Treatment FAQ

what is the treatment for meralgia paresthetica?

by Una Hamill Published 2 years ago Updated 2 years ago
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Meralgia Paresthetica: What You Need to Know
The condition is also called Bernhardt-Roth syndrome. Proper diagnosis of the underlying cause of the nerve compression
nerve compression
Radiculopathy describes a range of symptoms produced by the pinching of a nerve root in the spinal column. The pinched nerve can occur at different areas along the spine (cervical, thoracic or lumbar). Symptoms of radiculopathy vary by location but frequently include pain, weakness, numbness and tingling.
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is essential for effective treatment. Treatment may include physical therapy, weight loss, nerve block, injections or surgery.

Medication

MP may go away without treatment after a few weeks or months. If symptoms continue, you may need any of the following: Medicines may be given to relieve pain or decrease inflammation. Surgery may be needed if your symptoms are severe and other treatments do not work. The nerve may be removed or the tissue around it cut to relieve pressure.

Procedures

You are also more likely to develop meralgia paresthetica if you:

  • Wear tight clothing, girdles, or tight stockings or wear a heavy utility belt (like a tool belt or police gun belt)
  • Have legs of two different lengths
  • Live with medical conditions such as hypothyroidism or alcoholism

Self-care

Meralgia paraesthetica appears to respond rapidly to electroacupuncture. A significant trigger point at GB31 was universally present, which may aid diagnosis, although the reason for this is unclear. Further controlled studies are justified. Meralgia paraesthetica appears to respond rapidly to electroacupuncture.

Nutrition

Suspended row

  • Hold the two handles of a suspension band and stand facing the band’s anchor point.
  • Keep the body straight and make a row movement with the upper body, opening up the elbows in a row motion.
  • Start with keeping your elbows in a low row at about a 45 degree angle. ...

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What is the best treatment for meralgia paresthetica?

For most people, the symptoms of meralgia paresthetica ease in a few months. Treatment focuses on relieving nerve compression....TreatmentWearing looser clothing.Losing excess weight.Taking OTC pain relievers such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin.

Does meralgia paresthetica go away?

Typically, meralgia paresthetica goes away in a few months on its own or with conservative treatment, like wearing loose-fitting clothing or losing weight. Pregnant women with the condition usually experience relief after giving birth. More severe cases may require medications or surgery.

What type of doctor treats meralgia paresthetica?

A neurologist treats disorders that affect the brain, spinal cord and nerves.

Can anything be done for meralgia paresthetica?

Treatment for meralgia paresthetica is symptomatic and supportive. The majority of cases improve with conservative treatment by wearing looser clothing and losing weight. Medications used to treat neurogenic pain, such as anti-seizure or anti-depressant medications, may alleviate symptoms of pain.

Is walking good for meralgia paresthetica?

Exercising for 30 minutes a day at least three or four times a week should help ease meralgia paresthetica pain. Some exercises to try include: brisk walking.

How did I get meralgia paresthetica?

It's caused by compression of the nerve that provides sensation to the skin covering your thigh. Tight clothing, obesity or weight gain, and pregnancy are common causes of meralgia paresthetica. However, meralgia paresthetica can also be due to local trauma or a disease, such as diabetes.

Can a chiropractor fix meralgia paresthetica?

Conclusion. In the present case, chiropractic management with standard and applied kinesiology techniques resulted in recovery of meralgia paresthetica symptoms for this patient.

How long does it take for meralgia paresthetica to heal?

Your doctor may recommend surgery to ease pressure on the nerve if no other treatment helps. It can take some time for your pain to go away. Some people will still feel numbness even after treatment. In most cases, though, you should be able to recover within 4 to 6 weeks.

What is the best position to sleep with meralgia paresthetica?

The best option is to sleep on the side opposite the discomfort with a pillow between your legs. (If the burning is in your left thigh, sleep on your right side.) This can help ease the compression of the nerve enough to allow you to get to sleep.

Is massage good for meralgia paresthetica?

If tightness is found in any of the hip flexors (hip flexor musculature is often locked short due to prolonged sitting postures at home and work), then moist heat, followed by soft tissue manipulation (massage) and stretching may be helpful; particular attention should be paid to the sartorius and tensor fasciae latae ...

What are the symptoms of meralgia paresthetica?

Many people with meralgia paresthetica experience symptoms including: Pain on the outer thigh, which may extend down to the outer side of the knee. Burning, aching, tingling, stabbing or numbness in the thigh. Symptoms on only one side of the body. Worse pain when your thigh is touched lightly.

What nerve is involved in numbness and burning sensations?

Meralgia paresthetica is a medical condition resulting from compression (pressure on or squeezing) of the lateral femoral cutaneous nerve (LFCN). This large nerve supplies sensation to the front and side of your thigh. Meralgia paresthetica results in sensations of aching, burning, numbness, or stabbing in the thigh area.

Can you get meralgia paresthetica?

Anyone can develop meralgia paresthetica . However, you are more likely to develop this condition if you are: Diabetic. Exposed to lead paint. Injured by your seatbelt during a car accident. Overweight or obese. Pregnant. Recovering from a recent surgery.

Can you get surgery for lateral femoral nerve?

In more severe cases, corticosteroid injections or injectable pain medications may relieve symptoms. Rarely, surgery is necessary to correct any compression on the lateral femoral cutaneous nerve. Surgery is usually only recommended for people who try other treatments but still experience symptoms.

Can you have meralgia paresthetica if you have tight clothing?

You are also more likely to develop meralgia paresthetica if you: Wear tight clothing, girdles, or tight stockings or wear a heavy utility belt (like a tool belt or police gun belt) Have legs of two different lengths. Live with medical conditions such as hypothyroidism or alcoholism.

How to treat meralgia paresthetica?

Often, the numbness, tingling, or pain of meralgia paresthetica can be remedied with simple steps such as weight loss, exercise, or wearing looser clothing. If initial treatment is not effective for you, your doctor has a number of medication options, such as corticosteroids, tricyclic antidepressants, and anti-seizure medications.

What is the best medication for meralgia paresthetica?

Tricyclic antidepressants to relieve the pain for some people with meralgia paresthetica. Anti-seizure medications to help reduce pain. Your doctor might prescribe gabapentin (Neurontin, Gralise), pregabalin (Lyrica), or phenytoin (Dilantin). In rare cases, surgery.

What is the nerve that supplies sensation to the skin surface of your thigh?

Meralgia paresthetica. Also called Bernhardt-Roth syndrome, meralgia paresthetica is caused by compression or pinching of the lateral femoral cutaneous nerve. This nerve supplies sensation to the skin surface of your thigh.

What is the treatment for persistent meralgia?

In this case, recommended treatment may include medications to relieve symptoms or, in rare cases, surgery.

Does compression of the thigh nerve cause numbness?

Compression of this nerve causes numbness, tingling, stinging, or burning pain on the surface of your thigh, but it does not affect your ability to use your leg muscles.

How to cure meralgia paresthetica?

Eliminating the cause of compression should be the first objective when trying to cure meralgia paresthetica. Exercise to Relieve Meralgia Parathetica Step by Step. Lunge forward with the painful leg behind. Rotate leg inward to put tension on the Lateral Femoral Cutaneous Nerve.

What are the symptoms of meralgia parathetica?

These symptoms are generally only on one leg and brought on my walking, prolonged standing, or activities such as running . Numbness and tingling on the outer leg.

What nerve is burning in the outer leg?

If you trace the area of pain or burning over the outer leg and have one of the mechanisms of compression listed above then there is a good shot that you’re lateral femoral cutaneous nerve the culprit. In more difficult cases there are several special tests that can be performed to obtain a diagnosis.

What nerve causes a parathetical sensation?

Meralgia Parathetica occurs when the Lateral Femoral Cutaneous Nerve becomes irritable by generally mechanical compression (pinched nerve). This is a cutaneous nerve which means it supplies the touch sensation to the skin of the outer leg.

What is a functional exam for meralgia parasthetica?

1) Meralgia Parasthetica Exercises (Functional Exam and Exercises) Since the nerves that run down the front and outside of the leg originating from the upper lumbar spine (L1-3), it needs to be assessed for dynamic control.

What is the purpose of osteopathic joint pumping?

Osteopathic Joint Pumping – The purpose of CPR is to force blood (fluid) through the heart with a pumping action to save someone’s life . This approach is basically the same concept for forcing water into stiff and dehydrated muscles, tendons, joints and fascia.

How to release tension in the leg?

Don’t push Farther! Once you feel the light stretch then release the tension by coming out of the lunge position or just by decreasing the depth of the lung.

What is the diagnosis of meralgia paresthetica?

Proper diagnosis of meralgia paresthetica requires the expert attention of an experienced physician to determine the cause and an appropriate treatment plan, including a surgical option if required.

How to reduce swelling in hips?

Wearing less restrictive clothing. Weight loss. An injection of a corticosteroid to reduce swe lling.

Can a transposition of the nerve cause numbness?

Other operations can transpose the nerve, moving it to a position where it is less likely to become pinched. Transection, or cutting the nerve, can relieve the pain of meralgia paresthetica, but result in lasting numbness.

What is meralgia paresthetica?

Meralgia paresthetica is an entrapment or "pinching" of the nerve that supplies sensation to the outer portion of the thigh.

What causes meralgia paresthetica?

Causes of meralgia paresthetica include any condition that leads to an increase in pressure on the groin (usually associated with enlargement of the belly, such as in obesity or pregnancy ).

Meralgia Paresthetica Symptoms & Signs

Meralgia paresthetica is an entrapment (pinching) of the nerve (the lateral femoral cutaneous nerve) that supplies sensation to the outer portion of the thigh. Meralgia paresthetica is also known as lateral femoral cutaneous nerve syndrome.

What is the treatment for meralgia paresthetica?

The treatment of meralgia paresthetica usually involves addressing the underlying cause. Meralgia paresthetica can also be treated by local cortisone injection at the point where the nerve crosses the crease in the groin. Medications commonly utilized in the treatment of neuropathic pain, such as gabapentin, may be used.

How to treat meralgia paresthetica?

Meralgia paresthetica is usually treated by managing the patient’s weight, pain medication and ultimately, exercise. The exercise can not only help with any weight loss that you may need as well as stretching and building the muscles in the areas that can help relieve the pain.

What is the term for a leg nerve that is pinched?

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. The term “pinched nerve” applies to meralgia paresthetica. This can also be a side effect of obesity as a large belly can cause that pressure on the nerves in question.

What to do if you pull a muscle in your thigh?

Medication. Certain medications like painkillers can help relieve some of the pain and pressure in your outer thigh. Aspirin, acetaminophen, naproxen, or ibuprofen are all recommended to help out. 2. Weight loss.

How to get rid of a swollen thigh?

Lie on your back with your knees bent and feet flat on the ground. Slowly raise the hips off the ground until the body is in a straight line, pushing the heels into the floor and squeezing the glutes at the top. Hold the position for 15 to 30 seconds. Return to starting position and repeat.

Can a corticosteroid shot help with meralgia?

While normally reserved for joint pain, a corticosteroid shot can help relieve the pain and pressure of meralgia paresthetica. This relief can be temporary and multiple shots may be required.

How to stretch quadriceps?

Quadriceps Stretch. Stand facing a wall with one hand on the wall for balance. While bending one leg at the knee, bring your foot toward your rear end. Reach back with your free hand and gently guide your foot closer to your body. Do this until you feel a little bit of stretch in the front of the thigh.

Can meralgia paresthetica cause walking problems?

Meralgia paresthetica can really drag you down. It can make it difficult to do many of your daily physical activities. It often makes walking an issue. But with any luck, some exercises and stretches, and maybe the use of some medication, you might be able to get back on your feet and have your pain reduced.

What is iatrogenic meralgia paresthetica?

Iatrogenic meralgia paresthetica has been found to occur after a number of orthopaedic procedures, such as anterior iliac-crest bone-graft harvesting and anterior pelvic procedures. Prone positioning for spine surgery has also been implicated.

What is the numbness in the anterolateral thigh?

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). The condition can be differentiated from other neurologic disorders by the typical exacerbating factors and ...

How can a neurologic disorder be differentiated from other neurologic disorders?

The condition can be differentiated from other neurologic disorders by the typical exacerbating factors and the characteristic distribution of symptoms. The disease process can be either spontaneous or iatrogenic. The spontaneous form is usually mechanical in origin.

What is the condition that causes pain in the thigh?

The condition can be differentiated from other neurologic disorders …. 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). The condition can be differentiated ...

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