem goes away on its own in a few months. Lowering any pressure on the thigh area may help. Wear loose clothes, and lose weight if you need to. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Most times the problem gets better on its own. Try wearing loose clothing to see if this helps. […] Watch closely for changes in your health, and be sure to contact your doctor if: You have new symptoms, such as pain that gets worse or new numbness in your thigh. You do not get better as expected.

• #36 Meralgia Paresthetica: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.meralgia-paresthetica-care-instructions.av2711

  Meralgia paresthetica (say „muh-RAL-juh par-uhs-THET-ick-uh”) is pain and numbness in the outer part of your thigh. The pain might get worse after you walk or stand for a long time. […] Most of the time the problem goes away on its own in a few months. Lowering any pressure on the thigh area may help. Wear loose clothes, and lose weight if you need to. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Most times the problem gets better on its own. Try wearing loose clothing to see if this helps. […] Watch closely for changes in your health, and be sure to contact your doctor if: You have new symptoms, such as pain that gets worse or new numbness in your thigh. You do not get better as expected.

• #37

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=av2711

  Meralgia paresthetica (say „muh-RAL-juh par-uhs-THET-ick-uh”) is pain and numbness in the outer part of your thigh. The pain might get worse after you walk or stand for a long time. […] Most of the time the problem goes away on its own in a few months. Lowering any pressure on the thigh area may help. Wear loose clothes, and lose weight if you need to. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Most times the problem gets better on its own. Try wearing loose clothing to see if this helps. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have new symptoms, such as pain that gets worse or new numbness in your thigh. You do not get better as expected.

• #38 Meralgia Paresthetica – What You Need to Know

  https://www.drugs.com/cg/meralgia-paresthetica.html

  MP may go away without treatment after a few weeks or months. If symptoms continue, you may need any of the following: […] Medicines may be given to relieve pain or decrease inflammation. […] Surgery may be needed if your symptoms are severe and other treatments do not work. The nerve may be removed or the tissue around it cut to relieve pressure. […] Take pressure off the nerve. Wear loose clothing. Do not wear tight pants, belts, or other tight clothes. Do not walk or stand for long periods of time. Ask your provider what a healthy weight is for you. He or she can help you create a safe weight loss plan if you are overweight. […] Go to physical therapy, if directed. A physical therapist teaches you exercises to help improve movement and strength, and to decrease pain. […] You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.

• #39 Meralgia Paresthetica | CommonSpirit Health

  https://www.commonspirit.org/conditions-treatments/meralgia-paresthetica

  Most times the problem gets better on its own. Try wearing loose clothing to see if this helps. […] Lose weight if you need to. Talk with your doctor if you need help. […] Watch closely for changes in your health, and be sure to contact your doctor if: […] You have new symptoms, such as pain that gets worse or new numbness in your thigh. […] You do not get better as expected.

• #40 Meralgia Paresthetica: Pain and Numbness in the Outer Thigh

  https://www.webmd.com/diabetes/meralgia-paresthetica

  It can take some time for your thigh pain to go away. Some people will still feel numbness even after treatment. In most cases, though, you should be able to recover within 4 to 6 weeks. […] For mild cases, your doctor may recommend: Heat, ice, or taking over-the-counter pain relievers like acetaminophen, aspirin, ibuprofen, or naproxen for a few days, Weight loss, Wearing loose-fitting clothing, especially around your upper front hip. […] These exercises and stretches will help you to ease meralgia paresthetica pain. […] Meralgia paresthetica can cause numbness, pain, or a burning feeling in your outer thigh. People who are overweight, pregnant, or have medical conditions like diabetes are more likely to have it. Treatment usually includes doing hip and leg stretches, taking over-the-counter pain relievers, and wearing loose clothing. Rarely is surgery needed.

• #41 Meralgia Paresthetica: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.meralgia-paresthetica-care-instructions.av2711

  Meralgia paresthetica (say „muh-RAL-juh par-uhs-THET-ick-uh”) is pain and numbness in the outer part of your thigh. The pain might get worse after you walk or stand for a long time. […] Most of the time the problem goes away on its own in a few months. Lowering any pressure on the thigh area may help. Wear loose clothes, and lose weight if you need to. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Most times the problem gets better on its own. Try wearing loose clothing to see if this helps. […] Watch closely for changes in your health, and be sure to contact your doctor if: You have new symptoms, such as pain that gets worse or new numbness in your thigh. You do not get better as expected.

• #42 Meralgia Paresthetica (Aftercare Instructions)

  https://www.drugs.com/cg/meralgia-paresthetica-aftercare-instructions.html

  Meralgia paresthetica (MP) is a condition that causes numbness, tingling, and burning pain in your thigh. MP occurs when the nerve that provides feeling to the area is pinched. […] Medicines may be given to relieve pain or decrease inflammation. Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell your provider if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency. […] Manage MP: Take pressure off the nerve. Wear loose clothing. Do not wear tight pants, belts, or other tight clothes. Do not walk or stand for long periods of time. Ask your provider what a healthy weight is for you. He or she can help you create a safe weight loss plan if you are overweight. Go to physical therapy, if directed. A physical therapist teaches you exercises to help improve movement and strength, and to decrease pain. […] Follow up with your doctor as directed: Write down your questions so you remember to ask them during your visits.

• #43 Guide | Physical Therapy Guide to Meralgia Paresthetica (Bernhardt-Roth Syndrome) | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-meralgia-paresthetica

  Your physical therapist will work with you to develop a plan specific to your needs and goals. […] Your physical therapist may apply hands-on treatments to gently move your muscles and joints. […] Your physical therapist will design a safe, progressive strengthening program for your condition. […] Symptoms of meralgia paresthetica are often caused or made worse by repeated movements. […] Your physical therapist will work with you to find and change any external factors that cause you pain. […] Knowing the causes of meralgia paresthetica, and modifying them when possible, are the best ways to prevent it. […] All physical therapists are prepared through education and experience to treat meralgia paresthetica.

• #44 MERALGIA PARESTHETICA: UNDERSTANDING BURNING THIGH PAIN | Mya Care

  https://myacare.com/blog/meralgia-paresthetica-understanding-burning-thigh-pain

  Physical therapy and exercises can improve mobility and reduce discomfort. […] In severe cases, surgical intervention is a viable treatment option when conservative treatments fail. […] Living with Meralgia Paresthetica can be challenging, but there are strategies to manage daily life. […] Regular, gentle exercise can help improve mobility and reduce discomfort. […] Sleeping with Meralgia Paresthetica can be challenging due to discomfort. […] The duration of Meralgia Paresthetica can vary greatly. Most individuals experience symptoms for up to three months, while some may have them for years. […] Meralgia Paresthetica is a condition characterized by nerve compression that causes a burning sensation in the thigh. If left untreated, the ailment can lead to nerve damage in the long run.

• #45 Meralgia Paresthetica – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK557735/

  Approximately 85% of patients with meralgia paresthetica report spontaneous recovery with conservative management. Cases due to iatrogenic causes typically improve within 3 months, and pregnancy-associated meralgia paresthetica typically improves after delivery. […] Meralgia paresthetica is not a life-threatening disease, but it can result in morbidity if not diagnosed and treated appropriately. Interprofessional communication and patient education are key. The condition can be recognized and treated by multiple clinicians to include primary care, obstetricians/gynecologists, urologists, neurologists, and surgeons. A proper diagnosis can be challenging without a dedicated history taking, and physical exam and misdiagnosis can lead to unnecessary referrals and procedures. With adequate interprofessional communication and patient education, meralgia paresthetica can be diagnosed and treated in a timely fashion to improve patient outcomes.

• #46 Meralgia Paresthetica: Symptoms, Causes, and Treatment

  https://resources.healthgrades.com/right-care/brain-and-nerves/meralgia-paresthetica

  The following strategies may reduce compression of the affected nerve. Try to: Maintain a moderate weight. Stop activities that put pressure on your thighs. Wear loose-fitting clothing. […] Medications and procedures may include: nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin); topical capsaicin or lidocaine for sensitivity; antidepressants and antiseizure medications to suppress nerve activity and reduce pain; corticosteroid injections to relieve swelling around the nerve; nerve block; surgery to free the compressed nerve. […] The outlook is usually good for people with meralgia paresthetica, according to the NINDS. The condition may improve with nonsurgical treatment or remedies. It may also go away on its own naturally, even without treatment. […] However, contact a doctor for diagnosis and treatment if you have symptoms of meralgia paresthetica. Treatment is usually successful. Without it, nerve damage can be permanent.

• #47 Meralgia Paresthetica: Symptoms, Causes, and Treatment

  https://resources.healthgrades.com/right-care/brain-and-nerves/meralgia-paresthetica

  Meralgia paresthetica, or burning thigh pain, arises with lateral femoral cutaneous nerve compression. This nerve supplies sensory information from the outer thigh to the brain. Causes can include tight clothing, rapid weight gain, and injury. […] Usually, meralgia paresthetica goes away on its own or after changing contributing factors, such as wearing loose-fitting clothing or stopping the physical activity causing the condition. Medication may help relieve nerve pain. Depending on the cause and condition severity, surgery may be necessary to decompress or release the nerve. […] Left untreated, however, meralgia paresthetica may lead to serious pain or paralysis. […] Contact a doctor for symptoms that do not go away with rest and for severe pain that interferes with your ability to perform typical activities.

• #48 Meralgia Paresthetica: Frequently Asked Questions | Diagnosis & Prognosis

  https://resources.healthgrades.com/right-care/brain-and-nerves/meralgia-paresthetica-frequently-asked-questions

  If a pelvic injury is the cause of meralgia paresthetica, exercises (physical therapy) to strengthen your leg and buttock muscles will help you recover, which may relieve pressure on the nerve and improve your nerve symptoms. […] If you are experiencing symptoms of meralgia paresthetica, especially if they aren’t going away on their own, visit your doctor. If you have this condition, your doctor can advise remedies to help provide relief. Left untreated, long-term compression of the nerve can cause permanent damage and long-term symptoms.

• #49 Diagnosing and Treating Meralgia Paresthetica | Baltimore Nerve Decompression Surgeon | Dr. Eric H. Williams

  https://www.baltimoreperipheralnervepain.com/blog/diagnosing-and-treating-meralgia-paresthetica.cfm

  In most cases, we can make a diagnosis of meralgia paresthetica based on your medical history and a physical exam. This can entail testing the sensation of the affected thigh, having you describe the pain, and perhaps asking you to trace the numb or painful area on your thigh. […] Conservative measures for treating symptoms include: Wearing looser clothing, Losing excess weight, Taking OTC pain relievers such as acetaminophen, ibuprofen, or aspirin. […] If your symptoms persist for more than two months or you have pain that is severe, treatment might include corticosteroid injections, anti-seizure medications, or tricyclic antidepressants. […] Rarely, surgery to decompress the nerve is considered. This option is only for people with severe and long-lasting symptoms. […] The following self-care measures can potentially help to prevent meralgia paresthetica from developing in the first place: Avoid wearing tight clothing, Maintain a healthy weight, or lose weight if you’re overweight.

• #50 Meralgia paresthetica

  https://www.mymlc.com/health-information/diseases-and-conditions/m/meralgia-paresthetica/

  Meralgia paresthetica is a condition characterized by tingling, numbness and burning pain in your outer thigh. The cause of meralgia paresthetica is compression of the nerve that supplies sensation to the skin surface of your thigh. […] In most cases, you can relieve meralgia paresthetica with conservative measures, such as wearing looser clothing. In severe cases, treatment may include medications to relieve discomfort or, rarely, surgery. […] Conservative measures include: Wearing looser clothing, Losing excess weight, Taking OTC pain relievers such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin. […] For most people, the symptoms of meralgia paresthetica ease in a few months. Treatment focuses on relieving nerve compression. […] Rarely, surgery to decompress the nerve is considered. This option is only for people with severe and long-lasting symptoms. […] The following self-care measures can help treat and prevent meralgia paresthetica: Avoid wearing tight clothing. Maintain a healthy weight, or lose weight if you’re overweight.

• #51 Burning Thigh Pain (Meralgia Paresthetica) – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/burning-thigh-pain-meralgia-paresthetica/

  The goal is to remove the cause of the compression. This may mean: Resting from an activity that brings on symptoms, Losing weight, Wearing loose clothing, Using a toolbox instead of wearing a tool belt. […] In more severe cases, your doctor may give you a corticosteroid injection to reduce inflammation, which relieves the symptoms for some time. […] In rare cases, surgery is needed to release the nerve.

• #52 Meralgia Paresthetica – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK557735/

  Meralgia paresthetica is a clinical condition that includes pain and dysesthesia in the anterolateral thigh associated with lateral femoral cutaneous nerve compression. […] This activity outlines the evaluation, treatment, and management of meralgia paresthetica and highlights the role of the interprofessional team in treating patients with this condition. […] Treatment focuses on patient reassurance and ways to reduce pressure and irritation over the nerve and groin region. This includes patient education that the condition is benign, counseling the patient to avoid tight-fitting garments, and discussion of weight loss if obesity is a contributing factor. […] Approximately 85% of patients with meralgia paresthetica report spontaneous recovery with conservative management. […] Meralgia paresthetica is not a life-threatening disease, but it can result in morbidity if not diagnosed and treated appropriately. Interprofessional communication and patient education are key. […] With adequate interprofessional communication and patient education, meralgia paresthetica can be diagnosed and treated in a timely fashion to improve patient outcomes.

• #53 Meralgia Paresthetica – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK557735/

  Approximately 85% of patients with meralgia paresthetica report spontaneous recovery with conservative management. Cases due to iatrogenic causes typically improve within 3 months, and pregnancy-associated meralgia paresthetica typically improves after delivery. […] Meralgia paresthetica is not a life-threatening disease, but it can result in morbidity if not diagnosed and treated appropriately. Interprofessional communication and patient education are key. The condition can be recognized and treated by multiple clinicians to include primary care, obstetricians/gynecologists, urologists, neurologists, and surgeons. A proper diagnosis can be challenging without a dedicated history taking, and physical exam and misdiagnosis can lead to unnecessary referrals and procedures. With adequate interprofessional communication and patient education, meralgia paresthetica can be diagnosed and treated in a timely fashion to improve patient outcomes.

• #54 CE Activity | Meralgia Paresthetica | NPs

  https://www.statpearls.com/nursepractitioner/ce/activity/98711

  Meralgia paresthetica is a clinical condition that includes pain and dysesthesia in the anterolateral thigh associated with lateral femoral cutaneous nerve compression. This activity outlines the evaluation, treatment, and management of meralgia paresthetica and highlights the role of the interprofessional team in treating patients with this condition. […] This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners. […] Summarize the management of meralgia paresthetica. […] Review the importance of collaboration and communication among the interprofessional team to enhance the delivery of care for patients affected by meralgia paresthetica. […] Outline the pharmacologic therapy as it applies to Meralgia Paresthetica.

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