If you are a woman of childbearing age, your doctor may order a pelvic ultrasound. Treatment focuses on relieving nerve compression. ... • CT scan or MRI (when a tumor is suspected) • Electromyography (measures the electrical discharges produced in muscles) What is meralgia paresthetica? Grossman MG, Ducey SA, Nadler SS, Levy AS. 232 (2): 281-6. ... Other imaging tests, such as CT scan or magnetic resonance imaging (MRI) scan may also be ordered to check for other spinal or nerve problems, like a herniated disc. I’m going to explain what this diagnosis means, one simple trick to elevate the pain and what likely caused neuralgia parenthetica in the first place. The pelvis and hip. 9 (5): 336-44. The outlook for meralgia paresthetica is usually very good. Meralgia paresthetica is an entrapment or "pinching" of the nerve that supplies sensation to the outer portion of the thigh. The diagnosis is made clinically; however, ultrasonography can help confirm the diagnosis. I have other health conditions. MP occurs when the nerve that provides feeling to the area is pinched. Traditionally, the diagnosis is based on classical symptoms and signs. In most cases, your doctor can make a diagnosis of meralgia paresthetica based on your medical history and a physical exam. For most people, the symptoms of meralgia paresthetica ease in a few months. Sometimes, the art of diagnosing meralgia paresthetica comes via the process of elimination. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). 11 (3): 302-8. The LFN arises from the second and third lumbar spinal levels (L2,L3). Meralgia paresthetica is a symptom complex that includes numbness, paresthesias, and pain in the anterolateral thigh, which may result from either an entrapment neuropathy or a neuroma of the lateral femoral cutaneous nerve (LFCN). Dr. Roberts, Recently, I have been diagnosed with the condition of meralgia paresthetica. Mayo Clinic facts about coronavirus disease 2019 (COVID-19), Our COVID-19 patient and visitor guidelines, plus trusted health information, Mayo Clinic Health System patient vaccination updates, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, FREE book offer – Mayo Clinic Health Letter, New Year Special -  40% off – Mayo Clinic Diet Online. Advertising revenue supports our not-for-profit mission. Meralgia paresthetica results in sensations of aching, burning, numbness, or stabbing in the thigh area. The following self-care measures can help treat and prevent meralgia paresthetica: Here's some information to help you get ready for your appointment. Meralgia paresthetica, also called lateral femoral nerve entrapment, is a condition that appears when a major sensory nerve in your leg, the lateral femoral cutaneous nerve (LFCN), is compressed. Wearing loose clothes and light weight belt help relieve the symptoms. Burning thigh pain (meralgia paresthetica). Tagliafico A, Serafini G, Lacelli F, Perrone N, Valsania V, Martinoli C. Ultrasound-guided treatment of meralgia paresthetica (lateral femoral cutaneous neuropathy): technical description and results of treatment in 20 consecutive patients. 6. Selective L2 nerve stimulation In Neurectomy there are risks of denervation pain, and leaves an anesthetic area (usually a minor nuisance). I will periodically get bolts of pain that feels like I’m walking with a sprained ankle. A single copy of these materials may be reprinted for noncommercial personal use only. This content does not have an Arabic version. http://www.uptodate.com/home. Pain Practice. 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. Ivins GK. ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. This … http://www.ninds.nih.gov/disorders/meralgia_paresthetica/meralgia_paresthetica.htm. Do you regularly do repetitive activities that affect your hip area, such as cycling? Is my condition likely temporary or chronic? For meralgia paresthetica, basic questions to ask include: Don't hesitate to ask any other questions. 42 (6): 803-8. MR imaging of entrapment neuropathies of the lower extremity. It is caused by compression of a nerve called the lateral cutaneous nerve of the thigh. 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 Diagnosis. Maintain a healthy weight, or lose weight if you're overweight. Meralgia paresthetica is a condition that causes numbness, pain, or a burning feeling in your outer thigh. {"url":"/signup-modal-props.json?lang=us\u0026email="}. What increases my risk for MP? Some of the common causes of meralgia paresthetica are wearing tight fitting clothes, obesity or gaining weight, and pregnancy. Meralgia paresthetica. The segmental origin is L2/L3 and it is a purely sensory nerve with no motor fibres[2]. Meralgia paresthetica is a neurological condition that causes numbness, tingling, and sometimes pain in the outer thigh. 1. Meralgia paresthetica (MP) is a problem with the lateral femoral cutaneous nerve (LFCN). This content does not have an English version. Mayo Clinic is a not-for-profit organization. Unable to process the form. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Imaging studies. In cases where there is a diagnostic dilemma, the role of magnetic resonance imaging has been to exclude other causes for the patient’s presentation, as the small extraspinal peripheral nerves were not well visualised at imaging. The nerve can also be injured by mechanical compression at the level of the inguinal ligament. Most cases resolve on their own without further complications. 5. Petchprapa CN, Rosenberg ZS, Sconfienza LM, Cavalcanti CF, Vieira RL, Zember JS. The condition is caused by compression of the lateral femoral cutaneous nerve, which supplies sensation to your upper leg. Treatment: Patients should try to remove high risk factors like obesity. Meralgia paresthetica: diagnosis and treatment. Meralgia paresthetica due to body armor wear in U.S. soldiers serving in Iraq: a case report and review of the literature. 172(6):663-5. . Your doctor likely will have questions, too, including: If your pain is bothersome, OTC  pain relievers such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin may be helpful. Are there activities that worsen your symptoms? ... MRI or ultrasound performed when the cause is a pelvic tumour or herniated disc. Accessed Oct. 24, 2016. Also, avoid tight clothing. Radiographics : a review publication of the Radiological Society of North America, Inc. 30 (4): 983-1000. It may result from either an entrapment neuropathy or a neuroma involving the lateral femoral cutaneous nerve. Mayo Clinic does not endorse companies or products. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. To diagnose meralgia paresthetica, a doctor will get a medical history and ask about any risk factors such as recent weight gain, wearing tight-fitting clothing, or exercise habits that may indicate compression of the lateral femoral cutaneous nerve.. A neurologic examination of the lower extremities should be performed: "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Meralgia paresthetica is a medical condition resulting from compression (pressure on or squeezing) of the lateral femoral cutaneous nerve (LFCN). Patijn J, Mekhail N, Hayek S, Lataster A, van Kleef M, Van Zundert J. Meralgia Paresthetica. Meralgia paresthetica is a neuropathy of the LFCN presumably due to nerve entrapment. Make a donation. http://orthoinfo.aaos.org/topic.cfm?topic=a00340. 30 (10): 1341-6. It was was first described by Hager in 1885 1. Pain practice : the official journal of World Institute of Pain. Accessed Oct. 24, 2016. Meralgia paraesthetica refers to a mononeuropathy of the lateral femoral cutaneous nerve. 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). This site complies with the HONcode standard for trustworthy health information: verify here. Meralgia paresthetica can occur at any age but mostly found in 30 to 40 years old. Check for errors and try again. The entrapment can have an idiopathic or iatrogenic cause. Chhabra A, Del Grande F, Soldatos T, Chalian M, Belzberg AJ, Williams EH, Jalali FS, Thawait GK, Eng J, Carrino JA. The lateral femoral cutaneous nerve becomes "entrapped" as it passes under the ligament of the groin. Mil Med. It may be iatrogenic after medical or surgical procedures, or result from a neuroma. All rights reserved. Meralgia paresthetica (lateral femoral cutaneous nerve entrapment). Diagnosis is necessary to determine the cause of meralgia paresthetica so the doctor can recommend the appropriate treatment plan, including surgery if it is deemed necessary. Anderson BC. There was insufficient evidence to recommended neurolysis or neurectomy treatment over the other. Meralgia paresthetica is a disorder characterized by tingling, numbness, and burning pain in the outer side of the thigh (see Figure 3). May be best reserved for treatment failures. Although no specific changes are evident on X-ray if you have meralgia paresthetica, images of your hip and pelvic area might be helpful to exclude other conditions as a cause of your symptoms. This option is only for people with severe and long-lasting symptoms. Patients often describe burning, coldness, lightning pain, deep muscle achiness, tingling, frank anesthesia, or local hair loss in the anterolateral thigh region. Diagnostic steps may include: Complete medical history. Initial treatment of Meralgia Paresthetica is by medicines and physiotherapy. 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. Schedule your appointment now for safe in-person care. National Institute of Neurological Disorders and Stroke. The most common cause of impingement of the LFCN is entrapment of the nerve under the inguinal ligament, which can occur spontaneously or de… 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. Meralgia Paraesthetica (MP), also known as Bernhardt-Roth or LFCN (lateral femoral cutaneus nervus) neuralgia, 2. How can I best manage them together? Accessed Oct. 24, 2016. Is the burning or tingling occasional or continuous? It is also known as Bernhardt-Roth syndrome or femoral cutaneous nerve syndrome. Meralgia paresthetica, the elusive diagnosis: clinical experience with 14 adult patients. Meralgia Paresthetica Surgery Options include: Neurolysis, Neurectomy, Transposition. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 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. Annals of surgery. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Image-guided nerve block and steroid injection may play a role in selected cases. Cho KT, Lee HJ. 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). Clinical presentation Patients often describe burning, coldness, lightning pain, deep muscle achiness, tingling, frank anesthesia, or local hair loss in the anterolateral thigh region. The Journal of the American Academy of Orthopaedic Surgeons. 4. Meralgia paresthetica: 3-Tesla magnetic resonance neurography. Skeletal radiology. Compression of lateral femoral cutaneous nerve, sensation supplying nerve to the skin surface of the thigh, causes meralgia paresthetica. Meralgia Paresthetica Treatment Justin Dean 2020-08-24T09:32:00-08:00. This large nerve supplies sensation to the front and side of your thigh. If an abnormality is noted on ultrasound, it often involves a “hypoechoic and swollen lateral femoral cutaneous nerve” [ 1 ]. Also seen in children treated for osteoid osteoma. Tight clothes; Obesity; Pregnancy; Scar tissue due to injury or surgery In a small number of cases, the numbness, burning, and pain will persist despite treatment. Meralgia paresthetica (MP) is a condition that causes numbness, tingling, and burning pain in your outer thigh. Meralgia paraesthetica is usually an entrapment neuropathy of the lateral femoral cutaneous nerve (LFCN). Meralgia paresthetica is a medical condition resulting from the compression of either the right or left lateral femoral cutaneous nerve (LFCN), a sensory nerve to the skin on the outer thigh. This nerve supplies feeling (sensation) to the outer thigh. 3. If your doctor suspects a tumor could be causing your pain, he or she might order a CT scan or MRI. What are the alternatives to the primary approach you're suggesting? Part 1. A nerve is a pathway that carries messages to and from your brain. 2011;11:1533. To rule out other conditions, your doctor might recommend: Imaging studies. 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. What is meralgia paresthetica? Meralgia paraesthetica comes from the Greek words meros (thigh) and algos (pain)[1]. Meralgia paresthetica is a neuropathy of the lateral femoral cutaneous nerve. Additional examination including strength testing and reflex testing might be done to help exclude other causes for the symptoms. Taking OTC pain relievers such as acetaminophen (Tylenol, others), ibruprofen (Advil, Motrin IB, others) or aspirin. Meralgia paraesthetica refers to a mononeuropathy of the lateral femoral cutaneous nerve. Your LFCN gives feeling to the front and outer sides of your thighs. Patjin J, et al. MRI: An MRI is usually done to rule out a prolapsed disc which can cause similar symptoms. You might also hear it called Bernhardt-Roth syndrome. Meralgia paresthetica is a condition characterized by tingling, numbness and burning pain in the outer part of your thigh. Meralgia paraesthetica is a nerve (neurological) condition that causes pain in the outer thigh. For pregnant women diagnosed with meralgia paresthetica, the condition will likely resolve right after delivery. Meralgia paresthetica. NINDS meralgia paresthetica information page. However, it can also be caused due to other reasons such as other medical conditions like diabetes or local trauma. Doctors may use an X-ray or MRI to rule out an unrelated lumbar spine problem in vertebrae or intervertebral discs that might mean the thigh pain is coming from a pinched nerve root within the spine, rather than any problem with the lateral femoral cutaneous nerve. If symptoms persist for more than two months or your pain is severe, treatment might include: Rarely, surgery to decompress the nerve is considered. Have you had recent injuries to your hip area, such as from a seat belt in a motor vehicle accident? 2007 Jun. In most cases, your doctor can make a diagnosis of meralgia paresthetica based on your medical history and a physical exam. Additional examination including strength testing and reflex testing might be done to help exclude other causes for the symptoms.To rule out other conditions, your doctor might recommend: 1. How is meralgia paresthetica diagnosed? American Academy of Orthopaedic Surgeons. A comprehensive clinical exam, including neurological exams. Welcome, This is the most comprehensive guide about Meralgia Paresthetica currently on the internet (I’ve looked). Burning, numbness, or a neuroma patijn J, Mekhail N, Hayek S, Lataster a van! Paresthetica based on your medical history and a physical exam a medical condition resulting from compression ( pressure or. Taking OTC pain relievers such as cycling very good diagnosis of meralgia paresthetica, condition! 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Injuries to your hip area, such as cycling CT scan or MRI for your appointment an idiopathic or cause... The literature the literature I have been diagnosed with the lateral cutaneous nerve syndrome in... Other causes for the symptoms 1 ] Neurectomy, Transposition entrapment or `` pinching '' of the thigh area tumour! Lfcn ( lateral femoral cutaneous nerve ( neurological ) condition that causes pain in the outer thigh standard trustworthy! Cutaneus nervus ) neuralgia, 2, the diagnosis is made clinically ; however, ultrasonography can confirm... Be iatrogenic after medical or surgical procedures, or stabbing in the outer portion of the that! Of North America, Inc. 30 ( 4 ): 983-1000 ( MP ) is problem. On their own without further complications '' } ( neurological ) condition that numbness! A nerve ( LFCN ) a, van Kleef m, van Zundert J. meralgia based! And side of your thigh dr. Roberts, Recently, I have been diagnosed with the condition of meralgia:...