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MERALGIA PARESTHETICA

Meralgia Paresthetica Physiotherapy

Meralgia Paresthetica is also called as Bernhardt-Roth syndrome.
It is a neurological condition that causes numbness, tingling and sometimes pain in the outer aspect of thigh, but often not so serious. Lateral femoral cutaneous branch of femoral nerve compressed in the inguinal ligament is the most probable cause of the symptom.

MERALGIA PARESTHETICA
Pain is usually located on the lateral side of the thigh.

CAUSES:
• Age between 30-60 years.
• Pregnancy.
• Tight clothing.
• Hip surgery.
• Obesity.
• Standing/walking for longer periods/running/biking etc.
• Surgery/trauma to hip/ back.

SYMPTOMS:
• Pain,
• Burning,
• Tingling sensation,
• Partial loss of sensation,
• Aching in Groin area,
• Outer thigh is usually sensitive to touch light than to firm pressure.
• Muscles aren’t affected.

COMMON CAUSES:
• Lateral femoral cutaneous nerve is compressed/trapped/pinched.
• From lower spine to the pelvis under inguinal ligament
• If it is pinched/squeezed then it causes pain, loss of sensation, other etc.

INVESTIGATIONS
• X-ray/MRI for images of hip/pelvis
• NCV for damaged nerves
• Nerve blockade
• Anesthetic is injected 30-40 min of duration

REMEDIES:
• Loose clothing
• Resting
• Losing weight
• Stretching
• NSAIDS
• Aspirin, ibuprofen, acetaminophen
• Deep tissue massage
• Exercises for groin area
• Increase flexibility and strengthening of hip.
• Pelvis/low back mobility, stabilization and relaxation exercises
• Corticosteroid injection
• Tricyclic anti depressant
• Gabapentin, pregabalin
• Nerve decompression surgery
• By wearing loose fitting clothing or by losing weight we can reduce pain.
• Pregnant women can get relief after giving birth to their baby.
• Medications are recommended in severe cases.

PHYSIOTHERAPY MANAGEMENT:
• CAT Exercises
• MAT Exercises
• Spine stabilizers
• Lumbar extension exercises
• Abdominal exercises
• Quadriceps stretch
• Lunges
• Bridging exercises
• Strengthening thigh, Quadriceps, Hamstrings, Gluteal muscles etc
• Soft tissue release techniques