Document Type : Letter to the Editor

Authors

1 Department of Anesthesiology, UTHealth McGovern Medical School, Critical Care and Pain Medicine, Houston, Texas, USA

2 Department of Anesthesiology, Harvard Medical School, Critical Care and Pain Medicine, Boston, Massachusetts, USA

3 Department of Anesthesia and Pain Management, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA

4 Department of Anesthesia and Pain Management, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA Department of Anesthesiology, Creighton University School of Medicine, Phoenix, Arizona, USA

Abstract

Meralgia paresthetica (MP) is a painful neuropathic condition caused by impingement of the lateral femoral cutaneous nerve (LFCN). The LFCN is a purely sensory nerve that innervates the anterolateral thigh. This nerve is derived  from divisions of the L2 and L3 spinal nerves. This condition can lead to neuropathic pain, paresthesias, and dysesthesias along the distribution of this nerve. Patients typically present with pain in the anterolateral thigh that is burning and tingling in nature and commonly exacerbated with light touch and hip extension

Keywords

  1. Khalil N, Nicotra A, Rakowicz W. Treatment for meralgia paraesthetica. Cochrane Database Syst Rev 2012; 12(12): CD004159.
  2. Cheatham SW, Kolber MJ, Salamh PA. Meralgia paresthetica: A review of the literature. Int J Sports Phys Ther 2013; 8(6): 883-93.
  3. Nurul Raihan AK, Narwani H, Mohd Effendi MG, Chung WM. Meralgia paresthetica-importance of anatomical knowledge in diagnosis. Med Health 2020; 15(1): 280-7.
  4. Mauck WD, Hunt CL, Olatoye OO, Warner NS, Lamer TJ. Spinal cord and peripheral nerve stimulation for painful disorders. Adv Anesth 2019; 37: 163-86.
  5. Dalal S, Berger AA, Orhurhu V, Kaye AD, Hasoon J. Peripheral nerve stimulation for the treatment of meralgia paresthetica. Orthop Rev (Pavia) 2021; 13(2): 24437.