Two adolescent females, aged 11 and years, presented due to tingling and pain on the side of the thigh of 2 to 3 weeks duration. Meralgia paresthetica is a condition characterized by tingling, numbness and burning pain in your outer thigh. The clinical diagnosis of idiopathic meralgia paresthetica imp is made. Pdf is triamcinolone an easy and efficient way to treat meralgia. Signs and symptoms of meralgia paresthetica include a sensation of tingling, pain, burning, or numbness in the distribution of the involved nerve, the outer part of the front of the thigh. Meralgia paresthetica mp is the diagnostic term given to a patient presenting with a mononeuropathy of the lateral femoral cutaneous nerve lfcn and typically presents with numbness, tingling, paresthesias, or any other sign of nerve impingement along the anterior and lateral thigh. Although it seems like a random type of pain to experience, it is actually a result of a pinched nerve in the pelvic region. The lateral femoral cutaneous nerve is a pure sensory nerve that is susceptible to compression as it courses from the lumbar plexus, through the abdominal. Meralgia paresthetica is a condition in which there is too much pressure on one of the nerves in your leg or other damage to a leg nerve. Meralgia paresthetica is a medical condition resulting from compression pressure on or squeezing of the lateral femoral cutaneous nerve lfcn. Meralgia paresthetica mp is a painful mononeuropathy of the lateral femoral. Meralgia paresthetica symptoms and causes mayo clinic. Meralgia paraesthetica is numbness or pain in the outer thigh not caused by injury to the thigh, but. It occurs when a sensory nerve that runs along the thigh muscles becomes constricted.
The lateral femoral cutaneous nerve becomes entrapped as it passes under the ligament of the groin. The term pinched nerve applies to meralgia paresthetica. Meralgia paresthetica, also called lateral femoral cutaneous nerve syndrome or bernhardtroth syndrome is a condition in which one of the large sensory nerve that innervates the outer portion of the thigh gets compressed or entrapped. Meralgia paresthetica is a rarely encountered sensory mononeuropathy characterized by paresthesia, pain or sensory impairment along the distribution of the lateral femoral cutaneous nerve caused. The majority of cases improve with conservative treatment by wearing looser clothing and losing weight.
We would like to show you a description here but the site wont allow us. Dynamic decompression of the lateral femoral cutaneous nerve to. Meralgia paresthetica say muhraljuh paruhsthetickuh is pain and numbness in the outer part of your thigh. Entrapment of the lateral femoral cutaneous nerve beneath the inguinal ligament as the uterus enlarges is the most common cause of the condition during pregnancy, although mp may also be caused by a neuroma. As this nerve leaves the lower abdomen on its way to the thigh it can become trapped. Meralgia paresthetica treatment strategies and exercises. The symptoms of meralgia paresthetica can vary in sensation, but they all show up in the same region of your leg the front and lateral region of the thigh, or the area innervated by your lfcn. As the lateral femoral cutaneous nerve passes through the groin to supply feeling to the outer part of the thigh. Meralgia paresthetica is a condition characterized by numbness, tingling, and a burning pain in the outer thigh. If the client is overweight, weight loss is important. Meralgia paraesthetica an overview sciencedirect topics. Selfcare for meralgia paresthetica involves removing the physical stress factors that could contribute to the condition. Lateral femoral cutaneous nerve entrapment meralgia paresthetica mayo clinic are you a healthcare practitioner.
It arises when the lateral femoral cutaneous nerve is compressed. Meralgia paresthetica mp is pain or an irritating sensation felt over the anterior or anterolateral aspect of the thigh due to injury, compression, or disease of the lateral femoral cutaneous nerve lfcn. Answer your doctor will give you a physical exam and ask about your symptoms and your medical history especially about any recent injuries or. Data for patients who underwent decompression of the. Meralgia paresthetica mp is a condition that causes numbness, tingling, and burning pain in your outer thigh. Meralgia paresthetica symptoms, causes, treatments. Meralgia paresthetica mp, also known as bernhardtroth syndrome, is a neurological condition that causes pain, burning, tingling, or numbness in the outer part of your thigh. Lateral femoral cutaneous nerve entrapment meralgia. The book tells you what you can do before, during and after surgery to avoid discomfort and.
Education training advise phased return to exercise. This chronic neurological disorder involves a single nervethe lateral cutaneous nerve of thigh, which is also called the lateral femoral cutaneous nerve and hence the syndrome lateral femoral. Tight clothing, obesity or weight gain, and pregnancy are common causes of meralgia paresthetica. Hello jacksie, welcome to the neurotalk support groups. Early investigators of mp include bernhardt, who first described the condition in 1878. Trust your hands making it crucial for children about ms you read all over the nerve fibers to restored by self administered to the disease starts and muscles is different nerves of the eyes loses meralgia paresthetica multiple sclerosis its vision and slurred vision motor organs being able to identified treatment all these symptoms may be. The condition usually results from compression of the lateral femoral cutaneous nerve. Meralgia paresthetica singapore pdf ppt case reports. Pressure may be increased in certain obese or pregnant individuals. Meralgia paresthetica is caused by pressure on the sensory nerve that runs through the thigh and sends pain signals to the outer thigh area. I was diagnosed with meralgia paresthetica about a month ago when my outer thigh became completely numbasleep. Meralgia paresthetica is chronic pain, numbness, and tingling in the outer part of your upper thigh. Some of the common causes of meralgia paresthetica are wearing tight fitting clothes, obesity or gaining weight, and pregnancy. Meralgia paresthetica is a mononeuropathy affecting the lateral femoral cutaneous nerve that is extremely rare in children.
Manual therapy treatment for meralgia paresthetica is primarily oriented toward removing the physical stressors that are likely causing the condition. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. An irritation of one of the nerves that goes to your upper, outer thigh can cause numbness or pain. Meralgia paresthetica is a disorder characterized by tingling, numbness, and burning pain in the outer side of the thigh. Diagnosis of mp is based on history and examination. Meralgia paraesthetica is a nerve neurological condition that causes pain in the outer thigh. Eight patients were treated with local injections of triamcinolone. Data for patients who underwent decompression of the lfcn. Meralgia paresthetica mp presents with numbness, pain, and paresthesias in the anterolateral thigh. Recently, i have been getting some stinging pain manageable while i sit or walk. Meralgia paresthetica is a condition marked by pain, tingling or numbness in the front and outer thigh. Meralgia paresthetica mp is pain or an irritating sensation felt over the anterior or anterolateral aspect of the thigh due to injury, compression, or disease of the lateral femoral cutaneous nerve lfcn see the image below. A 22yearold patient in the sixteenth week of pregnancy had low back pain, bilateral anterolateral thigh paresthesia and groin.
This large nerve supplies sensation to the front and side of your thigh. This nerve supplies sensory information from the skin of the outer thigh to the brain. Tight clothing, restrictive seat belts, pregnancy and direct trauma to the thigh or hip are among meralgia parestheticas many potential causes. In this area, meralgia paresthetica can cause a painful burning feeling for some. We present here three patients less than 18 years of age with idiopathic meralgia paresthetica. Meralgia paresthetica, sometimes referred to as burning thigh pain, is a condition of the peripheral nervous system characterized by tingling, pain or numbness in the outer thigh. Sometimes the problem is caused by wearing tight clothing or being overweight. The cause of meralgia paresthetica is compression of the nerve that supplies sensation to the skin surface of your thigh. Meralgia paresthetica, also called femoral nerve entrapment, is a condition that appears when a major sensory nerve in your leg, the lateral femoral cutaneous nerve lfcn, is compressed. If you have a painful, burning sensation on the outer side of your thigh, it may mean that one of the large sensory nerves to your legsthe lateral femoral cutaneous nerve lfcnis being compressed.
This pain and numbness occur when a nerve in your thigh is pinched compressed. The pressure on the nerve causes burning, pain, and numbness over the distribution of this nerve, the outer and part of the front of the thigh. Physiotherapy treatment for patients with this condition is vital to hasten the healing. Meralgia paresthetica is a focal peripheral neuropathy involving the lateral femoral cutaneous nerve and is rarely observed in pediatric practice. Meralgia paresthetica from meros, meaning thigh, and algo, meaning pain is the clinical syndrome of pain andor dysesthesia in the anterolateral thigh associated with compression of the lateral femoral cutaneous nerve. Meralgia paresthetica, also known as bernhardtroth syndrome, is caused when one of the sensory nerves of your legs becomes compressed, resulting in a burning sensation felt in your outer thigh. Entrapment or pinching of the nerve that supplies sensation to the outer portion of the thigh. Meralgia paresthetica results in sensations of aching, burning, numbness, or stabbing in the thigh area. Mp occurs when the nerve that provides feeling to the area is pinched. This meralgia paresthetica isnt usually a sign for a more serious condition, but getting looked at by your doctor can help rule out other causes and keep you healthy.
This condition is known as meralgia paresthetica meralgeea paresthetika. The nerves in your body bring information to the brain about the environment sensory. Burning thigh pain meralgia paresthetica a painful, burning sensation on the outer side of the thigh may mean that one of the large sensory nerves to your legsthe lateral femoral cutaneous nerve lfcnis being compressed. Rarely, it has other etiologies such as direct trauma, stretch injury, or ischemia. Answer there are simple ways to treat meralgia parasthetic, including wearing looser clothing. You can try using the forum search feature for other posts regarding tens. The medication used to treat neurogenic pain, such as antiseizure or antidepressant medication, may alleviate the symptom of pain. They may not all be related to meralgia paresthetica, but they may give you some idea how to use them correctly to help your pain. Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of.
Lateral femoral cutaneous nerve entrapment meralgia paresthetica. You should see your doctor if you notice you have any of the symptoms of meralgia paresthetica, especially if these symptoms dont go away on their own after a few days. It is caused by compression of a nerve called the lateral cutaneous nerve of the thigh. How do we treat meralgia paresthetica with manual therapy. Burning thigh pain meralgia paresthetica orthoinfo aaos. Advise the client patient to wear clothing that is loose and comfortable and does not press against their hips. For further information, including about cookie settings, please read our cookie policy. Meralgia paresthetica is also known as lateral femoral cutaneous nerve syndrome. Meralgia paraesthetica is usually an entrapment neuropathy of the lateral femoral cutaneous nerve lfcn. 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. Meralgia parestheticaa common cause of thigh pain page 2.
Meralgia paraesthetica comes from the greek words meros thigh and algos pain. Meralgia paresthetica best exercises for pain relief. This can also be a side effect of obesity as a large belly can cause that pressure on the nerves in question. Its usually not serious and may resolve on its own. Meralgia paresthetica or meralgia paraesthetica is numbness or pain in the outer thigh not caused by injury to the thigh, but by injury to a nerve that extends from the thigh to the spinal column. To present a case of a pregnant patient with meralgia paresthetica who improved using manual therapy and exercise procedures. Meralgia paraesthetica is a chronic and often very debilitating thigh pain that happens when the lateral femoral cutaneous nerve is either pinched or trapped in some way. Often, merely the awareness of the condition and knowledge of a few key differentiating factors helps the clinician quickly recognize this disorder.
However, it can also be caused due to other reasons such as other medical conditions like diabetes or local trauma. Compression of lateral femoral cutaneous nerve, sensation supplying nerve to the skin surface of the thigh, causes meralgia paresthetica. The nerve that allows you to feel your upper outer thigh starts in your low back. When the differential diagnosis of lateral or anterolateral thigh pain is inconclusive, mp should be considered as a potential source. There is no single cause for meralgia paraesthetica but it is usually caused by the stomach becoming enlarged and in turn putting pressure on the groin area. Your lfcn runs from the spinal cord to the pelvis and thighs to innervate your hip flexors and leg extensors 1, plus allow for feeling in the anterolateral front and outside regions of your thigh. Physical medicine and rehabilitation for meralgia paresthetica. 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. Meralgia paresthetica symptoms 16 questions answered. Previous reports have highlighted its occurrence within the context of a regional bony malignancy. Meralgia paresthetica is a sensory neuropathy that occurs when the lateral femoral cutaneous nerve is compressed approach to hip and groin pain in the athlete and active adult view in chinese lateral femoral cutaneous nerve is exclusively sensory. What are the selfcare and medical approaches to meralgia. Proper diagnosis of meralgia paresthetica requires the expert attention of an experienced physician to.
Meralgia paraesthetica and diabetes london pain clinic. The pain might get worse after you walk or stand for a long time. It may be iatrogenic after medical or surgical procedures, or result from a neuroma. Meralgia paresthetica mp, a common condition seen by both primary care physicians and specialists, is easily misdiagnosed because it can mimic other disease processes. Fulford grange, micklefield lane, rawdon, leeds, ls19 6ba. Meralgia paresthetica is a painful nerve condition that affects the outer thigh, knee and buttocks. The disorder is caused by compression of the lateral femoral cutaneous nerve, a sensory nerve to the skin, as it exits the pelvis. A manual therapy and exercise approach to meralgia. The treatment for meralgia paresthetica is symptomatic and supportive.