A manual therapy and exercise approach to meralgia. Meralgia paresthetica lateral femoral cutaneous nerve. Fulford grange, micklefield lane, rawdon, leeds, ls19 6ba. 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. The most frequent associated conditions are obesity, diabetes mellitus, and older age 2. In this area, meralgia paresthetica can cause a painful burning feeling for some. Feb 24, 2017 meralgia paraesthetica comes from the greek words meros thigh and algos pain. Meralgia paresthetica is a disorder characterized by tingling, numbness, and burning pain in the outer side of the thigh see figure 3. 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 spinal column to the thigh this chronic neurological disorder involves a single nervethe lateral cutaneous nerve of the thigh, which is also called the lateral femoral cutaneous nerve and hence the syndrome lateral. Nov 08, 2018 meralgia paresthetica is a condition that causes numbness, pain, or a burning feeling in your outer thigh.
The pain might get worse after you walk or stand for a long time. Meralgia paresthetica is a condition marked by pain, tingling or numbness in the front and outer thigh. Meralgia paresthetica symptoms, causes, treatments. The disorder is caused by compression of the lateral femoral cutaneous nerve spinal nerve ventral rami of l2 and l3, a sensory nerve to the skin see figures 1 and 2. Meralgia paresthetica management and treatment cleveland.
The term pinched nerve applies to meralgia paresthetica. Often, merely the awareness of the condition and knowledge of a few key differentiating factors helps the clinician quickly recognize this disorder. Mp occurs when the nerve that provides feeling to the area is pinched. Surgery techniques include neurolysis, which is surgically freeing a nerve that is compressed by scar tissue or a neuroma tumor. Meralgia paresthetica genetic and rare diseases information. Meralgia paresthetica is also quite common in people who are overweight, especially if the weight gain was rapid. Tight clothing, restrictive seat belts, pregnancy and direct trauma to the thigh or hip are among meralgia paresthetica s many potential causes. Meralgia paresthetica is a condition characterized by numbness, tingling, and a burning pain in the outer thigh. Meralgia paresthetica diagnosis and treatment mayo clinic. Meralgia paresthetica is caused by impingement of the lateral femoral. Experts can help answer questions about meralgia paresthetica prevention or if meralgia paresthetica. 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.
Meralgia paresthetica is a neurological condition that causes numbness, tingling, and sometimes pain in the outer thigh. He or she might test the sensation of the affected thigh, ask you to describe the pain, and ask you to trace the numb or painful area on your thigh. Bishnu pokharel et al meralgia paresthetica solving the. Meralgia paresthetica, also called lateral cutaneous femoral nerve entrapment syndrome, is caused by compression of the sensory nerve to the skin on.
It can, however, also be seen in fit and muscular individuals. As the lateral femoral cutaneous nerve passes through the groin to supply feeling to the outer part of the thigh. Lateral femoral cutaneous nerve entrapment meralgia paresthetica mayo clinic are you a healthcare practitioner. Lateral femoral cutaneous nerve entrapment meralgia. To present a case of a pregnant patient with meralgia paresthetica who improved using manual therapy and exercise procedures. Meralgia paresthetica can occur if diabetes is untreated not the other way around. Answer there are simple ways to treat meralgia parasthetic, including wearing looser clothing. Jan 16, 2020 meralgia paresthetica is a condition characterized by tingling, numbness and burning pain in your outer thigh. 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 paraesthetica an overview sciencedirect topics. Learn more from cleveland clinic about this conditions causes, symptoms, diagnostic approaches, treatment options and outcome. When the differential diagnosis of lateral or anterolateral thigh pain is inconclusive, mp should be considered as a potential source. Meralgia paresthetica caused by hiphuggers in a patient with aberrant course of the lateral femoral cutaneous nerve.
As the lfn travels from the spine to the thigh region, the nerve can be pinched at. Burning thigh pain meralgia paresthetica orthoinfo aaos. Medications can sometimes cause itching, but usually they also cause a rash. 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. The cause of meralgia paresthetica is compression of the nerve that supplies sensation to the skin surface of your thigh. Meralgia paresthetica treatment strategies and exercises. Meralgia paresthetica is a relatively benign, selflimited disease. In most cases, your doctor can make a diagnosis of meralgia paresthetica based on your medical history and a physical exam. I found a thread on page 2 of general health conditions and rare disorders and on it lara posted a link to what looked like a forum for mp. Meralgia paraesthetica is usually an entrapment neuropathy of the lateral femoral cutaneous nerve lfcn. Meralgia paresthetica mp is a condition that causes numbness, tingling, and burning pain in your outer thigh. Meralgia paresthetica is a painful thigh condition caused by compression of the lateral femoral cutaneous nerve. It occurs when a sensory nerve that runs along the thigh muscles becomes constricted.
Meralgia paresthetica is caused by compression of the lateral femoral cutaneous nerve, a sensory nerve to the skin on the outer thigh. Meralgia paresthetica results in sensations of aching, burning, numbness, or stabbing in the thigh area. Despite its rarity, it is the most common nerve entrapment of the lower limbs. Feb 24, 2017 meralgia paraesthetica is a nerve neurological condition that causes pain in the outer thigh.
Being knowledgeable about meralgia paresthetica can be helpful when faced with circumstances surrounding this condition. Meralgia paresthetica is caused by compression of the lateral femoral cutaneous nerve, a sensory nerve to the skin on the. 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. This chronic neurological disorder involves a single nervethe lateral cutaneous nerve of thigh, which is also called the lateral femoral cutaneous.
Meralgia paresthetica is a mononeuropathy of the lateral femoral cutaneous nerve lfcn that can lead to significant disability when the diagnosis is missed or delayed. 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. Sep 24, 2018 meralgia paresthetica is a condition characterized by numbness, tingling, and a burning pain in the outer thigh. The disorder is caused by compression of the lateral femoral cutaneous nerve, a sensory nerve to the skin, as it exits the pelvis. You might also hear it called bernhardtroth syndrome. The nerves in your body bring information to the brain about the environment. 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.
It is vital to differentiate this condition from radiculopathy and plexopathy which are broadly treated with pain. 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. Treatment, exercises, causes, symptoms, signs, investigations, risk factors, etiology. It arises when the lateral femoral cutaneous nerve is compressed. This nerve supplies feeling sensation to the outer thigh. Meralgia parestheticaa common cause of thigh pain page 2. 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. Meralgia paresthetica treatment questions about meralgia. 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. I know someone who could really use some help with that and i cant figure out how to direct her.
Feb 19, 20 meralgia paresthetica, also called lateral cutaneous femoral nerve entrapment syndrome, is caused by compression of the sensory nerve to the skin on your anterior and lateral thigh as you have. Meralgia paresthetica best exercises for pain relief. Meralgia paresthetica mp is a condition associated with tingling, numbness and burning pain in the anterolateral part of the thigh, though sometimes characterized by lightning or electric pain, deep muscle achiness or, rarely, local hair loss in the anterolateral thigh. Sometimes the problem is caused by wearing tight clothing or being overweight. 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 spinal column to the thigh. Meralgia paresthetica the american chronic pain association. It may be iatrogenic after medical or surgical procedures, or result from a neuroma. Early investigators of mp include bernhardt, who first described the condition in 1878. Meralgia paresthetica say muhraljuh paruhsthetickuh is pain and numbness in the outer part of your thigh.
Some of the common causes of meralgia paresthetica are wearing tight fitting clothes, obesity or gaining weight, and pregnancy. This can also be a side effect of obesity as a large belly can cause that pressure on the nerves in question. Meralgia paresthetica is a condition that causes numbness, pain, or a burning feeling in your outer thigh. 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. This condition is known as meralgia paresthetica meralgeea.
Compression may be associated with various causes such as wearing tight clothing or a heavy tool belt, diabetes, nerve injury during local or regional surgery, weight gain, pregnancy, seatbelt injury, or rarely, a mass pressing on the nerve. Pdf meralgia paraesthetica mp is a clinical syndrome produced by entrapment. Notalgia means pain in the back, and paraesthetica refers to burning pain, tingling or itch. Meralgia paraesthetica is a nerve neurological condition that causes pain in the outer thigh. 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. Meralgia paresthetica, which is also known as bernhardtroth syndrome, is a chronic neurological disorder involving a single nerve. In this case, recommended treatment may include medications to relieve symptoms or, in.
This pain and numbness occur when a nerve in your thigh is pinched compressed. 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. Lateral femoral cutaneous nerve entrapment meralgia paresthetica. Meralgia paresthetica is a disorder characterized by tingling, numbness, and burning pain in the outer side of the thigh. Patient handout, nostalgia paraesthetica 2015 itchy skin is usually caused by a rash. Tight clothing, obesity or weight gain, and pregnancy are common causes of meralgia paresthetica. Some people with more severe meralgia paresthetica may need. Meralgia paresthetica information page national institute. 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. Although it seems like a random type of pain to experience, it is actually a result of a pinched nerve in the pelvic region. Meralgia paresthetica is also known as lateral femoral cutaneous nerve syndrome. This condition is known as meralgia paresthetica meralgeea paresthetika. Meralgia paresthetica is a compression neuropathy of the lateral femoral cutaneous nerve. A 22yearold patient in the sixteenth week of pregnancy had low back pain, bilateral anterolateral thigh paresthesia and groin.
Compression of lateral femoral cutaneous nerve, sensation supplying nerve to the skin surface of the thigh, causes meralgia paresthetica. Winchester, c michael vianin, b, and heidi prather d a department of obstetrics and gynecology, washington university school of medicine, st. There are also some medical conditions that seem to increase the chance of the nerve being squeezed, especially diabetes. Notalgia paraesthetica is a form of cutaneous dysaesthesia where itch andor changed sensation arise in the areas of skin on the medial aspect of the shoulder blade on either side of the back. Many people with meralgia paresthetica benefit from other interventions like. If you have itchy skin all over, without a rash, it may be the result of underlying medical problems, like diabetes, or diseases of the nervous system, liver, kidneys or thyroid. This nerve supplies sensory information from the skin of the outer thigh to the brain.
The lfn arises from the second and third lumbar spinal levels l2,l3. The majority of meralgia paresthetica cases result from entrapment of the lateral femoral cutaneous nerve as it passes under the inguinal ligament. Your treatment may involve losing weight, wearing loose clothing, or avoiding certain restrictive items like belts. Fifteen cases of meralgia paresthetica were identified in 14 patients in a private surgical practice during a 4year period.
However, it can also be caused due to other reasons such as other medical conditions like diabetes or local trauma. Meralgia paresthetica causes, symptoms, pain relief and. Meralgia paresthetica can also be the result of trauma to the thigh or a disease, such as diabetes. Meralgia paresthetica mp, a common condition seen by both primary care physicians and specialists, is easily misdiagnosed because it can mimic other disease processes. Jan 07, 2019 meralgia paresthetica can also be the result of trauma to the thigh or a disease, such as diabetes. The nerves in your body bring information to the brain about the environment sensory. Dec 10, 2018 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. It is caused by compression of a nerve called the lateral cutaneous nerve of the thigh. Meralgia paresthetica symptoms and causes mayo clinic. Answer your doctor will give you a physical exam and ask about your symptoms and your medical history especially about any recent injuries or. In this case, recommended treatment may include medications to relieve symptoms or, in rare. 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. Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of.
Meralgia paresthetica lateral femoral nerve compressionmeralgia paresthetica is a constellation of symptoms caused by a compression neuropathy pinched nerve of the lateral femoral nerve lfn. May 31, 2017 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 singapore pdf ppt case reports. Meralgia paresthetica management and treatment cleveland clinic. The condition involves a tingling, numbness or burning pain in the outer thigh.
For meralgia paresthetica that does not respond to these treatments, the doctor may recommend surgical treatment called sensory nerve surgery to relieve the compression surrounding the nerve. Nov 12, 2018 meralgia paresthetica is also known as lateral femoral cutaneous nerve syndrome. The condition usually affects only one side of the body, but both sides may be affected in up to 20% of cases. This large nerve supplies sensation to the front and side of your thigh. Pdf meralgia paresthetica solving the diagnostic dilemma. Meralgia paresthetica is a rare sensory entrapment neuropathy which leads to burning, tingling and numbness in the anterolateral aspect of thigh.
21 688 531 333 1165 956 286 959 204 1254 462 120 1437 1085 1521 1161 874 991 1124 435 1335 1039 1242 1049 1273 974 1409 635 453 721 69 724 1172 715 1162 870 538 314 660 550 841