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Meralgia Paraesthetica

What is meralgia paraesthetica?
Meralgia paraesthetica is a painful disorder of a skin nerve on the outside of the upper leg due to damage and/or loss of function in this nerve.

Cause
Meralgia paraesthetica can have many different causes, which are divided into two main groups:

  • disorders occurring spontaneously and
  • those caused by surgery.
  • Spontaneous meralgia paraesthetica occurs when no previous surgery has taken place. The cause is usually unknown.

    Although spontaneous occurrence of this disorder is seen in all ages, it is most commonly seen between the ages of 30 and 40 and is more frequent in men.

    Other causes are

  • obesity
  • diabetes
  • pregnancy.
  • Signs and symptoms
    Symptoms in meralgia paraesthetica usually consist of an unpleasant tingling sensation on the outside of the thigh. In most cases it is felt just on one side. Patients complain of a characteristic burning, stabbing pain with a tingling sensation in the thigh. They usually feel the pain in the skin itself. Although pain elicited by touch is sometimes reported,most patients describe an unpleasant change of sensation rather than pain.

    Symptoms can be brought on by stretching the hip backwards, by posture in general and by prolonged standing. Sitting sometimes relieves the symptoms.

    Do I need additional examinations?

  • SSEP.
  • A diagnostic test block of the skin nerve can confirm the diagnosis.
  • What are my treatment possibilities?

  • Multidisciplinary Treatment
  • Non-physical Treatments
  • Physical Treatments
  • Medication

  • Neuropathic pain medication
  • Interventional Pain Treatments

  • Local infiltration of the nerve
  • Hydro dissection
  • PRF treatment of the nerve
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