Advertisement causes of meralgia paresthetica or bernhardtroth syndrome. However, there are many nonsurgical causes including seat belts, tight trousers, obesity, pregnancy, intraabdominal or intrapelvic pathology, diabetes mellitus, alcoholism, lead. Meralgia paresthetica has rarely been described in people who have participated in prolonged physical exertion, such as marathon walking or cycling. 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. A populationbased study was performed within olmstead county minnesota, from january 1, 1990, to december 31, 1999. In most cases, your doctor can make a diagnosis of meralgia paresthetica based on your medical history and a physical exam. Patients may also have an area of hair loss on the anterior thigh due to constant rubbing of the region by the patient, and this is an important diagnostic marker. Meralgia paresthetica and hypothyroidism annals of.
This chronic neurological disorder involves a single nervethe lateral cutaneous nerve of the thigh, which is also called the lateral femoral. Many people with meralgia paresthetica benefit from other interventions like. Meralgia paraesthetica is a common problem due to a trapped nerve called the lateral cutaneous nerve of thigh. Meralgia paresthetica is usually treated by managing the patient s weight, pain medication and ultimately, exercise. To present a case of a pregnant patient with meralgia paresthetica who improved using manual therapy and exercise procedures. Meralgia paresthetica is a disorder characterized by tingling, numbness, and burning pain in the outer side of the thigh. Meralgia paresthetica treatment strategies and exercises. 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. Our supportive team approach, along with specialized physical therapy and rehabilitation, can relieve symptoms and improve your quality of life. Tight clothing, obesity or weight gain, and pregnancy are common causes of meralgia paresthetica. The patient will experience more or less sensitivity to light touch. May 31, 2017 meralgia paresthetica is usually treated by managing the patient s weight, pain medication and ultimately, exercise.
Meralgia paresthetica is the term used to describe the clinical syndrome of pain, dysesthesia, or both in. Meralgia paraesthetica is a nerve neurological condition that causes an area of skin over the upper outer thigh to become painful, numb or tingly. The disorder is caused by compression of the lateral femoral cutaneous nerve, a sensory nerve to the skin, as it exits the pelvis. 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 thigh to the spinal column. Meralgia paresthetica management and treatment cleveland. A safe, supportive environment for online support and information for those with neurological and related conditions. To determine the incidence of meralgia paresthetica mp and its relationship to diabetes mellitus dm and obesity. Meralgia paresthetica is a pain or burning sensation felt over the anterolateral aspect of the thigh usually caused by compression of the lateral femoral cutaneous nerve lfcn. This in turn causes abnormal sensations of paresthesia.
Meralgia paresthetica is a medical condition resulting from compression pressure on or squeezing of the lateral femoral cutaneous nerve lfcn. Physical therapy, specialized exercises and stretches. Finally, it is a very rare risk of surgical procedures in the groin, especially in the unique situation of intentionally removing pieces of bone to provide healthy tissue for bone grafting in other. Meralgia paresthetica is caused by impingement of the lateral femoral. Meralgia paresthetica symptoms and causes mayo clinic. Meralgia paraesthetica is the medical term for a benign condition where there is a painful patch of numbness on the side of the thigh. However, it can also be caused due to other reasons such as other medical conditions like diabetes or. This disorder is also known as lateral femoral cutaneous neuralgia. Meralgia paresthetica an overview sciencedirect topics. Mar 27, 2019 meralgia paresthetica is a disorder characterized by tingling, numbness, and burning pain in the outer side of the thigh.
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. Meralgia paresthetica is caused by irritation of the nerve, most commonly from entrapment. Otherwise, treatments usually include weightloss programs, reduction of any compression, physical therapy trials, and medications like neuroleptics or nonsteroidal anti. Bishnu pokharel et al meralgia paresthetica solving the. Meralgia paresthetica genetic and rare diseases information. Meralgia paresthetica is also known as lateral femoral cutaneous nerve syndrome. Meralgia paresthetica is a condition characterized by tingling, numbness and burning pain in your outer thigh.
Dec 10, 2018 meralgia paresthetica mp, also known as bernhardtroth syndrome, is a neurological condition that causes pain, burning, tingling, or numbness in the outer part of your thigh. Proper diagnosis of meralgia paresthetica requires the expert attention of an experienced physician to determine the cause and an appropriate treatment. Meralgia paresthetica is a condition characterized by numbness, tingling, and a burning pain in the outer thigh. Meralgia paresthetica management and treatment cleveland clinic. The symptoms of meralgia paresthetica are relieved by treating the underlying cause. This means it is a collection of symptoms caused by a trapped or compressed nerve. Pdf meralgia paresthetica solving the diagnostic dilemma. Mar 28, 2014 meralgia paresthetica is a pain or burning sensation felt over the anterolateral aspect of the thigh usually caused by compression of the lateral femoral cutaneous nerve lfcn. In 1895 bernhardt described the syndrome of numbness, burning, and paresthesia in the anterolateral aspect of the thigh, corresponding with the distribution of the lateral femoral cutaneous nerve.
Wartenberg 3 postulated an association with various infections including herpes zoster. Recently, i have been getting some stinging pain manageable while i sit or walk. 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. In some cases, perhaps the easiest treatment would be to leave the lateral cutaneous femoral nerve alone, as most cases of meralgia paresthetica resolve on their own. Meralgia paresthetica mp is a condition that causes numbness, tingling, and burning pain in your outer thigh. The lateral femoral cutaneous nerve, which runs through the pelvis, groin and into the thighs, can become compressed due to swelling, trauma or pressure in the surrounding areas. Pdf meralgia paraesthetica mp is a clinical syndrome produced by entrapment. 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. The exercise can not only help with any weight loss that you may need as well as stretching and building the muscles. Surgical options should be considered in patients refractory to those treatment. That same year roth termed this syndrome meralgia paresthetica.
Your treatment may involve losing weight, wearing loose clothing, or avoiding certain restrictive items like belts. The segmental origin is l2l3 and it is a purely sensory nerve with no. Meralgia paresthetica mp is the diagnostic term given to a patient presenting with a mononeuropathy of the lateral femoral cutaneous nerve lfcn and typically presents with numbness, tingling, paresthesias, or any other sign of nerve impingement along the anterior and lateral thigh. The segmental origin is l2l3 and it is a purely sensory nerve with no motor fibres. Meralgia paresthetica is a neuropathy of the lateral femoral cutaneous nerve. I was diagnosed with meralgia paresthetica about a month ago when my outer thigh became completely numbasleep. Most of the patients respond to conservative management in cluding nerve block. Jan 07, 2019 meralgia paresthetica is a condition that causes numbness, tingling, stinging, or burning pain on the surface of your thigh. It may be iatrogenic after medical or surgical procedures, or result from a neuroma. Meralgia paresthetica is a disorder characterized by tingling, numbness, and burning pain in the outer side of the thigh see figure 3. Meralgia paraesthetica is usually an entrapment neuropathy of the lateral femoral cutaneous nerve lfcn. 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 this chronic neurological disorder involves a single nervethe lateral cutaneous nerve of the thigh, which is also called the lateral femoral cutaneous nerve and hence the syndrome lateral. Meralgia paresthetica causes, symptoms, pain relief and.
Clinical features a 22yearold patient in the sixteenth week of pregnancy had low back pain, bilateral anterolateral thigh paresthesia and groin pain for a duration of 1 month. The condition usually affects only one side of the body, but both sides may be affected in up to 20% of cases. Burning thigh pain meralgia paresthetica a painful, burning sensation on the outer side of the thigh may mean that one of the large sensory nerves to your legsthe lateral femoral cutaneous nerve lfcnis being compressed. Burning thigh pain meralgia paresthetica orthoinfo aaos. It is caused by compression of a nerve called the lateral cutaneous nerve of the thigh. Meralgia paresthetica is a syndrome caused by the entrapment of the lateral femoral cutaneous nerve of the thigh in the inguinal region.
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. The lateral femoral cutaneous nerve, a pure sensory nerve, is susceptible to compression as it courses from the lumbosacral plexus, through the abdominal cavity, under the inguinal ligament, and into the subcutaneous tissue of the thigh. Meralgia paresthetica is a condition that causes numbness, tingling, stinging, or burning pain on the surface of your thigh. This chronic neurological disorder involves a single nervethe lateral cutaneous nerve of thigh, which is also called the lateral femoral cutaneous. The nerve becomes entrapped when passing through the groin. Meralgia paresthetica meralgia paresthetica is a condition characterized by tingling, numbness and burning pain in the outer part of your thigh.
Some of the common causes of meralgia paresthetica are wearing tight fitting clothes, obesity or gaining weight, and pregnancy. This condition is known as meralgia paresthetica meralgeea paresthetika. Meralgia paresthetica information page national institute. This meralgia paresthetica isnt usually a sign for a more serious condition, but getting looked at by your doctor can help rule out other causes and keep you healthy. A manual therapy and exercise approach to meralgia. Meralgia paraesthetica is known as a nerve entrapment syndrome. Its usually not serious and may resolve on its own. Meralgia paresthetica mp, also known as bernhardtroth syndrome, is a neurological condition that causes pain, burning, tingling, or numbness in the outer part of your thigh. Introduction meralgia paresthetica is an entrapment or pinching of the lateral femoral cutaneous nerve that supplies sensation to the outer portion of the thigh.
The numbness or pain can be remedied with weight loss, 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. Meralgia paresthetica is chronic pain, numbness, and tingling in the outer part of your upper thigh. This large nerve supplies sensation to the front and side of your thigh. Meralgia paresthetica and hypothyroidism annals of internal. Your lfcn runs from the spinal cord to the pelvis and thighs to innervate your hip flexors and leg extensors 1. Meralgia paresthetica mp is a nerve entrapment resulting in pain, paresthesias, and sensory loss within the distribution of the lateral femoral cutaneous nerve or in more contemporary terms, the lateral cutaneous nerve of the thigh lcnt. Feb 24, 2017 meralgia paraesthetica is a nerve neurological condition that causes an area of skin over the upper outer thigh to become painful, numb or tingly. It is defined as the itching, tingling, burning or other unusual sensations moving across the skin at the top or outer side of the upper portion of the thigh.
As the lateral femoral cutaneous nerve passes through the groin to supply feeling to the outer part of the thigh. Meralgia paresthetica, also known as bernhardtroth syndrome, is caused when one of the sensory nerves of your legs becomes compressed, resulting in a burning sensation felt in your outer thigh. Meralgia paresthetica lateral femoral cutaneous nerve entrapment. Meralgia paraesthetica comes from the greek words meros thigh and algos pain. The term meralgia implies pain that occurs in the thigh.
Nov 08, 2018 meralgia paresthetica is a condition that causes numbness, pain, or a burning feeling in your outer thigh. Traditionally, the diagnosis is based on classical symptoms and signs. Jan 16, 2020 meralgia paresthetica is a condition characterized by tingling, numbness and burning pain in your outer thigh. Feb 24, 2017 meralgia paraesthetica comes from the greek words meros thigh and algos pain.
Meralgia paresthetica best exercises for pain relief. 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. Many causes have been suggested including mechanical factors such as obesity, ascites, abdominal distention, pregnancy, and trauma to the inguinal region 1, 2. Meralgia paresthetica lateral femoral cutaneous nerve. Nov 12, 2018 meralgia paresthetica is also known as lateral femoral cutaneous nerve syndrome. Meralgia paresthetica or bernhardtroth syndrome is a condition where the patient experiences burning pain, tingling, and numbness in the outer part of thigh. Meralgia paresthetica, also called femoral nerve entrapment, is a condition that appears when a major sensory nerve in your leg, the lateral femoral cutaneous nerve lfcn, is compressed. Meralgia paresthetica results in sensations of aching, burning, numbness, or stabbing in the thigh area. Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of. The condition usually results from compression of the lateral femoral cutaneous nerve. Mp occurs when the nerve that provides feeling to the area is pinched.
This chronic neurological disorder involves a single nervethe lateral cutaneous nerve of thigh, which is also called the lateral femoral cutaneous nerve and hence the syndrome lateral femoral. Meralgia paresthetica singapore pdf ppt case reports. Meralgia paresthetica is caused by compression of the lateral femoral cutaneous nerve, a. 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. Jun 15, 2018 meralgia paresthetica or bernhardtroth syndrome is a condition where the patient experiences burning pain, tingling, and numbness in the outer part of thigh. Meralgia paraesthetica is a nerve neurological condition that causes pain in the outer thigh. Meralgia paraesthetica us spelling, paresthetica describes a localised form of cutaneous dysaesthesia in which there is pain and a changed sensation in the skin on the lateral aspect of the thigh meralgia means pain in the thigh, and paraesthetica refers to burning pain, tingling or itch. Meralgia parasthetica tricounty pain consultants patient. The picture below shows the area normally affected although this can vary from person to person. The cause of meralgia paresthetica is compression of the nerve that supplies sensation to the skin surface of your thigh. The condition is caused by compression of the lateral femoral cutaneous nerve, which supplies sensation to your upper leg. Sep 24, 2018 meralgia paresthetica is a condition characterized by numbness, tingling, and a burning pain in the outer thigh. Many causes have been suggested including mechanical factors such as. Meralgia paraesthetica is numbness or pain in the outer thigh not caused by injury to.