Meralgia paresthetica: Difference between revisions
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**If symptoms are relieved after 30s of lateral compression diagnosis is confirmed | **If symptoms are relieved after 30s of lateral compression diagnosis is confirmed | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Hip pain DDX}} | {{Hip pain DDX}} | ||
Thigh Numbness | |||
*L3/L4 radiculopathy | |||
*Lumbosacral plexopathy | |||
*Femoral neuropathy | |||
==Evaluation== | ==Evaluation== | ||
Revision as of 18:04, 23 March 2020
Background
- Entrapment of the lateral femoral cutaneous nerve usually in the inguinal canal
Etiology
- Intrapelvic (pregnancy, enlarging mass, aneurysm)
- Extrapelvic (trauma, tight garment or belt, obesity)
- Systemic (DM)
Clinical Features
- Numbness and pain of anterolateral thigh
- Pelvic compression test
- Turn patient on side
- Compress pelvis
- If symptoms are relieved after 30s of lateral compression diagnosis is confirmed
Differential Diagnosis
Hip pain
Acute Trauma
- Femur fracture
- Proximal
- Intracapsular
- Extracapsular
- Shaft
- Mid-shaft femur fracture (all subtrochanteric)
- Proximal
- Hip dislocation
- Pelvic fractures
Chronic/Atraumatic
- Hip bursitis
- Psoas abscess
- Piriformis syndrome
- Meralgia paresthetica
- Septic arthritis
- Obturator nerve entrapment
- Avascular necrosis of hip
Thigh Numbness
- L3/L4 radiculopathy
- Lumbosacral plexopathy
- Femoral neuropathy
Evaluation
Management
- NSAIDs
- Weight loss
- Corticosteroid injection