Meralgia paraesthetica Flashcards
What is it?
Compression of the lateral femoral cutaneous nerve supplying the outer thigh
What motor symptoms occur with it ?
None, only carries sensory signals
Explain the presentation
Abnormal sensations and loss of sensation in the skin of the upper outer thigh
Hair loss
Aggravated by walking or standing for long time
Worse on extension of the hip
How is it diagnosed
Clincially
What does conservative management involve
Rest
Looser clothing
Weight loss
Physiotherapy
what does medical management involve
analgesia
neuropathic meds - amitriptyline
Local injections of steroids or anaesthetics
What are surgical management options
Decompression of the nerve
Transection of the nerve - cutting
Resection - removing the nerve