Meralgia paresthetica: Difference between revisions
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Revision as of 20:53, 21 July 2020
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 groin: rule out compressive lesion
Management
- Neuropathic pain medications
- Amitriptyline
- Gabapentin
- Avoidance of trigger (cycling, tight belts, weight agin/loss, etc.
- Occasionally need injections over nerve
- If all else fails, nerve transection
