Meralgia paresthetica: Difference between revisions

From IDWiki
m (Text replacement - "Clinical Presentation" to "Clinical Manifestations")
No edit summary
 
Line 1: Line 1:
== Definition ==
+
== Background ==
   
  +
===Definition===
* Lateral femoral cutaneous neuropathy
 
   
 
*Lateral femoral cutaneous neuropathy
== Etiology ==
 
   
 
===Etiology===
* Impingement of nerve by inguinal ligament
 
* Complication of surgery
 
   
 
*Impingement of nerve by inguinal ligament
== Risk factors ==
 
 
*Complication of surgery
   
 
===Risk factors===
* Overweight
 
   
 
*Overweight
== Clinical Manifestations ==
 
   
 
==Clinical Manifestations==
* Isolated numbness and tingling over unilateral anterolateral thigh
 
* No change in power or reflexes
 
   
 
*Isolated numbness and tingling over unilateral anterolateral thigh
== Investigations ==
 
 
*No change in power or reflexes
   
 
==Investigations==
* EMG: rule out other disorders (should be normal in meralgia paresthetica)
 
* Ultrasound groin: rule out compressive lesion
 
   
 
*EMG: rule out other disorders (should be normal in meralgia paresthetica)
== Management ==
 
 
*Ultrasound of the groin: rule out compressive lesion
   
 
==Management==
* Neuropathic pain medications
 
  +
** Amitriptyline
 
 
*Neuropathic pain medications
** Gabapentin
 
 
**[[Amitriptyline]]
* Avoidance of trigger (cycling, tight belts, weight agin/loss, etc.
 
 
**[[Gabapentin]]
* Occasionally need injections over nerve
 
 
*Avoidance of trigger (cycling, tight belts, weight agin/loss, etc.
* If all else fails, nerve transection
 
 
*Occasionally need injections over nerve
 
*If all else fails, nerve transection
   
 
[[Category:Neurology]]
 
[[Category:Neurology]]

Latest revision as of 08:25, 2 August 2020

Background

Definition

  • Lateral femoral cutaneous neuropathy

Etiology

  • Impingement of nerve by inguinal ligament
  • Complication of surgery

Risk factors

  • Overweight

Clinical Manifestations

  • Isolated numbness and tingling over unilateral anterolateral thigh
  • No change in power or reflexes

Investigations

  • EMG: rule out other disorders (should be normal in meralgia paresthetica)
  • Ultrasound of the groin: rule out compressive lesion

Management

  • Neuropathic pain medications
  • Avoidance of trigger (cycling, tight belts, weight agin/loss, etc.
  • Occasionally need injections over nerve
  • If all else fails, nerve transection