Receiving Helpdesk

how to treat meralgia paresthetica

by Dr. Abby Treutel IV Published 3 years ago Updated 2 years ago

Medication

To perform a lunge:

  • Stand up straight with the hands at the sides of the body.
  • Take a big step forward with the right leg, and place both hands on the hips. ...
  • Lower the body until the right thigh is parallel to the floor, and the right shin is vertical. ...
  • Repeat the exercise 15 times, then switch to the other leg.
  • Do 3 sets of lunges on each side once or twice a day.

Procedures

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.

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

How to cure sciatica permanently

  1. The discectomy The discectomy is the most popular choice out there. It simply implies removing the problematic disk. ...
  2. The laminectomy The laminectomy is just as common. Up to 90% of all patients taking laminectomy will experience immediate pain relief. ...
  3. The foraminotomy

What are some of the best exercises for Meralgia paresthetica?

Can Meralgia_paresthetica be cured without surgery?

Can acupuncture work for meralgia paresthesia?

How to cure sciatica pain?

What can a doctor do for meralgia paresthetica?

Treatment for Meralgia ParestheticaPhysical therapy to strengthen the muscles of your legs and buttocks and reduce injury to your hips.Wearing less restrictive clothing.Weight loss.An injection of a corticosteroid to reduce swelling.

How is severe meralgia paresthetica treated?

In most cases, you can relieve meralgia paresthetica with conservative measures, such as wearing looser clothing. In severe cases, treatment may include medications to relieve discomfort or, rarely, surgery.

Can meralgia paresthetica go away on its own?

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.

How do you get rid of meralgia paresthetica?

Meralgia Paresthetica TreatmentHeat, ice, or taking over-the-counter pain relievers like aspirin, acetaminophen, naproxen, or ibuprofen for a few days.Weight loss.Wearing loose-fitting clothing, especially around your upper front hip.

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.

What happens if meralgia paresthetica goes untreated?

Left untreated, however, meralgia paresthetica may lead to serious pain or paralysis. Seek prompt medical care for persistent systems of meralgia paresthetica, such as numbness, tingling, or mild pain, as continued compression of the nerve may lead to permanent damage and paralysis.

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 ...

Is sitting good for meralgia paresthetica?

Symptoms of meralgia paresthetica include: Pain, numbness and tingling, and diminished sensation on the upper outer thigh. Pain may be described as burning, stinging, or "pins and needles" Pain may worsen with prolonged walking or standing, and is relieved by sitting.

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.

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.

How do you release the lateral femoral cutaneous nerve?

Procedure for Lateral Femoral Cutaneous Nerve Decompression An incision is made in a lateral fashion on the affected side using loupe magnification (a device used to see small details more closely). The underlying muscles are carefully separated to expose the lateral femoral cutaneous nerve in the upper thigh area.

How do you Untrap the lateral femoral cutaneous nerve?

2:115:14Put my right arm. Up turn and bend away. And then release. Forward turn and bend away. And releaseMorePut my right arm. Up turn and bend away. And then release. Forward turn and bend away. And release you can hold this in that position.

How to diagnose meralgia paresthetica?

Your doctor diagnoses meralgia paresthetica by reviewing your medical and surgical history. He or she will ask you questions about the types of belts and clothing you wear for work and recreation. Your doctor will also ask about your possible exposure to lead and your alcohol use. A thorough physical examination will be performed including a hands-on test called a pelvic compression test, in which the doctor applies pressure on your thigh to rule out other causes of your symptoms. Other light touch and reflex tests may also be performed.

What nerve causes meralgia paresthetica?

Meralgia paresthetica results from pressure on the lateral femoral cutaneous nerve.

Can meralgia paresthetica recover?

Most people with meralgia paresthetica recover completely with treatment.

Can lateral femoral nerve be compressed?

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.

Where does pain go on the outer thigh?

Pain on the outer thigh, which may extend down to the outer side of the knee

Can meralgia cause burning?

Left untreated, meralgia paresthetica may cause increased pain, numbness, or other sensations like burning. These effects may interfere with your ability to walk or move normally.

What is the foundation of treatment for meralgia paresthetica?

The foundation of treatment for meralgia paresthetica is removing the compression that is causing the symptoms. This may involve:

How to diagnose meralgia paresthetica?

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 com pression of the lateral femoral cutaneous nerve.

What causes tingling and burning pain in the outer thigh?

Meralgia paresthetica is burning nerve pain, numbness, and tingling on the outer thigh caused by compression of the nerve that runs from the spinal column to the thigh ...

What is the neurologic examination of the lower extremities?

A neurologic examination of the lower extremities should be performed: Sensory examination with pinprick and a light touch of the affected thigh. Motor examination including muscle strength testing of lower extremity major muscle groups such as hips, thighs, knees, ankles, and feet. Testing reflexes in the legs.

Can meralgia paresthetica be treated with surgery?

In rare and painful cases of meralgia paresthetica unresponsive to a nerve block, surgery may be indicated:

Does standing hurt when walking?

Pain may worsen with prolonged walking or standing, and is relieved by sitting

Does meralgia paresthetica go away?

Most cases of meralgia paresthetica go away slowly on their own over time. In a minority of cases, nerve pain, numbness, and tingling may persist despite treatment.

What is the best medicine for meralgia?

The most commonly used medications are gabapentin, phenytoin, and pregabalin. Gabapentin is a medication used to treat both epilepsy and nerve pain in adults, and it may be a good choice when treating meralgia paresthetica caused by diabetic neuropathy. The medication stabilizes electrical impulses in the brain and affects the way nerves send ...

What are the risk factors for meralgia paresthetica?

Risk factors include being obese or overweight, since this can increase pressure on the nerve. A nerve injury related to diabetes can also lead to meralgia paresthetica. Pregnant women are also at an increased risk. The risk is also heightened for those between thirty and sixty years old.

What is pregabalin used for?

Pregabalin is used to relieve pain from nerve damage , and it decreases the number of pain signals the nerves send to the brain, causing patients to experience less overall pain. In addition to treating nerve pain, pregabalin is sometimes paired with other medications to treat seizures. It's used for the treatment of fibromyalgia.

How do steroids help with meralgia?

Like cortisol, the steroids reduce inflammation in the nerve and provide temporary pain relief. There are a few potential side effects like pain around the site of the injection, nerve damage, and joint infection. When the medication is administered, the needle injects it into the 'tunnel' the nerve travels through. Steroid injections are done on a short outpatient basis. Patients may have them performed in a clinic, hospital, or surgery center. After a few minutes of monitoring, the doctor will clear the patient to return home. Patients will also be given information on how to relieve potential side effects.

How long does it take for meralgia paresthetica to go away?

The symptoms of meralgia paresthetica tend to go away after a few months. To treat the disease, doctors focus on relieving nerve compression. One of the conservative measures patients can take is to lose excess weight, as losing weight keeps the nerve from being compressed.

How does phenytoin help with nerve pain?

Phenytoin is usually used to treat seizures, but it can also be used to help with nerve pain. It works by decreasing the amount of electrical activity in a patient's brain.

Why does my thigh feel numb?

Meralgia paresthetica occurs when the nerve that allows the thigh's skin surface to experience sensation becomes compressed, leading to burning pain, numbness, and tingling in the outer thigh. There are a few common causes of the condition, including obesity, pregnancy, and tight clothing. Meralgia paresthetica may also occur because ...

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.

Can meralgia paresthetica be caused by weight gain?

Since meralgia paresthetica is often caused by weight gain, obesity, pregnancy, or even tight clothing, sometimes simple changes — such as wearing looser clothing — can relieve the symptoms. Your doctor might also suggest losing excess weight.

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.

Why does my leg feel numb?

As discussed previously the burning pain, tingling, and numbness of the outer leg are caused by compression of the Lateral Femoral Cutaneous nerve.

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 most common point of compression that creates the pinched nerve?

This is known as your ASIS. This is most common point of compression that creates the “pinched nerve”.

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.

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.

Can melagia paresthetica cause numbness?

Meralgia paresthetica symptoms are pretty clear to recognize. The ailment can cause numbness and severe burning like pain in the outer thigh. The numbness and pain are not mutually inclusive; you may just experience one of the symptoms as opposed to one occurring after another.

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.

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.

How to treat meralgia paresthetica?

Doctors and physical therapists may recommend exercises as a first-line treatment for meralgia paresthetica. These help stretch the muscles and tissues in the pelvis and thighs to prevent them from pressing on the LCF nerve.

What are some exercises to help with meralgia parasthetica?

This causes tingling, numbness, and pain in the outer thigh. Stretching and strengthening exercises may help release the nerve, thereby easing the symptoms of meralgia parasthetica.

What nerve causes tingling in the thigh?

Image credit: lzf/Getty Images. Meralgia paresthetica involves the compression of the lateral femoral cutaneous (LFC) nerve. This runs from the spine through the pelvis to the skin of the outer thigh. Any compression of the LFC nerve can cause symptoms such as tingling, numbness, or a burning sensation in the skin of the outer thigh.

What causes tingling in the upper leg?

Meralgia pare sthetica involves the compression of a nerve in the upper leg. This causes tingling, numbness, and pain in the outer thigh. Stretching and strengthening exercises may help release the nerve, thereby easing the symptoms of meralgia parasthetica. Below, we describe what meralgia paresthetica is and what causes it.

How to stretch hips?

Or, if preferred, place the hands on the hips, as shown above. If touching the wall, keep the elbows fully extended, or keep them bent, if holding the hips, and gently lunge the pelvis toward the wall until you feel a stretch in the front of the hip.

How to increase lunge intensity?

To increase the intensity of a lunge, a person may prefer to hold a weight in each hand. To perform a lunge: Stand up straight with the hands at the sides of the body. Take a big step forward with the right leg, and place both hands on the hips. If holding weights, keep both arms straight against the sides.

How to reduce swelling around nerve?

performing muscle stretching and strengthening exercises. If the approaches above do not alleviate the symptoms, the doctor may recommend steroid injections to reduce swelling around the nerve.

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