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What is Meralgia Paresthetica?



What is Meralgia Paresthetica? Neurosurgeon Dr Arun L Naik explains this recurring condition. Meralgia Paresthetica is thigh pain caused by tight jeans, clothing, belts and corsets. Meralgia Paresthetica symptoms are pain and numbness. Meralgia Paresthetica signs are thigh pain. Meralgia Paresthetica treatment is by medications and lifestyle modification. Meralgia Paresthetica relief is by proper treatment. Meralgia Paresthetica exercises helps in these patients. Meralgia Paresthetica stretches are explained. 
 #meralgiaparesthetica #thighpain #meralgiaparestheticatreatment
This causes intense  tingling, numbness and burning pain in ones outer thigh. Often seen in teenagers wearing tight jeans, this condition makes them miserable.

Meralgia parasthetica is the classical thigh pain caused by compression of your lateral femoral cutaneous nerve which supplies sensation to your thigh. This nerve runs  under the inguinal ligament, which runs along your groin. So when you wear tight fitting trousers, Tight clothing, belts or corsets you can get this condition.  Other conditions causing MP are Pregnancy, Obesity and diabetes.
The commonest Symptom of MP is intense Tingling and numbness in the outer part of your thigh. Burning pain also is seen in between episodes of tingling. Mostly it will be on one side only and never crosses your knee joint. The pain starts gradually and progresses slowly. The pain comes in episodes and may vanish for a few months and recur again. The pain is very unpredictable. 
How to make a diagnosis of MP?
When i see any patient with thigh pain, i take the history of their lifestyle, clothing and profession. I do a detailed physical exam. I make the diagnosis of MP based on clinical details only. Nerve conduction tests help us diagnose the condition in doubtful cases. Very rarely, if I am in doubt, I may ask for an MRI scan to rule out any other cause of MP.
Treatment: lifestyle changes improve the pain very much.  I always advise them to wear loose clothes and avoid tight belts and corsets. Diabetics should control their blood sugar levels. Obese persons will get relief with reducing their weight. As a home remedy, i advise them to apply ice packs to their groin to relieve pain. IN the long term, i advise my patients to perform yoga which helps many patients. Finally I prescribe medications to control the pain. In acute pain, i advise Physical therapy, specialized exercises and stretches. Many patients get relief with ultrasound treatment. In severe cases, i give Transcutaneous electrical nerve stimulation (TENS) to provide symptom relief. Rarely, surgery is necessary to correct any compression on the lateral femoral cutaneous nerve. Surgery is only recommended for people who try other treatments with no relief.
Diseases similar to MP are:

Spinal disc prolapse, Intervertebral disc prolapse, Intervertebral disc herniation, Disc bulge, Spinal canal stenosis, Spinal myelopathy, Compressive myelopathy, Pinched nerves in the neck, Pinched nerves in the back, Pinched nerves in the lower back, Spinal stenosis, Spinal arthritis, Spinal fractures, Spinal osteoporosis, Spondylitis,
Spondylosis, Spinal degeneration, Spondylolisthesis, Tethered cord syndrome, Spinal dysraphism, Spinal myelomeningocele, Spinal bifida, Spinal cord injury, Spinal degeneration, Spinal tumors and Spinal infections.

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References for the medical info of the video can be found here
1. Patijn J, Mekhail N. Meralgia Paresthetica. Pain Pract. 2011 May-Jun;11(3):302-8.
2. Payne R, Seaman S. Evaluating the evidence: is neurolysis or neurectomy a better treatment for meralgia paresthetica? Acta Neurochir (Wien). 2017 May;159(5):931-936.
3. Grossman MG, Ducey SA. Meralgia paresthetica: diagnosis and treatment. J Am Acad Orthop Surg. 2001 Sep-Oct;9(5):336-44.
4. Khalil N, Nicotra A. Treatment for meralgia paraesthetica. Cochrane Database Syst Rev. 2012 Dec 12;12(12)
5. Bowley MP, Doughty CT. Entrapment Neuropathies of the Lower Extremity. Med Clin North Am. 2019 Mar;103(2):371-382.

#MeralgiaParesthetica #ThighPain #MeralgiaPain

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