Materiały źródłowe

• #1 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. […] Diagnosis is based primarily on the history and physical exam, including purely sensory neurological changes without motor involvement in the anatomical location of the upper thigh. […] Evaluation should include a complete lower extremity neurologic examination. […] Diagnostic maneuvers include the pelvic compression test in which the patient lies on their unaffected side, and the examiner applies downward pressure on the patients ilium/pelvis for approximately 45 seconds.

• #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. […] Healthcare providers can typically diagnose meralgia paresthetica with a physical exam and a thorough understanding of your symptoms, medical history and lifestyle. […] If your healthcare provider cant determine the cause of meralgia paresthetica based on your medical and lifestyle history, they may order blood tests to check the following: Thyroid hormone levels for signs of hypothyroidism. […] They may order an X-ray of your pelvis and thigh to rule out other medical conditions, like bone tumors. Other imaging tests, such as a CT scan or magnetic resonance imaging (MRI) scan can check for other spinal or nerve issues, like a herniated disc.

• #3 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. […] Other exams may include strength testing and reflex testing to help exclude other causes of your symptoms. […] Tests also may look for an issue with the nerve root or damage to the femoral nerve, known as neuropathy. Your healthcare professional might recommend: […] Imaging studies. Changes related to meralgia paresthetica won’t appear on X-ray. But images of your hip and pelvic area might be helpful to exclude other conditions as a cause of your symptoms. […] A CT scan or MRI might be ordered if your healthcare professional suspects that a tumor could be causing your symptoms.

• #4 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. Additional examination including strength testing and reflex testing might be done to help exclude other causes for the symptoms. […] To rule out other conditions, we might recommend imaging studies. Although no specific changes are evident on X-ray if you have meralgia paresthetica, images of your hip and pelvic area might be helpful in excluding other conditions as a cause of your symptoms. […] If we suspect a tumor could be causing your pain, we may order a CT scan or MRI. Other potential diagnostic tests we might use include: Electromyography. This test measures the electrical discharges produced in muscles to help evaluate and diagnose muscle and nerve disorders. A thin needle electrode is placed into the muscle to record electrical activity. Results of this test are normal in meralgia paresthetica, but the test might be needed to exclude other disorders when the diagnosis isn’t clear.

• #5 Meralgia paresthetica

  https://www.logicalimages.com/visualdx/diagnosis/?moduleId=101&diagnosisId=55077

  Meralgia paresthetica is also known as lateral femoral cutaneous neuropathy and is characterized by paresthesias, numbness, dysesthesia, and occasionally pain in the anterolateral thigh. […] Symptoms are often exacerbated by standing or walking and are relieved by sitting. […] As the lateral femoral cutaneous nerve does not have any motor component, there is no weakness associated with this condition. […] Meralgia paresthetica has an incidence of 3:10 000 patients and is most common in middle-aged adults but can occur in all age groups. […] Compression of the lateral femoral cutaneous nerve typically occurs where it enters the leg near the inguinal ligament. […] It is usually unilateral, but up to 20% of patients can develop bilateral meralgia paresthetica. […] Most cases are idiopathic.

• #6 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. […] Other exams may include strength testing and reflex testing to help exclude other causes of your symptoms. […] Tests also may look for an issue with the nerve root or damage to the femoral nerve, known as neuropathy. Your healthcare professional might recommend: […] Imaging studies. Changes related to meralgia paresthetica won’t appear on X-ray. But images of your hip and pelvic area might be helpful to exclude other conditions as a cause of your symptoms. […] A CT scan or MRI might be ordered if your healthcare professional suspects that a tumor could be causing your symptoms.

• #7

  https://www.painscale.com/article/diagnosing-meralgia-paresthetica

  The diagnosis of meralgia paresthetica involves gathering and evaluating a medical history, and performing a physical examination. Blood tests, imaging tests, or diagnostic nerve blocks may be included. Additional testing may be performed to rule out other conditions. […] A physical exam may include tracing the exact location of pain and numbness. Strength testing, reflex testing, and sensation testing of the affected thigh can help with making a proper diagnosis of meralgia paresthetica. A pelvic compression test will likely be completed, which involves applying pressure on the thigh. This helps rule out other causes of symptoms. […] Certain imaging tests may include an X-ray of the pelvis or thigh. This can rule out a tumor. A computed tomography (CT scan) or magnetic resonance imaging (MRI) scan can look for nerve or spinal problems that are causing the symptoms.

• #8 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. […] Diagnosis is based primarily on the history and physical exam, including purely sensory neurological changes without motor involvement in the anatomical location of the upper thigh. […] Evaluation should include a complete lower extremity neurologic examination. […] Diagnostic maneuvers include the pelvic compression test in which the patient lies on their unaffected side, and the examiner applies downward pressure on the patients ilium/pelvis for approximately 45 seconds.

• #9 Meralgia Paresthetica – Illinois Chiropractic Society

  https://ilchiro.org/meralgia-paresthetica-2/

  Meralgia Paresthetica is a painful compressive neuropathy of the lateral femoral cutaneous nerve (LFCN), causing burning pain and paresthesia in the thigh. […] The clinical syndrome of meralgia parasthetica is well-defined, and further diagnostic studies may be unnecessary. […] In unresponsive cases, the diagnosis can be confirmed by NCS, which is considered the gold standard. […] A study of 45 patients found the pelvic compression test had a sensitivity of 95% and a specificity of 93.3% for meralgia paresthetica. […] Other differential diagnostic conditions for meralgia paresthetica include trigger point referral patterns (from the gluteus medius or TFL muscles); retroperitoneal, abdominal, or pelvic pathology; lumbar disc lesion; or diabetes.

• #10 Meralgia Paraesthetica: Symptoms, and Treatment | Doctor

  https://patient.info/doctor/meralgia-paraesthetica-pro

  Meralgia paraesthetica is usually an entrapment neuropathy of the lateral femoral cutaneous nerve (LFCN). […] The pelvic compression test is highly sensitive and the diagnosis can often be made with this test alone. […] Injection of the nerve with local anaesthetic will abolish the pain. Ultrasound is effective both for diagnosis and for guiding injection therapy. […] MRI neurography of the lateral cutaneous nerve may be used to assist in diagnosis. […] Very often the diagnosis is slow to be made. Pain in the lateral thigh can arise from the back or hip. It is important to consider the possibility of the diagnosis and to try deep palpation medial to the anterior superior iliac spine and extension of the hip. Injection with local anaesthetic appears to be a good test.

• #11 Meralgia Paresthetica Indianapolis | Lateral Femoral Cutaneous Neurectomy Bloomington

  https://www.indianahiparthroscopy.com/meralgia-parethetica-orthopedic-surgeon-indianapolis-bloomington-in.html

  Meralgia paresthetica is a painful condition caused by entrapment or irritation of the lateral femoral cutaneous nerve. […] Meralgia paresthetica, also known as Bernhardt-Roth syndrome is a neurological condition characterized by pain and numbness in the thigh. […] Your doctor will review your medical history and symptoms, and based on this a physical examination will be performed that includes a pelvic compression test where your doctor will look for pain by applying pressure at different points in your thigh. Diagnostic tests can include the following: […] CT scan: Special x-rays are used to produce clear images of any damage present in the internal hard and soft tissue structures of the body. […] Electromyography: Special electrodes are used to record the electrical activity and detect any damage to the muscles or nerves.

• #12 Meralgia Paresthetica, skinny jean syndrome – Dr. William E. Morgan

  http://drmorgan.info/clinicians-corner/meralgia-paresthetica-skinny-jean-syndrome/

  Meralgia paresthetica (MP) is a sensory mononeuropathy which can produce pain or paresthesia of the anterior-lateral thigh. Normally it is the result of a focal entrapment of the lateral femoral cutaneous nerve (LFCN) as it travels under the inguinal ligament, but it can also be caused by external compression. This peripheral entrapment is relatively common and has been confused with nerve root lesions. […] The diagnosis of meralgia paresthetica is almost always a clinical diagnosis, versus a diagnosis based on objective observable technology. Diagnostics such as X-ray, CT, MRI, and diagnostic ultrasound can only rule out other conditions, but they cannot confirm the diagnosis of this malady. The diagnosis of MP can be made through history, presentation, examination, and clinical deduction. Particularly helpful in making the diagnosis is the pain distribution pattern, a clearly defined cause (like the physical pressure of body armor), and a positive Tinels sign of the LCFN or tenderness of the nerve where it emerges from under the inguinal ligament.

• #13 Meralgia Paresthetica – StatPearls – NCBI Bookshelf

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

  Plain radiographs are not required in the diagnosis, given a consistent history and physical exam. […] The clinician may consider blood tests if a metabolic etiology is suspected. […] Meralgia paresthetica is a typically benign and self-limited condition with frequent spontaneous remission. […] Treatment focuses on patient reassurance and ways to reduce pressure and irritation over the nerve and groin region. […] Patients should be reexamined with a repeat neurologic exam if symptoms persist beyond 1 to 2 months with conservative treatments, at which point anticonvulsants such as gabapentin, phenytoin, or carbamazepine may be helpful for treating the patients neuropathic pain. […] Surgery is rare but may be considered in chronic refractory cases and is performed via either a surgical release procedure with decompression of the LFCN or via a nerve transection procedure. […] Approximately 85% of patients with meralgia paresthetica report spontaneous recovery with conservative management.

• #14 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. […] Other exams may include strength testing and reflex testing to help exclude other causes of your symptoms. […] Tests also may look for an issue with the nerve root or damage to the femoral nerve, known as neuropathy. Your healthcare professional might recommend: […] Imaging studies. Changes related to meralgia paresthetica won’t appear on X-ray. But images of your hip and pelvic area might be helpful to exclude other conditions as a cause of your symptoms. […] A CT scan or MRI might be ordered if your healthcare professional suspects that a tumor could be causing your symptoms.

• #15 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. […] Healthcare providers can typically diagnose meralgia paresthetica with a physical exam and a thorough understanding of your symptoms, medical history and lifestyle. […] If your healthcare provider cant determine the cause of meralgia paresthetica based on your medical and lifestyle history, they may order blood tests to check the following: Thyroid hormone levels for signs of hypothyroidism. […] They may order an X-ray of your pelvis and thigh to rule out other medical conditions, like bone tumors. Other imaging tests, such as a CT scan or magnetic resonance imaging (MRI) scan can check for other spinal or nerve issues, like a herniated disc.

• #16 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. […] Other exams may include strength testing and reflex testing to help exclude other causes of your symptoms. […] Tests also may look for an issue with the nerve root or damage to the femoral nerve, known as neuropathy. Your healthcare professional might recommend: […] Imaging studies. Changes related to meralgia paresthetica won’t appear on X-ray. But images of your hip and pelvic area might be helpful to exclude other conditions as a cause of your symptoms. […] A CT scan or MRI might be ordered if your healthcare professional suspects that a tumor could be causing your symptoms.

• #17 Meralgia Paresthetica Indianapolis | Lateral Femoral Cutaneous Neurectomy Bloomington

  https://www.indianahiparthroscopy.com/meralgia-parethetica-orthopedic-surgeon-indianapolis-bloomington-in.html

  Meralgia paresthetica is a painful condition caused by entrapment or irritation of the lateral femoral cutaneous nerve. […] Meralgia paresthetica, also known as Bernhardt-Roth syndrome is a neurological condition characterized by pain and numbness in the thigh. […] Your doctor will review your medical history and symptoms, and based on this a physical examination will be performed that includes a pelvic compression test where your doctor will look for pain by applying pressure at different points in your thigh. Diagnostic tests can include the following: […] CT scan: Special x-rays are used to produce clear images of any damage present in the internal hard and soft tissue structures of the body. […] Electromyography: Special electrodes are used to record the electrical activity and detect any damage to the muscles or nerves.

• #18 Diagnosis and Treatment of Meralgia Paresthetica (Literature Review)

  https://www.genesispub.org/diagnosis-and-treatment-of-meralgia-paresthetica-literature-review

  MRI is used to perform differential diagnosis to rule out tumor formations in the pelvic area, as well as to exclude urogenital or gynecological diseases, and lumbar disc herniations. […] Current studies on interventions for MP are scarce. Available data are mostly limited to single case reports and studies with small sample sizes. Further multicenter randomized clinical trials are needed to develop a comprehensive approach to treatment and diagnosis, as well as to unify all previous data.

• #19 Meralgia Paresthetica: Relevance, Diagnosis, and Treatment (29.09.2023)

  https://www.aerzteblatt.de/fachgebiete/neurologie/arbeiten/meralgia-paresthetica-relevance-diagnosis-and-treatment-e2e66279-276d-4f36-8003-76f12914b689

  The diagnosis is mainly based on typical symptoms combined with a positive response to an infiltration procedure. […] In atypical cases, electrophysiological testing, neurosonography, and magnetic resonance imaging can be helpful in establishing the diagnosis. […] Advances in imaging and neurophysiological testing have made the diagnosis easier to establish. […] Hypesthesia is the symptom most commonly reported in typical MP. […] While typical MP is diagnosed by clinical examination, atypically located symptoms require an extended diagnostic process. […] Magnetic resonance imaging (MRI) of the pelvis may help to exclude urogenital or gynecological conditions. […] The increasing availability of high-resolution ultrasonography is helpful both for diagnosis (localization of the nerve, increased accuracy of infiltration, exclusion of rare entities such as neurinomas) and for treatment (intraoperative nerve localization).

• #20 Diagnosis and Treatment of Meralgia Paresthetica (Literature Review)

  https://www.genesispub.org/diagnosis-and-treatment-of-meralgia-paresthetica-literature-review

  Meralgia paresthetica (MP) is a condition characterized by damage to the lateral femoral cutaneous nerve (LFCN), leading to sensory disturbances and pain in the anterolateral thigh. […] For diagnosis, it is important to take a thorough medical history and perform an appropriate physical examination. Although the diagnosis of meralgia paresthetica is essentially clinical, auxiliary diagnostic methods such as nerve conduction studies and ultrasound examination are useful complementary tools. […] Sensory nerve conduction studies are useful for confirming the diagnosis and determining the severity of LFCN damage. […] The advantages of ultrasonography are its general availability and quickness. This method is useful both for diagnosis (localizing the site of damage, ruling out neoplasms) and for treatment (localizing the nerve during injection).

• #21 Sonographic features of the lateral femoral cutaneous nerve in meralgia paresthetica – Shi – Quantitative Imaging in Medicine and Surgery

  https://qims.amegroups.org/article/view/71212/html

  The diagnosis of meralgia paresthetica (MP) is usually based on clinical symptoms and physical examination. […] The diagnosis of MP is usually based on the patients symptoms and physical examination. […] The sonographic diagnosis of MP may be achieved based on the following signs: nerve abrupt caliber change, indistinct perineurium of the nerve, intraneural vascularity, or increased cross-sectional area. […] Our results demonstrate that if one of these abnormal sonographic features is present, that is, nerve abrupt caliber change, indistinct perineurium of the nerve, intraneural vascularity, or increased CSA, MP can be diagnosed by ultrasound. […] The abrupt caliber change of the LFCN is the direct sign of nerve compression, and ultrasound can usually find fibrous tissue around the nerve. […] In summary, the sonographic diagnosis of MP may be achieved based on the following signs: abrupt caliber change, indistinct perineurium of the nerve, intraneural vascularity, or increased CSA.

• #22 Sonographic features of the lateral femoral cutaneous nerve in meralgia paresthetica – Shi – Quantitative Imaging in Medicine and Surgery

  https://qims.amegroups.org/article/view/71212/html

  The diagnosis of meralgia paresthetica (MP) is usually based on clinical symptoms and physical examination. […] The diagnosis of MP is usually based on the patients symptoms and physical examination. […] The sonographic diagnosis of MP may be achieved based on the following signs: nerve abrupt caliber change, indistinct perineurium of the nerve, intraneural vascularity, or increased cross-sectional area. […] Our results demonstrate that if one of these abnormal sonographic features is present, that is, nerve abrupt caliber change, indistinct perineurium of the nerve, intraneural vascularity, or increased CSA, MP can be diagnosed by ultrasound. […] The abrupt caliber change of the LFCN is the direct sign of nerve compression, and ultrasound can usually find fibrous tissue around the nerve. […] In summary, the sonographic diagnosis of MP may be achieved based on the following signs: abrupt caliber change, indistinct perineurium of the nerve, intraneural vascularity, or increased CSA.

• #23

  https://link.springer.com/article/10.1007/s10143-023-01962-0

  The prevalence of meralgia paresthetica (MP), which is caused by compression of the lateral femoral cutaneous nerve (LFCN), has been increasing over recent decades. […] Our study aims to report on current diagnostic and therapeutic strategies as well as time trends in clinical MP management in Germany. […] Patients hospitalized in Germany between January 1, 2005, and December 31, 2018, with MP as their primary diagnosis were identified using the International Classification of Disease (ICD-10) code G57.1 and standardized operations and procedures codes (OPS). […] The rate of imaging studies increased from 44% in 2005 to 79% in 2018 (p0.001) and that of non-imaging diagnostic studies from 70 to 93% (p0.001). […] Among non-imaging diagnostics, the rates of evoked potentials and neurography increased from 20%/16% in 2005 to 36%/23% in 2018 (p0.001, respectively).

• #24 Meralgia Paresthetica: Background, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/1247725-workup

  A painful mononeuropathy of the lateral femoral cutaneous nerve (LFCN), meralgia paresthetica is commonly due to focal entrapment of this nerve as it passes through the inguinal ligament. […] The clinical history and examination is usually sufficient for making the diagnosis. However, the diagnosis can be confirmed by nerve conduction studies. […] The incidence of meralgia paresthetica in the general population has been reported to be 4.3 per 10,000 person years. […] A literature review of patients with meralgia paresthetica who were treated with neurectomy, neurolysis, or injection found the incidence of complete pain relief to be 85%, 63%, and 22%, respectively. […] Meralgia paresthetica: diagnosis and management strategies. […] Meralgia paresthetica: clinical and electrophysiological diagnosis in 120 cases.

• #25 Meralgia paresthetica: diagnosis and management strategies. | Read by QxMD

  https://read.qxmd.com/read/18028045/meralgia-paresthetica-diagnosis-and-management-strategies

  Meralgia paresthetica (MP), coined from the Greek words meros (thigh and algos), meaning pain, is a neurological disorder characterized by a localized area of paresthesia and numbness on the anterolateral aspect of the thigh. […] A coherent history and pertinent physical examination is essential in making the diagnosis; however, red flags such as tumor and lumbar disk herniations must be recognized and appropriately treated. While the diagnosis of MP is essentially a clinical diagnosis, sensory nerve conduction velocity studies are a useful adjunctive diagnostic tool.

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

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

  Electromyography. This test measures the electrical discharges produced in muscles to help evaluate and diagnose muscle and nerve conditions. A thin needle called an electrode is placed into the muscle to record electrical activity. This test might be needed to exclude other disorders. […] Nerve conduction study. Patch-style electrodes are placed on your skin to stimulate the nerve with a mild electrical impulse. The electrical impulse helps diagnose damaged nerves. A comparison of the lateral femoral cutaneous nerve on each side may be performed. This test might be done primarily to exclude other causes for the symptoms. […] Nerve block. Pain relief achieved from anesthetic injection into your thigh where the lateral femoral cutaneous nerve enters into it can confirm that you have meralgia paresthetica. Ultrasound imaging might be used to guide the needle.

• #27 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. Additional examination including strength testing and reflex testing might be done to help exclude other causes for the symptoms. […] To rule out other conditions, we might recommend imaging studies. Although no specific changes are evident on X-ray if you have meralgia paresthetica, images of your hip and pelvic area might be helpful in excluding other conditions as a cause of your symptoms. […] If we suspect a tumor could be causing your pain, we may order a CT scan or MRI. Other potential diagnostic tests we might use include: Electromyography. This test measures the electrical discharges produced in muscles to help evaluate and diagnose muscle and nerve disorders. A thin needle electrode is placed into the muscle to record electrical activity. Results of this test are normal in meralgia paresthetica, but the test might be needed to exclude other disorders when the diagnosis isn’t clear.

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

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

  Electromyography. This test measures the electrical discharges produced in muscles to help evaluate and diagnose muscle and nerve conditions. A thin needle called an electrode is placed into the muscle to record electrical activity. This test might be needed to exclude other disorders. […] Nerve conduction study. Patch-style electrodes are placed on your skin to stimulate the nerve with a mild electrical impulse. The electrical impulse helps diagnose damaged nerves. A comparison of the lateral femoral cutaneous nerve on each side may be performed. This test might be done primarily to exclude other causes for the symptoms. […] Nerve block. Pain relief achieved from anesthetic injection into your thigh where the lateral femoral cutaneous nerve enters into it can confirm that you have meralgia paresthetica. Ultrasound imaging might be used to guide the needle.

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

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

  Nerve conduction study. Patch-style electrodes are placed on your skin to stimulate the nerve with a mild electrical impulse. The electrical impulse helps diagnose damaged nerves. This test might be done primarily to exclude other causes for the symptoms. […] Nerve blockade. Pain relief achieved from anesthetic injection into your thigh where the lateral femoral cutaneous nerve enters into it can confirm that you have meralgia paresthetica. Ultrasound imaging might be used to guide the needle.

• #30

  https://link.springer.com/article/10.1007/s40122-024-00693-4

  Meralgia paresthetica (MP) is a sensory mononeuropathy affecting the lateral femoral cutaneous nerve. Diagnosis is typically made clinically, often utilising multiple diagnostic aids such as imaging and electrophysiology. […] Diagnosis of MP is based on clinical examination, imaging and electrophysiology. There is no obviously superior diagnostic strategy for MP. […] Effective diagnosis of meralgia paresthetica (MP) requires a combination of clinical examination, imaging and electrophysiological assessments, with no single tool proven superior. […] The sensory nerve action potential (SNAP) amplitude is the most reliable electrophysiological parameter for diagnosing MP, but neither SNAP nor somatosensory evoked potentials (SSEP) is definitively superior in detecting pathology. […] The diagnosis of MP is predominantly made clinically. Despite its relative common occurrence, healthcare professionals often misdiagnose MP due to its clinical similarity with other conditions, i.e. lumbar radiculopathies. […] While both neurolysis and neurectomy are described as appropriate strategies, there is a scope for discussion regarding whether one is superior.

• #31 Meralgia Paresthetica: Relevance, Diagnosis, and Treatment (29.09.2023)

  https://www.aerzteblatt.de/fachgebiete/neurologie/arbeiten/meralgia-paresthetica-relevance-diagnosis-and-treatment-e2e66279-276d-4f36-8003-76f12914b689

  Electrophysiological examinations are technically problematic, and the results not always conclusive, due to the high frequency of obesity among the patients. […] A recently developed diagnostic technique, 3-mm punch biopsy from the affected cutaneous area to demonstrate loss of small intradermal nerve fibers, is restricted mainly to academic centers. […] The increasing use of MRI and SEP as routine procedures in clinical diagnosis was shown by a recently published study evaluating data from the German Federal Statistical Office. […] In the absence of a guideline, we present in Figure 2 the expert-opinion-based treatment algorithm that we customarily use. […] The evidence for spontaneous amelioration of or freedom from symptoms with conservative treatment is, as already mentioned, sparse. […] If there is no response to treatment, interventional options such as radiofrequency treatment, decompression, and neurectomy should be discussed. […] The evidence level for the optimal form of surgical treatment is currently no higher than 2a.

• #32

  https://link.springer.com/article/10.1007/s40122-024-00693-4

  Meralgia paresthetica (MP) is a sensory mononeuropathy affecting the lateral femoral cutaneous nerve. Diagnosis is typically made clinically, often utilising multiple diagnostic aids such as imaging and electrophysiology. […] Diagnosis of MP is based on clinical examination, imaging and electrophysiology. There is no obviously superior diagnostic strategy for MP. […] Effective diagnosis of meralgia paresthetica (MP) requires a combination of clinical examination, imaging and electrophysiological assessments, with no single tool proven superior. […] The sensory nerve action potential (SNAP) amplitude is the most reliable electrophysiological parameter for diagnosing MP, but neither SNAP nor somatosensory evoked potentials (SSEP) is definitively superior in detecting pathology. […] The diagnosis of MP is predominantly made clinically. Despite its relative common occurrence, healthcare professionals often misdiagnose MP due to its clinical similarity with other conditions, i.e. lumbar radiculopathies. […] While both neurolysis and neurectomy are described as appropriate strategies, there is a scope for discussion regarding whether one is superior.

• #33 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

  Meralgia Paresthetica (MP) is a nerve entrapment which may cause pain paresthesias and sensory loss within the distribution of the lateral cutaneous nerve of the thigh. When the patients come presenting pain in the lateral or anterolateral thigh pain we must have in mind the MP in our differential diagnosis. […] The preliminary diagnosis was based on the patients history of symptoms (pain, burning, numbness, muscle ache, coldness, lighting pain, that may be present with prolonged standing and walking, and alleviation with sitting) in the distribution of LFCN. […] The diagnosis of MP was considered unlikely in patients who failed to respond to the second nerve block test. […] The diagnosis of MP is often obtained using neurophysiological studies such as somatosensory evoked potentials and sensory nerve conduction that have respectively 81.3% and 65.2% of sensitivity. […] 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.

• #34

  https://link.springer.com/article/10.1007/s10143-023-01962-0

  The prevalence of meralgia paresthetica (MP), which is caused by compression of the lateral femoral cutaneous nerve (LFCN), has been increasing over recent decades. […] Our study aims to report on current diagnostic and therapeutic strategies as well as time trends in clinical MP management in Germany. […] Patients hospitalized in Germany between January 1, 2005, and December 31, 2018, with MP as their primary diagnosis were identified using the International Classification of Disease (ICD-10) code G57.1 and standardized operations and procedures codes (OPS). […] The rate of imaging studies increased from 44% in 2005 to 79% in 2018 (p0.001) and that of non-imaging diagnostic studies from 70 to 93% (p0.001). […] Among non-imaging diagnostics, the rates of evoked potentials and neurography increased from 20%/16% in 2005 to 36%/23% in 2018 (p0.001, respectively).

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

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

  Electromyography. This test measures the electrical discharges produced in muscles to help evaluate and diagnose muscle and nerve conditions. A thin needle called an electrode is placed into the muscle to record electrical activity. This test might be needed to exclude other disorders. […] Nerve conduction study. Patch-style electrodes are placed on your skin to stimulate the nerve with a mild electrical impulse. The electrical impulse helps diagnose damaged nerves. A comparison of the lateral femoral cutaneous nerve on each side may be performed. This test might be done primarily to exclude other causes for the symptoms. […] Nerve block. Pain relief achieved from anesthetic injection into your thigh where the lateral femoral cutaneous nerve enters into it can confirm that you have meralgia paresthetica. Ultrasound imaging might be used to guide the needle.

• #36 Meralgia paresthetica: diagnosis and treatment – PubMed

  https://pubmed.ncbi.nlm.nih.gov/11575913/

  Meralgia paresthetica is a symptom complex that includes numbness, paresthesias, and pain in the anterolateral thigh, which may result from either an entrapment neuropathy or a neuroma of the lateral femoral cutaneous nerve (LFCN). The condition can be differentiated from other neurologic disorders by the typical exacerbating factors and the characteristic distribution of symptoms. […] Relief of pain and paresthesias after injection of a local anesthetic agent is helpful in establishing the diagnosis. If no improvement is found, proximal LFCN irritation should be sought. […] If intractable pain persists despite such measures, surgery can be considered, although whether neurolysis or transection is the procedure of choice is still controversial. […] Although nonoperative management usually results in satisfactory results, efforts should be made to avoid injury at the time of surgery.

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

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

  Electromyography. This test measures the electrical discharges produced in muscles to help evaluate and diagnose muscle and nerve conditions. A thin needle called an electrode is placed into the muscle to record electrical activity. This test might be needed to exclude other disorders. […] Nerve conduction study. Patch-style electrodes are placed on your skin to stimulate the nerve with a mild electrical impulse. The electrical impulse helps diagnose damaged nerves. A comparison of the lateral femoral cutaneous nerve on each side may be performed. This test might be done primarily to exclude other causes for the symptoms. […] Nerve block. Pain relief achieved from anesthetic injection into your thigh where the lateral femoral cutaneous nerve enters into it can confirm that you have meralgia paresthetica. Ultrasound imaging might be used to guide the needle.

• #38 Meralgia Paraesthetica: Symptoms, and Treatment | Doctor

  https://patient.info/doctor/meralgia-paraesthetica-pro

  Meralgia paraesthetica is usually an entrapment neuropathy of the lateral femoral cutaneous nerve (LFCN). […] The pelvic compression test is highly sensitive and the diagnosis can often be made with this test alone. […] Injection of the nerve with local anaesthetic will abolish the pain. Ultrasound is effective both for diagnosis and for guiding injection therapy. […] MRI neurography of the lateral cutaneous nerve may be used to assist in diagnosis. […] Very often the diagnosis is slow to be made. Pain in the lateral thigh can arise from the back or hip. It is important to consider the possibility of the diagnosis and to try deep palpation medial to the anterior superior iliac spine and extension of the hip. Injection with local anaesthetic appears to be a good test.

• #39 Meralgia paresthetica: diagnosis and treatment – PubMed

  https://pubmed.ncbi.nlm.nih.gov/11575913/

  Meralgia paresthetica is a symptom complex that includes numbness, paresthesias, and pain in the anterolateral thigh, which may result from either an entrapment neuropathy or a neuroma of the lateral femoral cutaneous nerve (LFCN). The condition can be differentiated from other neurologic disorders by the typical exacerbating factors and the characteristic distribution of symptoms. […] Relief of pain and paresthesias after injection of a local anesthetic agent is helpful in establishing the diagnosis. If no improvement is found, proximal LFCN irritation should be sought. […] If intractable pain persists despite such measures, surgery can be considered, although whether neurolysis or transection is the procedure of choice is still controversial. […] Although nonoperative management usually results in satisfactory results, efforts should be made to avoid injury at the time of surgery.

• #40 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

  Meralgia Paresthetica (MP) is a nerve entrapment which may cause pain paresthesias and sensory loss within the distribution of the lateral cutaneous nerve of the thigh. When the patients come presenting pain in the lateral or anterolateral thigh pain we must have in mind the MP in our differential diagnosis. […] The preliminary diagnosis was based on the patients history of symptoms (pain, burning, numbness, muscle ache, coldness, lighting pain, that may be present with prolonged standing and walking, and alleviation with sitting) in the distribution of LFCN. […] The diagnosis of MP was considered unlikely in patients who failed to respond to the second nerve block test. […] The diagnosis of MP is often obtained using neurophysiological studies such as somatosensory evoked potentials and sensory nerve conduction that have respectively 81.3% and 65.2% of sensitivity. […] 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.

• #41 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. […] Healthcare providers can typically diagnose meralgia paresthetica with a physical exam and a thorough understanding of your symptoms, medical history and lifestyle. […] If your healthcare provider cant determine the cause of meralgia paresthetica based on your medical and lifestyle history, they may order blood tests to check the following: Thyroid hormone levels for signs of hypothyroidism. […] They may order an X-ray of your pelvis and thigh to rule out other medical conditions, like bone tumors. Other imaging tests, such as a CT scan or magnetic resonance imaging (MRI) scan can check for other spinal or nerve issues, like a herniated disc.

• #42 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. […] Healthcare providers can typically diagnose meralgia paresthetica with a physical exam and a thorough understanding of your symptoms, medical history and lifestyle. […] If your healthcare provider cant determine the cause of meralgia paresthetica based on your medical and lifestyle history, they may order blood tests to check the following: Thyroid hormone levels for signs of hypothyroidism. […] They may order an X-ray of your pelvis and thigh to rule out other medical conditions, like bone tumors. Other imaging tests, such as a CT scan or magnetic resonance imaging (MRI) scan can check for other spinal or nerve issues, like a herniated disc.

• #43 Paresthetica Washington, DC – Scott Faucett, MD

  https://www.scottfaucettmd.com/conditions-and-treatments/hip/paresthetica-washington-dc/

  Meralgia paresthetica is diagnosed typically by reviewing your medical and surgical history. […] A thorough physical examination will be performed including a hands-on test called a pelvic compression test, in which the Dr. Faucett applies pressure on your thigh to rule out other causes of your symptoms. […] Sometimes Dr. Faucet will order blood tests to check thyroid hormone levels, B vitamin levels, lead levels, and for signs of anemia and diabetes which can all affect nerve function. […] Usually an X-ray of your pelvis and hip will be ordered to rule out other medical conditions, like bone tumors, or bony impingement of the nerve. […] Other imaging tests such as an MRI or CT will need to be ordered to evaluate for the source of the nerve injury or other spinal or nerve problems, like a herniated disc. […] Rarely, Dr. Faucett order a nerve conduction study (NCS). This test evaluates how well your LFCN sends small electrical impulses to the surrounding muscles.

• #44 Meralgia Paresthetica: Symptoms, Causes & Treatment

  https://www.physiotattva.com/blog/meralgia-paresthetica-nerve-damage-causes-and-treatment

  The doctor can begin with a simple set of questions related to clothing and food habits and physical activities. […] Light touch and reflex tests can also be conducted to gauge the intensity of the injury and rule out other possibilities. […] Blood tests for anemia, vitamin D, and thyroid profile can also be used to understand the cause as well. […] X-rays and Imaging such as MRI and CT can help locate any injury to the nerve, muscles, or soft tissue that can further ascertain the cause of the pain and provide a treatment possibility based on the results.

• #45 Meralgia Paresthetica, skinny jean syndrome – Dr. William E. Morgan

  http://drmorgan.info/clinicians-corner/meralgia-paresthetica-skinny-jean-syndrome/

  Not all anterolateral thigh paresthesia is caused by LCFN entrapment. Disc herniation, spinal stenosis, and other sources of nerve root lesions of the upper lumbar (L2-L3) spine may also cause these symptoms. Nerve root lesions may exhibit motor, reflex, and MRI findings, whereas MP only has sensory findings. […] Meralgia paresthetica is a relatively common sensory mononeuropathy that in some cases may be a source of refractory pain, or it may resolve with something as simple as losing weight and wearing loose fitting clothing. It may be mistaken for an L2-L3 nerve root lesion or other neuropathies. Every musculoskeletal provider should be familiar with this condition and be able to diagnose it.

• #46 Delayed Diagnosis of Meralgia Paresthetica: A Case Report

  https://www.thenerve.net/journal/view.php?doi=10.21129/nerve.2018.4.2.82

  Meralgia paresthetica (MP, or Bernhardt-Roth syndrome) is a painful mononeuropathy resulting from the compression of the lateral femoral cutaneous nerve (LFCN) as it crosses between the anterior superior iliac spine and the inguinal ligament to enter the thigh. […] Although the diagnosis of MP is straightforward based on its typical presentation, other neuropathies such as lumbar disc herniation or stenosis may mimic MP and complicate the diagnosis. […] Unexplained, chronic anterolateral thigh pain and paresthesias warrant careful investigation for the possibility of MP. […] Although MP was diagnosed late, decompression of the LFCN resulted in immediate and permanent relief of chronic anterior thigh pain. […] In the classic form of MP, the symptoms are fairly stereotypical and the clinical diagnosis is fairly straightforward.

• #47 Meralgia Paresthetica – Illinois Chiropractic Society

  https://ilchiro.org/meralgia-paresthetica-2/

  Meralgia Paresthetica is a painful compressive neuropathy of the lateral femoral cutaneous nerve (LFCN), causing burning pain and paresthesia in the thigh. […] The clinical syndrome of meralgia parasthetica is well-defined, and further diagnostic studies may be unnecessary. […] In unresponsive cases, the diagnosis can be confirmed by NCS, which is considered the gold standard. […] A study of 45 patients found the pelvic compression test had a sensitivity of 95% and a specificity of 93.3% for meralgia paresthetica. […] Other differential diagnostic conditions for meralgia paresthetica include trigger point referral patterns (from the gluteus medius or TFL muscles); retroperitoneal, abdominal, or pelvic pathology; lumbar disc lesion; or diabetes.

• #48 Meralgia Paresthetica, skinny jean syndrome – Dr. William E. Morgan

  http://drmorgan.info/clinicians-corner/meralgia-paresthetica-skinny-jean-syndrome/

  Not all anterolateral thigh paresthesia is caused by LCFN entrapment. Disc herniation, spinal stenosis, and other sources of nerve root lesions of the upper lumbar (L2-L3) spine may also cause these symptoms. Nerve root lesions may exhibit motor, reflex, and MRI findings, whereas MP only has sensory findings. […] Meralgia paresthetica is a relatively common sensory mononeuropathy that in some cases may be a source of refractory pain, or it may resolve with something as simple as losing weight and wearing loose fitting clothing. It may be mistaken for an L2-L3 nerve root lesion or other neuropathies. Every musculoskeletal provider should be familiar with this condition and be able to diagnose it.

• #49 Delayed Diagnosis of Meralgia Paresthetica: A Case Report

  https://www.thenerve.net/journal/view.php?doi=10.21129/nerve.2018.4.2.82

  However, a diagnosis of MP is not always straightforward in clinical practice. […] This condition can be easily confused with lumbosacral radicular pain in a small group of patients. […] The diagnosis of MP is typically delayed by the coexistence of symptoms of lumbar disc herniation in addition to MP. […] Complaints of pain and paresthesia in the anterior and lateral thigh warrant investigation for possible MP, a rare painful mononeuropathy involving the LFCN.

• #50

  https://link.springer.com/article/10.1007/s40122-024-00693-4

  Meralgia paresthetica (MP) is a sensory mononeuropathy affecting the lateral femoral cutaneous nerve. Diagnosis is typically made clinically, often utilising multiple diagnostic aids such as imaging and electrophysiology. […] Diagnosis of MP is based on clinical examination, imaging and electrophysiology. There is no obviously superior diagnostic strategy for MP. […] Effective diagnosis of meralgia paresthetica (MP) requires a combination of clinical examination, imaging and electrophysiological assessments, with no single tool proven superior. […] The sensory nerve action potential (SNAP) amplitude is the most reliable electrophysiological parameter for diagnosing MP, but neither SNAP nor somatosensory evoked potentials (SSEP) is definitively superior in detecting pathology. […] The diagnosis of MP is predominantly made clinically. Despite its relative common occurrence, healthcare professionals often misdiagnose MP due to its clinical similarity with other conditions, i.e. lumbar radiculopathies. […] While both neurolysis and neurectomy are described as appropriate strategies, there is a scope for discussion regarding whether one is superior.

• #51 Meralgia Paresthetica, skinny jean syndrome – Dr. William E. Morgan

  http://drmorgan.info/clinicians-corner/meralgia-paresthetica-skinny-jean-syndrome/

  Meralgia paresthetica (MP) is a sensory mononeuropathy which can produce pain or paresthesia of the anterior-lateral thigh. Normally it is the result of a focal entrapment of the lateral femoral cutaneous nerve (LFCN) as it travels under the inguinal ligament, but it can also be caused by external compression. This peripheral entrapment is relatively common and has been confused with nerve root lesions. […] The diagnosis of meralgia paresthetica is almost always a clinical diagnosis, versus a diagnosis based on objective observable technology. Diagnostics such as X-ray, CT, MRI, and diagnostic ultrasound can only rule out other conditions, but they cannot confirm the diagnosis of this malady. The diagnosis of MP can be made through history, presentation, examination, and clinical deduction. Particularly helpful in making the diagnosis is the pain distribution pattern, a clearly defined cause (like the physical pressure of body armor), and a positive Tinels sign of the LCFN or tenderness of the nerve where it emerges from under the inguinal ligament.

• #52 What Is Meralgia Paresthetica? – Consensus: AI Search Engine for Research

  https://consensus.app/home/blog/what-is-meralgia-paresthetica/

  Diagnosis of Meralgia Paresthetica typically involves clinical evaluation and may include electrophysiological tests to confirm the compression of the LFCN. Diagnostic nerve blocks using local anesthetics can also be employed to confirm the diagnosis by temporarily relieving the symptoms. […] Understanding the condition and its treatment options is crucial for effective management and improving the quality of life for affected individuals.

• #53 Meralgia Paraesthetica: Symptoms, and Treatment | Doctor

  https://patient.info/doctor/meralgia-paraesthetica-pro

  Meralgia paraesthetica is usually an entrapment neuropathy of the lateral femoral cutaneous nerve (LFCN). […] The pelvic compression test is highly sensitive and the diagnosis can often be made with this test alone. […] Injection of the nerve with local anaesthetic will abolish the pain. Ultrasound is effective both for diagnosis and for guiding injection therapy. […] MRI neurography of the lateral cutaneous nerve may be used to assist in diagnosis. […] Very often the diagnosis is slow to be made. Pain in the lateral thigh can arise from the back or hip. It is important to consider the possibility of the diagnosis and to try deep palpation medial to the anterior superior iliac spine and extension of the hip. Injection with local anaesthetic appears to be a good test.

• #54 Delayed Diagnosis of Meralgia Paresthetica: A Case Report

  https://www.thenerve.net/journal/view.php?doi=10.21129/nerve.2018.4.2.82

  However, a diagnosis of MP is not always straightforward in clinical practice. […] This condition can be easily confused with lumbosacral radicular pain in a small group of patients. […] The diagnosis of MP is typically delayed by the coexistence of symptoms of lumbar disc herniation in addition to MP. […] Complaints of pain and paresthesia in the anterior and lateral thigh warrant investigation for possible MP, a rare painful mononeuropathy involving the LFCN.

• #55

  https://link.springer.com/article/10.1007/s40122-024-00693-4

  Meralgia paresthetica (MP) is a sensory mononeuropathy affecting the lateral femoral cutaneous nerve. Diagnosis is typically made clinically, often utilising multiple diagnostic aids such as imaging and electrophysiology. […] Diagnosis of MP is based on clinical examination, imaging and electrophysiology. There is no obviously superior diagnostic strategy for MP. […] Effective diagnosis of meralgia paresthetica (MP) requires a combination of clinical examination, imaging and electrophysiological assessments, with no single tool proven superior. […] The sensory nerve action potential (SNAP) amplitude is the most reliable electrophysiological parameter for diagnosing MP, but neither SNAP nor somatosensory evoked potentials (SSEP) is definitively superior in detecting pathology. […] The diagnosis of MP is predominantly made clinically. Despite its relative common occurrence, healthcare professionals often misdiagnose MP due to its clinical similarity with other conditions, i.e. lumbar radiculopathies. […] While both neurolysis and neurectomy are described as appropriate strategies, there is a scope for discussion regarding whether one is superior.

• #56

  https://link.springer.com/article/10.1007/s10143-023-01962-0

  The main results are, that diagnostic procedures, both imaging and non-imaging, became more prevalent between 2005 and 2018, while rates of surgical treatment decreased over time, with neuropreservative surgical techniques being performed substantially more frequently than techniques of nerve transection. […] Rates of imaging, evoked potentials, neurography, and non-surgical management increased, while rates of surgical management decreased.

• #57 Meralgia Paresthetica: Relevance, Diagnosis, and Treatment (29.09.2023)

  https://www.aerzteblatt.de/fachgebiete/neurologie/arbeiten/meralgia-paresthetica-relevance-diagnosis-and-treatment-e2e66279-276d-4f36-8003-76f12914b689

  The diagnosis is mainly based on typical symptoms combined with a positive response to an infiltration procedure. […] In atypical cases, electrophysiological testing, neurosonography, and magnetic resonance imaging can be helpful in establishing the diagnosis. […] Advances in imaging and neurophysiological testing have made the diagnosis easier to establish. […] Hypesthesia is the symptom most commonly reported in typical MP. […] While typical MP is diagnosed by clinical examination, atypically located symptoms require an extended diagnostic process. […] Magnetic resonance imaging (MRI) of the pelvis may help to exclude urogenital or gynecological conditions. […] The increasing availability of high-resolution ultrasonography is helpful both for diagnosis (localization of the nerve, increased accuracy of infiltration, exclusion of rare entities such as neurinomas) and for treatment (intraoperative nerve localization).

• #58 Meralgia Paresthetica: Causes, Symptoms & Treatment

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

  Treating meralgia paresthetica involves treating the underlying cause. […] Most cases of meralgia paresthetica improve with conservative treatment or may even resolve on their own. […] The prognosis (outlook) for meralgia paresthetica is usually good. Approximately 85% of people with meralgia paresthetica experience recovery with conservative treatment.

• #59 Meralgia Paresthetica – StatPearls – NCBI Bookshelf

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

  Plain radiographs are not required in the diagnosis, given a consistent history and physical exam. […] The clinician may consider blood tests if a metabolic etiology is suspected. […] Meralgia paresthetica is a typically benign and self-limited condition with frequent spontaneous remission. […] Treatment focuses on patient reassurance and ways to reduce pressure and irritation over the nerve and groin region. […] Patients should be reexamined with a repeat neurologic exam if symptoms persist beyond 1 to 2 months with conservative treatments, at which point anticonvulsants such as gabapentin, phenytoin, or carbamazepine may be helpful for treating the patients neuropathic pain. […] Surgery is rare but may be considered in chronic refractory cases and is performed via either a surgical release procedure with decompression of the LFCN or via a nerve transection procedure. […] Approximately 85% of patients with meralgia paresthetica report spontaneous recovery with conservative management.

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