Meralgia Paresthetica Treatment & Management

Updated: Jul 31, 2018
  • Author: Elizabeth A Sekul, MD; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Treatment

Medical Care

Removing the cause of compression is the best therapy.

  • In some patients, this entails weight loss and wearing loose clothing. [3]

  • Most patients with meralgia paresthetica will have mild symptoms that respond to conservative management. [10]

  • When the pain is severe, a focal nerve block can be done at the inguinal ligament with a combination of lidocaine and corticosteroids. This should temporarily relieve the symptoms for several days to weeks. Ultrasound guidance for the blockade may be beneficial in patients with regional anatomical variations. [11, 12, 13, 14]

  • Neurogenic pain medications such as carbamazepine or gabapentin typically are not as helpful but may be beneficial in rare patients. If medication of this type is required, then surgical decompression should be considered.

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Surgical Care

In rare and particularly painful cases that are unresponsive to nerve block, surgical decompression may be warranted. There is no definitive evidence to differentiate outcome comparing neurolysis versus neurectomy. [15]

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