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. […] There is no defined association between gender, but the condition is typically more common in women than men and is also more common in the military. It is most common in the fourth or fifth decade of life but can occur in all ages and is more typical in pregnant patients or those with obesity. Studies have reported an incidence of approximately 3 to 4 out of 10,000 person-years. Carpal tunnel syndrome is also associated with an increased risk of meralgia paresthetica.

• #2 Meralgia Paresthetica: Background, Pathophysiology, Epidemiology

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

  The incidence of meralgia paresthetica in the general population has been reported to be 4.3 per 10,000 person years. […] In people with diabetes mellitus, an incidence of 247 per 100,000 patient years has been reported. […] There is no known racial predilection or gender proclivity in meralgia paresthetica. […] Lateral femoral cutaneous neuropathies are most common during middle age. However, they have been reported in all age groups.

• #3 Incidence rates and determinants in meralgia paresthetica in general practice – PubMed

  https://pubmed.ncbi.nlm.nih.gov/15015008/

  Objective: To determine incidence rates for meralgia paresthetica (MP) in the primary care setting and establish determinants for MP in a case-control study in general practices. […] The incidence rate of MP is 4.3 per 10,000 person years. […] This is the first report on incidence rates of MP and on suspected determinants studied in a case-control setting in general practice. […] More research on determinants is needed. Because MP occurs in every GP practice at least once a year more studies are needed on prognosis and treatment.

• #4 Meralgia Paresthetica: Background, Pathophysiology, Epidemiology

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

  The incidence of meralgia paresthetica in the general population has been reported to be 4.3 per 10,000 person years. […] In people with diabetes mellitus, an incidence of 247 per 100,000 patient years has been reported. […] There is no known racial predilection or gender proclivity in meralgia paresthetica. […] Lateral femoral cutaneous neuropathies are most common during middle age. However, they have been reported in all age groups.

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

  https://di.aerzteblatt.de/int/archive/article/234249

  Pain and sensory disturbance in the distribution of the lateral femoral cutaneous nerve in the ventrolateral portion of the thigh is called meralgia paresthetica (MP). The incidence of MP has risen along with the increasing prevalence of obesity and diabetes mellitus and was recently estimated at 32 new cases per 100 000 persons per year. […] An American study published in 2011 reported the incidence of MP as 32.6 per 100 000 person years and found associations with advanced age, body mass index (BMI), and diabetes mellitus. An increase in incidence was first observed between 1990 and 1999. Due to the aging of society and the growing occurrence of metabolic syndrome, continued growth in the incidence of MP is anticipated. […] The literature search did not reveal any studies of high quality. Four prospective observational studies with small case numbers and partly inconsistent results are available.

• #6 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. […] Despite its rarity, meralgia paresthetica (MP) is one of the most common compression-ischemic neuropathies of the lower limbs. The prevalence of the condition is 32-43 cases per 100,000 people per year. […] In patients with diabetes mellitus, the incidence increases fivefold compared to the general population, reaching 247 cases per 100,000 individuals. […] Interestingly, the incidence among military personnel is nearly twice that of the average incidence in the general population, amounting to 62 cases per 100,000 service members. […] 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. Given the aging population and the rising prevalence of obesity, metabolic syndrome, and diabetes mellitus, an increase in the incidence of meralgia paresthetica can be anticipated, making this issue relevant for further research.

• #7 Physical Medicine and Rehabilitation for Meralgia Paresthetica: Practice Essentials, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/308199-overview

  Meralgia paresthetica (MP) is probably underrecognized. Notably, 3 cases are reported per 10,000 general clinic patients. Also, it occurs in an estimated 7-35% of patients referred for leg discomfort. Up to 20% of patients with MP have bilateral symptoms. […] Isolated meralgia paresthetica (MP) secondary to compression or injury of the nerve unrelated to major trauma or to systemic or malignant processes is not associated with mortality or significant morbidity. […] Meralgia paresthetica is more common in males than in females. […] Meralgia paresthetica is observed in all age groups, but the condition most commonly occurs in middle-aged adults.

• #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. […] There is no defined association between gender, but the condition is typically more common in women than men and is also more common in the military. It is most common in the fourth or fifth decade of life but can occur in all ages and is more typical in pregnant patients or those with obesity. Studies have reported an incidence of approximately 3 to 4 out of 10,000 person-years. Carpal tunnel syndrome is also associated with an increased risk of meralgia paresthetica.

• #9 Meralgia Paresthetica: Background, Pathophysiology, Epidemiology

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

  The incidence of meralgia paresthetica in the general population has been reported to be 4.3 per 10,000 person years. […] In people with diabetes mellitus, an incidence of 247 per 100,000 patient years has been reported. […] There is no known racial predilection or gender proclivity in meralgia paresthetica. […] Lateral femoral cutaneous neuropathies are most common during middle age. However, they have been reported in all age groups.

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

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

  An incidence has been estimated at 4.3 per 10,000 person years. It occurs most commonly in people between the ages of 30 to 40 years. The condition is thought to be much rarer in children. It has a higher predilection in men than in women. […] Meralgia paraesthetica can occur in pregnancy, in obesity and if there is tense ascites. It may be a result of trauma, surgery (such as pelvic osteotomy, spinal surgeries, laparoscopic hernia repair and bariatric surgery) or, in some cases, may arise from abduction splints used to treat Perthes’ disease, also called Calv-Legg-Perthes disease. […] It occurs more commonly in those with diabetes than in the general population. […] Meralgia paraesthetica is among the less reported sequelae of COVID-19.

• #11 Meralgia Paresthetica: Background, Pathophysiology, Epidemiology

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

  The incidence of meralgia paresthetica in the general population has been reported to be 4.3 per 10,000 person years. […] In people with diabetes mellitus, an incidence of 247 per 100,000 patient years has been reported. […] There is no known racial predilection or gender proclivity in meralgia paresthetica. […] Lateral femoral cutaneous neuropathies are most common during middle age. However, they have been reported in all age groups.

• #12 Physical Medicine and Rehabilitation for Meralgia Paresthetica: Practice Essentials, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/308199-overview

  Meralgia paresthetica (MP) is probably underrecognized. Notably, 3 cases are reported per 10,000 general clinic patients. Also, it occurs in an estimated 7-35% of patients referred for leg discomfort. Up to 20% of patients with MP have bilateral symptoms. […] Isolated meralgia paresthetica (MP) secondary to compression or injury of the nerve unrelated to major trauma or to systemic or malignant processes is not associated with mortality or significant morbidity. […] Meralgia paresthetica is more common in males than in females. […] Meralgia paresthetica is observed in all age groups, but the condition most commonly occurs in middle-aged adults.

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

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

  An incidence has been estimated at 4.3 per 10,000 person years. It occurs most commonly in people between the ages of 30 to 40 years. The condition is thought to be much rarer in children. It has a higher predilection in men than in women. […] Meralgia paraesthetica can occur in pregnancy, in obesity and if there is tense ascites. It may be a result of trauma, surgery (such as pelvic osteotomy, spinal surgeries, laparoscopic hernia repair and bariatric surgery) or, in some cases, may arise from abduction splints used to treat Perthes’ disease, also called Calv-Legg-Perthes disease. […] It occurs more commonly in those with diabetes than in the general population. […] Meralgia paraesthetica is among the less reported sequelae of COVID-19.

• #14 Meralgia Paresthetica – Illinois Chiropractic Society

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

  Meralgia paresthetica may occur at any age but is most common in middle-aged adults. Diabetics have a nearly six-fold increased risk of developing the condition. It does not appear there is a predilection for one side or the other. The condition is present bilaterally in 20-25% of cases. The condition affects men up to three times more frequently than women. […] Excessive compression or ischemic stretch of the LFCN is a primary etiological factor. The increased risk in males is possibly due to occupational risks, including carpentry tool belts, police duty belts, and soldier body armor. Other known sources of compression include excessively tight clothing, pregnancy, and obesity (BMI greater than 30). Recent weight gain often precedes the condition. In fact, 8% of new cases report recent weight gains of more than 15 pounds.

• #15 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. […] There is no defined association between gender, but the condition is typically more common in women than men and is also more common in the military. It is most common in the fourth or fifth decade of life but can occur in all ages and is more typical in pregnant patients or those with obesity. Studies have reported an incidence of approximately 3 to 4 out of 10,000 person-years. Carpal tunnel syndrome is also associated with an increased risk of meralgia paresthetica.

• #16 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 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. […] The most common causes of meralgia paresthetica are linked to increased pressure in the groin area. […] 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.

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

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

  An incidence has been estimated at 4.3 per 10,000 person years. It occurs most commonly in people between the ages of 30 to 40 years. The condition is thought to be much rarer in children. It has a higher predilection in men than in women. […] Meralgia paraesthetica can occur in pregnancy, in obesity and if there is tense ascites. It may be a result of trauma, surgery (such as pelvic osteotomy, spinal surgeries, laparoscopic hernia repair and bariatric surgery) or, in some cases, may arise from abduction splints used to treat Perthes’ disease, also called Calv-Legg-Perthes disease. […] It occurs more commonly in those with diabetes than in the general population. […] Meralgia paraesthetica is among the less reported sequelae of COVID-19.

• #18 Meralgia Paraesthetica: Causes, Symptoms, and Treatment

  https://patient.info/brain-nerves/meralgia-paraesthetica-leaflet

  Meralgia paraesthetica is a nerve (neurological) condition that causes pain in the outer thigh. […] How common is meralgia paraesthetica? Meralgia paraesthetica is a very uncommon condition. It most often affects people between the ages of 30-40 years. The condition is thought to be much rarer in children. It occurs more often in men than in women. […] Who develops meralgia paraesthetica? Anyone can develop meralgia paraesthetica. It is more common in men than in women. Generally it occurs between the ages of 30-40 years. It is much rarer in children.

• #19 Meralgia Paresthetica: Background, Pathophysiology, Epidemiology

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

  The incidence of meralgia paresthetica in the general population has been reported to be 4.3 per 10,000 person years. […] In people with diabetes mellitus, an incidence of 247 per 100,000 patient years has been reported. […] There is no known racial predilection or gender proclivity in meralgia paresthetica. […] Lateral femoral cutaneous neuropathies are most common during middle age. However, they have been reported in all age groups.

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

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

  Meralgia paresthetica (lateral femoral cutaneous nerve entrapment) […] 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.

• #21 Meralgia Paresthetica Treatment Sheboygan Wi

  https://creeksidechiro.com/meralgia-paresthetica

  Meralgia paresthetica can happen at any age, but is most common in middle-aged adults. Diabetics have a 6X risk of developing the condition. The condition affects men up to three times more frequently than women, which is thought to be due to increased belt use-carpentry, police belts, etc. […] The condition is presenting both legs in 20-25% of cases. […] Excessive compression stretch of the LFCN is a primary cause of meralgia paresthetica. Other known sources of compression include excessively tight clothing (especially jeans or belts), pregnancy, and obesity. Recent weight gain often precedes the condition. In fact, 8 percent of new cases report recent weight gains over 15 pounds. Seat belt compression has also been found to be a contributing factor. […] The clinical syndrome of meralgia paresthetica is well defined, and diagnostic studies may be unnecessary. […] Conservative management is the frontline treatment for meralgia paresthetica and is successful in up to 91% of cases. […] Severe cases may benefit from anesthetic block or local steroid injection.

• #22

  https://link.springer.com/article/10.1007/s00415-004-0310-x

  To determine incidence rates for meralgia paresthetica (MP) in the primary care setting and establish determinants for MP in a case-control study in general practices. […] The incidence rate of MP is 4.3 per 10,000 person years. MP is more often present in patients suffering from carpal tunnel syndrome OR 7.7 (95 % CI 1.931.1) and is related to pregnancy OR 12.0 (95 % CI 1.2118.0). […] This is the first report on incidence rates of MP and on suspected determinants studied in a case-control setting in general practice. Carpal tunnel syndrome and pregnancy are significantly related to MP. Because MP occurs in every GP practice at least once a year more studies are needed on prognosis and treatment.

• #23

  https://link.springer.com/article/10.1007/s00415-004-0310-x

  To determine incidence rates for meralgia paresthetica (MP) in the primary care setting and establish determinants for MP in a case-control study in general practices. […] The incidence rate of MP is 4.3 per 10,000 person years. MP is more often present in patients suffering from carpal tunnel syndrome OR 7.7 (95 % CI 1.931.1) and is related to pregnancy OR 12.0 (95 % CI 1.2118.0). […] This is the first report on incidence rates of MP and on suspected determinants studied in a case-control setting in general practice. Carpal tunnel syndrome and pregnancy are significantly related to MP. Because MP occurs in every GP practice at least once a year more studies are needed on prognosis and treatment.

• #24 Meralgia Paresthetica: a Very Treatable Nerve Compression Syndrome | Neuropax Clinic

  https://neuropaxclinic.com/meralgia-paresthetica-a-very-treatable-nerve-compression-syndrome/

  Meralgia Paresthetica is a constellation of symptoms caused by a compression neuropathy (pinched nerve) of the Lateral Femoral Nerve (LFN). […] This compression neuropathy (pinched nerve condition) can be caused by several different mechanisms. […] Anatomical studies have shown that at least 5% of the population has an abnormal nerve tunnel. […] It is also important to recognize the affects of diabetes on this clinical problem. […] Therefore, diabetic patients are at much higher risk for experiencing symptoms of Meralgia Paresthetica than the general population. […] Once you have been identified to have symptoms consistent with Meralgia Paresthetica or compression of the Lateral Femoral Nerve (LFN) several diagnostic points should be addressed. […] Surgical decompression of the nerve is successful in 80-85% of cases. […] The success of the surgery depends on how long the nerve has been compressed, the severity of the compression, the extent of nerve damage due to injury and the possible presence of underlying medical or spine problems.

• #25 Meralgia Paresthetica: Lateral Femoral Cutaneous Nerve Entrapment

  https://www.sportsmedicineacupuncture.com/meralgia-paresthetica/?srsltid=AfmBOooL87j1wdidEuoJGnr3YEnAf7WPMdKgHEPsv9PwTcKYdIYG7m1V

  Meralgia Paresthetica most often occurs in 30 to 40 year old individuals, with a higher rate in adult males than females, but can occur at all ages. […] It is seen in patients who are involved in various sports and physical activities, including gymnastics, baseball, soccer, body-building, and strenuous exercise. […] MP has been related to the following factors: obesity, pregnancy, tight garments such as jeans, military armor and police uniforms, seat belts, direct trauma, muscle spasm and scoliosis. […] Metabolic factors reported include diabetes mellitus, alcoholism, and lead poisoning. […] MP has also been reported as a postsurgical complication after hip joint replacement and spine surgery.

• #26 Meralgia Paresthetica: Lateral Femoral Cutaneous Nerve Entrapment

  https://www.sportsmedicineacupuncture.com/meralgia-paresthetica/?srsltid=AfmBOooL87j1wdidEuoJGnr3YEnAf7WPMdKgHEPsv9PwTcKYdIYG7m1V

  Meralgia Paresthetica most often occurs in 30 to 40 year old individuals, with a higher rate in adult males than females, but can occur at all ages. […] It is seen in patients who are involved in various sports and physical activities, including gymnastics, baseball, soccer, body-building, and strenuous exercise. […] MP has been related to the following factors: obesity, pregnancy, tight garments such as jeans, military armor and police uniforms, seat belts, direct trauma, muscle spasm and scoliosis. […] Metabolic factors reported include diabetes mellitus, alcoholism, and lead poisoning. […] MP has also been reported as a postsurgical complication after hip joint replacement and spine surgery.

• #27 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. […] Obesity and obstructive respiratory disease with a chronic cough increase susceptibility.

• #28 Physical Medicine and Rehabilitation for Meralgia Paresthetica: Practice Essentials, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/308199-overview

  Meralgia paresthetica (MP) is probably underrecognized. Notably, 3 cases are reported per 10,000 general clinic patients. Also, it occurs in an estimated 7-35% of patients referred for leg discomfort. Up to 20% of patients with MP have bilateral symptoms. […] Isolated meralgia paresthetica (MP) secondary to compression or injury of the nerve unrelated to major trauma or to systemic or malignant processes is not associated with mortality or significant morbidity. […] Meralgia paresthetica is more common in males than in females. […] Meralgia paresthetica is observed in all age groups, but the condition most commonly occurs in middle-aged adults.

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

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

  Meralgia paresthetica is a compressive neuropathy of the lateral femoral cutaneous nerve (LFCN), a purely sensory nerve that supplies the skin of the anterolateral thigh. The condition is most common in middle-aged men, and bilateral presentation occurs in 20-25% of cases. […] Risk factors include: Obesity, Recent Weight Gain, Tight Clothing, Pregnancy, Tool Belts, Trauma (Including seatbelt injuries), Prolonged Prone Positioning (i.e., Surgery), Diabetes (Nearly 6-fold increased risk). […] Recent evidence supports three simple yet powerful clinical tests for meralgia paresthetica diagnosis. A December 2024 hospital-based case-control study evaluated 30 NCV-confirmed cases and found the following meralgia paresthetica tests to be highly effective diagnostic tools. […] While meralgia paresthetica is usually diagnosed clinically, nerve conduction studies (NCS) remain the gold standard in refractory or unclear cases.

• #30 Meralgia Paresthetica – Illinois Chiropractic Society

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

  Meralgia paresthetica may occur at any age but is most common in middle-aged adults. Diabetics have a nearly six-fold increased risk of developing the condition. It does not appear there is a predilection for one side or the other. The condition is present bilaterally in 20-25% of cases. The condition affects men up to three times more frequently than women. […] Excessive compression or ischemic stretch of the LFCN is a primary etiological factor. The increased risk in males is possibly due to occupational risks, including carpentry tool belts, police duty belts, and soldier body armor. Other known sources of compression include excessively tight clothing, pregnancy, and obesity (BMI greater than 30). Recent weight gain often precedes the condition. In fact, 8% of new cases report recent weight gains of more than 15 pounds.

• #31 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

  Meralgia paresthetica tends to occur more frequently in women, although no significant differences exist between sex. It is more common in the fourth to fifth decade of life and has an incidence of 3 to 4 per 10,000 individuals per year. […] COVID-19 can be a cause of MP, and in a cohort study with 51 patients with COVID-19 in ICU, 10 (33%) were diagnosed with MP, and presented pain in the lateral part of the cutaneous nerves, in both sides. The study demonstrated that the reason for the emergence of this condition can be attributed to neurological sequels of COVID-19; to a low mobilization of the patients because of overcrowding in the ICU; and also to an increased inflammatory state and the consequent pain resulting from COVID-19. The study also demonstrated that 4 of 10 patients of MP had diabetes mellitus (DM).

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

  https://di.aerzteblatt.de/int/archive/article/234249

  Pain and sensory disturbance in the distribution of the lateral femoral cutaneous nerve in the ventrolateral portion of the thigh is called meralgia paresthetica (MP). The incidence of MP has risen along with the increasing prevalence of obesity and diabetes mellitus and was recently estimated at 32 new cases per 100 000 persons per year. […] An American study published in 2011 reported the incidence of MP as 32.6 per 100 000 person years and found associations with advanced age, body mass index (BMI), and diabetes mellitus. An increase in incidence was first observed between 1990 and 1999. Due to the aging of society and the growing occurrence of metabolic syndrome, continued growth in the incidence of MP is anticipated. […] The literature search did not reveal any studies of high quality. Four prospective observational studies with small case numbers and partly inconsistent results are available.

• #33

  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. […] Large-scale evidence on the choice of diagnostic and therapeutic modalities in MP is lacking. The assessment of current practice, potential variations, and time trends has never been performed. We designed a national study aiming to report current practice in the diagnostic and therapeutic management of patients hospitalized for MP in Germany and time trends between years 2005 and 2018. […] This is the first comprehensive analysis of trends in diagnostics and treatment of MP on a national level. 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.

• #34

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

  Between 2005 and 2018, MP care in Germany underwent significant changes. Rates of imaging, evoked potentials, neurography, and non-surgical management increased, while rates of surgical management decreased. Nerve transections for surgical treatment of MP were substantially less frequent than decompressive techniques.

• #35 Meralgia Paresthetica: Causes, Symptoms & Treatment

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

  Meralgia paresthetica is relatively common, but its frequently misdiagnosed. Researchers estimate that it affects 3 to 4 people out of every 10,000 per year. […] The prognosis (outlook) for meralgia paresthetica is usually good. Approximately 85% of people with meralgia paresthetica experience recovery with conservative treatment.

• #36 Meralgia Paresthetica – MD Searchlight

  https://mdsearchlight.com/nerve-health/meralgia-paresthetica/

  Meralgia Paresthetica is a condition characterized by pain and abnormal sensations in the front and side of the thigh due to the compression of the lateral femoral cutaneous nerve. […] About 3-4 of every 10,000 people will get this condition each year. […] Having carpal tunnel syndrome puts you at a higher risk of developing another condition called meralgia paresthetica. […] About 85% of people with Meralgia Paresthetica typically get better on their own with non-invasive, conservative treatments. If the condition is caused as a side effect of a medical treatment or procedure, it usually gets better within 3 months. Meralgia Paresthetica experienced during pregnancy generally improves after the baby is delivered.

• #37 Meralgia Paresthetica – MD Searchlight

  https://mdsearchlight.com/nerve-health/meralgia-paresthetica/

  Meralgia Paresthetica is a condition characterized by pain and abnormal sensations in the front and side of the thigh due to the compression of the lateral femoral cutaneous nerve. […] About 3-4 of every 10,000 people will get this condition each year. […] Having carpal tunnel syndrome puts you at a higher risk of developing another condition called meralgia paresthetica. […] About 85% of people with Meralgia Paresthetica typically get better on their own with non-invasive, conservative treatments. If the condition is caused as a side effect of a medical treatment or procedure, it usually gets better within 3 months. Meralgia Paresthetica experienced during pregnancy generally improves after the baby is delivered.

• #38 Meralgia Paresthetica – MD Searchlight

  https://mdsearchlight.com/nerve-health/meralgia-paresthetica/

  Meralgia Paresthetica is a condition characterized by pain and abnormal sensations in the front and side of the thigh due to the compression of the lateral femoral cutaneous nerve. […] About 3-4 of every 10,000 people will get this condition each year. […] Having carpal tunnel syndrome puts you at a higher risk of developing another condition called meralgia paresthetica. […] About 85% of people with Meralgia Paresthetica typically get better on their own with non-invasive, conservative treatments. If the condition is caused as a side effect of a medical treatment or procedure, it usually gets better within 3 months. Meralgia Paresthetica experienced during pregnancy generally improves after the baby is delivered.

• #39 Meralgia paresthetica treated by injection, decompression, and neurectomy: a systematic review and meta-analysis of pain and operative outcomes in: Journal of Neurosurgery Volume 135 Issue 3 (2021) Journals

  https://thejns.org/view/journals/j-neurosurg/135/3/article-p912.xml

  Meralgia paresthetica is caused by entrapment of the lateral femoral cutaneous nerve (LFCN) and often presents with pain. Multiple treatment options targeting the LFCN can be pursued to treat the pain should conservative measures fail, with the most common options being injection, neurolysis, and neurectomy. However, their efficacy in causing pain relief and their clinical outcomes have yet to be directly compared. The aim of this study was to interrogate the contemporary literature and quantitatively define how these options compare. […] The incidence of complete pain relief was 85% (95% CI 71%96%) after neurectomy, 63% (95% CI 56%71%) after neurolysis, and 22% (95% CI 13%33%) after injection, which were all statistically different (p 0.01). The incidence of revision procedures was 12% (95% CI 4%22%) after neurolysis and 0% (95% CI 0%2%) after neurectomy, which were significantly lower than 81% (95% CI 64%94%) after injection (p 0.01).

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

  https://www.thenerve.net/journal/view.php?number=153

  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. […] 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.

• #41 Meralgia Paresthetica in Patients with Obesity : Bariatric Times

  https://bariatrictimes.com/meralgia-paresthetica-in-patients-with-obesity/

  At the same time, due to the nonspecific nature of symptoms, MP is often a missed or underdiagnosed problem. […] MP likely occurs due to mechanical compression from obesity in individuals who are anatomically predisposed. T2DM, a common comorbid condition, also seems to play an etiological role via inflammatory and hyperglycemic mechanisms.

• #42 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

  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. […] The MP is not uncommon diagnosis in the outpatient vascular clinic and must be considered as differential diagnosis that we must keep in mind during the examination of patients that come because thigh pain.

• #43 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

  Of the 86 clinically suspected MP patients, 82 (95.3%) had sonographic findings positive for MP. […] MP appears to be more common than previously thought, and the incidence rate of MP is around 3.26 or 4.3 per 10,000 person-years. […] 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. […] The most important limitation of this study was the lack of a gold standard for the diagnosis of MP. However, in most cases, the diagnosis of MP is primarily based on medical history and a physical exam.

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

  https://di.aerzteblatt.de/int/archive/article/234249

  Pain and sensory disturbance in the distribution of the lateral femoral cutaneous nerve in the ventrolateral portion of the thigh is called meralgia paresthetica (MP). The incidence of MP has risen along with the increasing prevalence of obesity and diabetes mellitus and was recently estimated at 32 new cases per 100 000 persons per year. […] An American study published in 2011 reported the incidence of MP as 32.6 per 100 000 person years and found associations with advanced age, body mass index (BMI), and diabetes mellitus. An increase in incidence was first observed between 1990 and 1999. Due to the aging of society and the growing occurrence of metabolic syndrome, continued growth in the incidence of MP is anticipated. […] The literature search did not reveal any studies of high quality. Four prospective observational studies with small case numbers and partly inconsistent results are available.

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

  https://di.aerzteblatt.de/int/archive/article/234249

  The state of the evidence is limited in both quantity and quality, corresponding to evidence level 2a for surgical and non-surgical methods. […] 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. […] The evidence for spontaneous amelioration of or freedom from symptoms with conservative treatment is, as already mentioned, sparse. There are also no data on the best time to initiate treatment. […] The quality of studies on the optimal treatment for MP has improved over the past 20 years. According to our research, however, this evidence is based on only two randomized clinical trials and two prospective observational studies, all with small numbers of cases, together with systematic reviews or meta-analyses including predominantly retrospective studies and case series. Evidence level 2a is thus attained for surgical and nonsurgical treatments.

• #46 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. […] Despite its rarity, meralgia paresthetica (MP) is one of the most common compression-ischemic neuropathies of the lower limbs. The prevalence of the condition is 32-43 cases per 100,000 people per year. […] In patients with diabetes mellitus, the incidence increases fivefold compared to the general population, reaching 247 cases per 100,000 individuals. […] Interestingly, the incidence among military personnel is nearly twice that of the average incidence in the general population, amounting to 62 cases per 100,000 service members. […] 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. Given the aging population and the rising prevalence of obesity, metabolic syndrome, and diabetes mellitus, an increase in the incidence of meralgia paresthetica can be anticipated, making this issue relevant for further research.

• #47 A Quick Review of Meralgia Paresthetica – Sports Medicine Review

  https://www.sportsmedreview.com/blog/a-quick-review-of-meralgia-paresthetica/

  This week we’re going to review meralgia paresthetica (MP), a neuropathy of the Lateral Femoral Cutaneous Nerve (LFCN). Overall, there is a paucity of research on MP which makes diagnosis and treatment challenging. MP most commonly occurs among middle age males and is bilateral up to 20% of the time. The incidence is approximately 32-43 cases per 100,000 individuals which increases to 247 cases per 100,000 individuals among diabetics. […] Iatrogenic cases are slightly different in that the absence of MP pre-operatively allows the physician to point to the surgery as the most clear cause. In general, MP is associated with total hip arthroplasty (THA), anterior hip resurfacing and lumbar spine surgery. In one study, 81% of patients developed MP following THA (Goulding 2010). Among spine surgeries, studies have shown 12-20% of patients go on to develop MP (Gupta 2004, Mirovsky 2000). […] Most patients do well with 85% of individuals recovering with conservative treatment (Dureja 1995). There are no evidence based guidelines for management, although physicians typically start with a conservative approach.

• #48 Meralgia Paresthetica: Lateral Femoral Cutaneous Nerve Entrapment

  https://www.sportsmedicineacupuncture.com/meralgia-paresthetica/?srsltid=AfmBOooL87j1wdidEuoJGnr3YEnAf7WPMdKgHEPsv9PwTcKYdIYG7m1V

  Meralgia Paresthetica most often occurs in 30 to 40 year old individuals, with a higher rate in adult males than females, but can occur at all ages. […] It is seen in patients who are involved in various sports and physical activities, including gymnastics, baseball, soccer, body-building, and strenuous exercise. […] MP has been related to the following factors: obesity, pregnancy, tight garments such as jeans, military armor and police uniforms, seat belts, direct trauma, muscle spasm and scoliosis. […] Metabolic factors reported include diabetes mellitus, alcoholism, and lead poisoning. […] MP has also been reported as a postsurgical complication after hip joint replacement and spine surgery.

• #49 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. […] Despite its rarity, meralgia paresthetica (MP) is one of the most common compression-ischemic neuropathies of the lower limbs. The prevalence of the condition is 32-43 cases per 100,000 people per year. […] In patients with diabetes mellitus, the incidence increases fivefold compared to the general population, reaching 247 cases per 100,000 individuals. […] Interestingly, the incidence among military personnel is nearly twice that of the average incidence in the general population, amounting to 62 cases per 100,000 service members. […] 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. Given the aging population and the rising prevalence of obesity, metabolic syndrome, and diabetes mellitus, an increase in the incidence of meralgia paresthetica can be anticipated, making this issue relevant for further research.

• #50 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. […] Despite its rarity, meralgia paresthetica (MP) is one of the most common compression-ischemic neuropathies of the lower limbs. The prevalence of the condition is 32-43 cases per 100,000 people per year. […] In patients with diabetes mellitus, the incidence increases fivefold compared to the general population, reaching 247 cases per 100,000 individuals. […] Interestingly, the incidence among military personnel is nearly twice that of the average incidence in the general population, amounting to 62 cases per 100,000 service members. […] 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. Given the aging population and the rising prevalence of obesity, metabolic syndrome, and diabetes mellitus, an increase in the incidence of meralgia paresthetica can be anticipated, making this issue relevant for further research.

• #51 Incidence rates and determinants in meralgia paresthetica in general practice – PubMed

  https://pubmed.ncbi.nlm.nih.gov/15015008/

  Objective: To determine incidence rates for meralgia paresthetica (MP) in the primary care setting and establish determinants for MP in a case-control study in general practices. […] The incidence rate of MP is 4.3 per 10,000 person years. […] This is the first report on incidence rates of MP and on suspected determinants studied in a case-control setting in general practice. […] More research on determinants is needed. Because MP occurs in every GP practice at least once a year more studies are needed on prognosis and treatment.

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