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Meralgia Paresthetica

  • Chronic Pain Medicine (O Viswanath, Section Editor)
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Abstract

Purpose of Review

This review article summaries the epidemiology, etiology, clinical presentations, and latest treatment modalities of meralgia paresthetica, including the latest data about peripheral and spinal cord stimulation therapy. Meralgia paresthetica (MP) causes burning, stinging, or numbness in the anterolateral part of the thigh, usually due to compression of the lateral femoral cutaneous nerve (LFCN).

Recent Findings

There are emerging data regarding the benefit of interventional pain procedures, including steroid injection and radiofrequency ablation, and other interventions including spinal cord and peripheral nerve stimulation reserved for refractory cases.

Summary

The strength of evidence for treatment choices in meralgia paraesthetica is weak. Some observational studies are comparing local injection of corticosteroid versus surgical interventions. However, more extensive studies are needed regarding the long-term benefit of peripheral and spinal cord stimulation therapy.

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Correspondence to Cyrus Yazdi.

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Authors of this article, Jane Nithya Tolson Solomons M.D. ; Afrin Sagir, MD; and Cyrus Yazdi, MD, declare no conflict of interest.

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Solomons, J.N.T., Sagir, A. & Yazdi, C. Meralgia Paresthetica. Curr Pain Headache Rep 26, 525–531 (2022). https://doi.org/10.1007/s11916-022-01053-7

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