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Physical Medicine and Rehabilitation for Meralgia Paresthetica Follow-up

  • Author: Christopher Luzzio, MD; Chief Editor: Consuelo T Lorenzo, MD  more...
 
Updated: Mar 30, 2015
 

Prognosis

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  • Prognosis depends on the etiology of the lateral femoral cutaneous nerve (LFCN injury). Simple meralgia paresthetica caused by external or benign mechanical injury often remits spontaneously. In one study where the surgical candidates were selected carefully, most patients who chose nerve decompression for chronic discomfort experienced relief. Factors that indicate excellent surgical outcome are outlined in Surgical Intervention.
  • For most patients, this condition is self-limiting, and with education, patients learn to tolerate symptoms and modify activity, thus avoiding surgery or other aggressive treatments.
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Patient Education

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  • Instruct patients to avoid activities that injure the lateral femoral cutaneous nerve.
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Contributor Information and Disclosures
Author

Christopher Luzzio, MD Clinical Assistant Professor, Department of Neurology, University of Wisconsin at Madison School of Medicine and Public Health

Christopher Luzzio, MD is a member of the following medical societies: American Academy of Neurology

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Michael T Andary, MD, MS Professor, Residency Program Director, Department of Physical Medicine and Rehabilitation, Michigan State University College of Osteopathic Medicine

Michael T Andary, MD, MS is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, American Association of Neuromuscular and Electrodiagnostic Medicine, American Medical Association, Association of Academic Physiatrists

Disclosure: Received honoraria from Allergan for speaking and teaching.

Chief Editor

Consuelo T Lorenzo, MD Medical Director, Senior Products, Central North Region, Humana, Inc

Consuelo T Lorenzo, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation

Disclosure: Nothing to disclose.

Additional Contributors

Everett C Hills, MD, MS Assistant Professor of Physical Medicine and Rehabilitation, Assistant Professor of Orthopaedics and Rehabilitation, Penn State Milton S Hershey Medical Center and Pennsylvania State University College of Medicine

Everett C Hills, MD, MS is a member of the following medical societies: American Academy of Disability Evaluating Physicians, Association of Academic Physiatrists, American Academy of Physical Medicine and Rehabilitation, American Association for Physician Leadership, American Congress of Rehabilitation Medicine, American Medical Association, American Society of Neurorehabilitation, Pennsylvania Medical Society

Disclosure: Nothing to disclose.

References
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  2. Otoshi K, Itoh Y, Tsujino A, et al. Case report: meralgia paresthetica in a baseball pitcher. Clin Orthop Relat Res. 2008 Sep. 466(9):2268-70. [Medline].

  3. Moritz T, Prosch H, Berzaczy D, et al. Common anatomical variation in patients with idiopathic meralgia paresthetica: a high resolution ultrasound case-control study. Pain Physician. 2013 May-Jun. 16(3):E287-93. [Medline].

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Basic anatomy of the lateral femoral cutaneous sensory nerve. The blue region over the anterolateral thigh outlines the area of cutaneous innervation.
 
 
 
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