Meralgia Paresthetica Review: Update on Presentation, Pathophysiology, and Treatment

# Purpose of Review Meralgia paresthetica (MP) is a condition characterized by paresthesias, neuropathic pain, and alterations in sensorium of the anterolateral thigh secondary to impingement of the lateral femoral cutaneous nerve (LFCN). MP is generally diagnosed by clinical history and is often a...

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Main Authors: Yanet de la Caridad Gomez, Edgar Remotti, Deandra Uju Momah, Emily Zhang, Daniel D. Swanson, Rosa Kim, Ivan Urits, Alan D. Kaye, Christopher L Robinson
Format: Article
Language:English
Published: Open Medical Publishing 2023-03-01
Series:Health Psychology Research
Online Access:https://doi.org/10.52965/001c.71454
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author Yanet de la Caridad Gomez
Edgar Remotti
Deandra Uju Momah
Emily Zhang
Daniel D. Swanson
Rosa Kim
Ivan Urits
Alan D. Kaye
Christopher L Robinson
author_facet Yanet de la Caridad Gomez
Edgar Remotti
Deandra Uju Momah
Emily Zhang
Daniel D. Swanson
Rosa Kim
Ivan Urits
Alan D. Kaye
Christopher L Robinson
author_sort Yanet de la Caridad Gomez
collection DOAJ
description # Purpose of Review Meralgia paresthetica (MP) is a condition characterized by paresthesias, neuropathic pain, and alterations in sensorium of the anterolateral thigh secondary to impingement of the lateral femoral cutaneous nerve (LFCN). MP is generally diagnosed by clinical history and is often a diagnosis of exclusion. When diagnosis remains a challenge, diagnostic modalities such as ultrasound, MRI, electromyography, and nerve conduction studies have been utilized as an adjunct. This review summarizes the most recent medical literature regarding MP, its pathophysiology, presentation, and current treatment options. # Recent Findings Treatment options for patients with MP range from lifestyle modifications and conservative management to surgical procedures. Initial management is often conservative with symptoms managed with medications. When conservative management fails, the next step is regional blocks followed by surgical management. The conflicting data for treatment options for MP highlight how the evidence available does not point to a single approach that's universally effective for treating all patients with MP. # Summary Despite the apparent success at treating MP with regional blocks and surgical interventions, much remains to be known about the dosing, frequency, and optimal interventions due to the inconclusive results of current studies. Further research including randomized controlled trials are needed to better understand the most optimal treatment options for MP including studies with a larger number of participants.
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spelling doaj-art-df4cc1fd57cd4773833fd232bb9e1d062025-02-11T20:30:42ZengOpen Medical PublishingHealth Psychology Research2420-81242023-03-0111Meralgia Paresthetica Review: Update on Presentation, Pathophysiology, and TreatmentYanet de la Caridad GomezEdgar RemottiDeandra Uju MomahEmily ZhangDaniel D. SwansonRosa KimIvan UritsAlan D. KayeChristopher L Robinson# Purpose of Review Meralgia paresthetica (MP) is a condition characterized by paresthesias, neuropathic pain, and alterations in sensorium of the anterolateral thigh secondary to impingement of the lateral femoral cutaneous nerve (LFCN). MP is generally diagnosed by clinical history and is often a diagnosis of exclusion. When diagnosis remains a challenge, diagnostic modalities such as ultrasound, MRI, electromyography, and nerve conduction studies have been utilized as an adjunct. This review summarizes the most recent medical literature regarding MP, its pathophysiology, presentation, and current treatment options. # Recent Findings Treatment options for patients with MP range from lifestyle modifications and conservative management to surgical procedures. Initial management is often conservative with symptoms managed with medications. When conservative management fails, the next step is regional blocks followed by surgical management. The conflicting data for treatment options for MP highlight how the evidence available does not point to a single approach that's universally effective for treating all patients with MP. # Summary Despite the apparent success at treating MP with regional blocks and surgical interventions, much remains to be known about the dosing, frequency, and optimal interventions due to the inconclusive results of current studies. Further research including randomized controlled trials are needed to better understand the most optimal treatment options for MP including studies with a larger number of participants.https://doi.org/10.52965/001c.71454
spellingShingle Yanet de la Caridad Gomez
Edgar Remotti
Deandra Uju Momah
Emily Zhang
Daniel D. Swanson
Rosa Kim
Ivan Urits
Alan D. Kaye
Christopher L Robinson
Meralgia Paresthetica Review: Update on Presentation, Pathophysiology, and Treatment
Health Psychology Research
title Meralgia Paresthetica Review: Update on Presentation, Pathophysiology, and Treatment
title_full Meralgia Paresthetica Review: Update on Presentation, Pathophysiology, and Treatment
title_fullStr Meralgia Paresthetica Review: Update on Presentation, Pathophysiology, and Treatment
title_full_unstemmed Meralgia Paresthetica Review: Update on Presentation, Pathophysiology, and Treatment
title_short Meralgia Paresthetica Review: Update on Presentation, Pathophysiology, and Treatment
title_sort meralgia paresthetica review update on presentation pathophysiology and treatment
url https://doi.org/10.52965/001c.71454
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