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Br J Neurosurg 2018 Nov 19:1-4. Epub 2018 Nov 19.

c Department of Neurosurgery , Eskisehir State Hospital , Eskisehir , Turkey.

Background: Meralgia paresthetica is an entrapment neuropathy of the lateral femoral cutaneous nerve that may cause paresthesias, pain, and sensory loss of the anterior and lateral thigh. Treatment is primarily medical. Surgery is an option for patients who do not respond to medical treatments. Read More

Rozhl Chir 2018 ;97(6):286-290

Meralgia paresthetica is a compression neuropathy of the lateral femoral cutaneous nerve. Despite its rarity, it is the most common nerve entrapment of the lower limbs. It produces similar symptoms as those associated with the more common L4 or L5 radiculopathy. Read More

BMJ Case Rep 2018 Oct 21;2018. Epub 2018 Oct 21.

Goulburn Valley Health, Shepparton, Victoria, Australia.

Pediatr Int 2018 Aug;60(8):755-756

Department of Orthopedics, Kobe Central Hospital, Kobe, Japan.

Medicine (Baltimore) 2018 Aug;97(33):e11914

Hospital of St. John of God (Barmherzige Brüder) Salzburg, Department of Plastic, Aesthetic and Reconstructive Surgery, Paracelsus Medical University, Salzburg, Austria.

Meralgia paresthetica (MP) is a rare lateral femoral cutaneous nerve-(LFCN)-mononeuropathy. Treatment for this disorder includes conservative and operative approaches; the latter is considered if conservative therapy fails. The most commonly used surgical approaches are decompression/neurolysis and avulsion/neurectomy. Read More

Open Heart 2018 25;5(2):e000827. Epub 2018 Jul 25.

Heart and Lung Centre, New Cross Hospital, Wolverhampton, UK.

Objective: Severe decompensated aortic valve stenosis is associated with noticeable reduction in survival. Until recently the options for such patients were either high-risk surgery or percutaneous balloon valvuloplasty and medical therapy which does not add any survival benefits and associated with high rate of complications. We present our experience in the use of transcatheter aortic valve implantation (TAVI) in patients with decompensated severe aortic stenosis requiring urgent intervention in the same hospital admission. Read More

World Neurosurg 2018 Oct 11;118:e659-e665. Epub 2018 Jul 11.

Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan.

Objective: Meralgia paresthetica is a mononeuropathy of the lateral femoral cutaneous nerve (LFCN) caused by compression around the inguinal ligament. We report a surgical alternative for the treatment of meralgia paresthetica under local anesthesia and its outcomes.

Methods: We operated on 12 patients with unilateral meralgia paresthetica whose age at surgery ranged from 62 to 75 years. Read More

Korean J Pain 2018 Jul 2;31(3):215-220. Epub 2018 Jul 2.

Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Meralgia paresthetica (MP) is a sensory mononeuropathy, caused by compression of the lateral femoral cutaneous nerve (LFCN) of thigh. Patients refractory to conservative management are treated with various interventional procedures. We report the first use of extended duration (8 minutes) pulsed radiofrequency of the LFCN in a case series of five patients with refractory MP. Read More

J Clin Neurosci 2018 Apr 21;50:102-104. Epub 2018 Feb 21.

Department of Neurology, centre clinical de Soyaux, 2 chemin de Fregeneuil, 16800 Soyaux, France.

Although not as frequent as sciatica, cruralgia remains one of the most frequent reasons why people consult a neurosurgeon. It should be kept in mind, however, that every anterior leg pain is not cruralgia and thus several diagnoses must be discarded, such as of musculoskeletal diseases of hip, pelvis and femur. In the last years of the 19th century, André Léri, a French neurologist, described Leri's sign as it is used widely even today in everyday clinical practice. Read More

Pain Physician 2018 May;21(3):E225-E234

Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Korea.

Background: Recently, clinicians have been applying pulsed radiofrequency (PRF) stimulation on various peripheral nerves to manage patients' peripheral neuropathic pain.

Objectives: To review the literature on the use and efficacy of PRF for controlling peripheral neuropathic pain.

Study Design: This is a narrative review of relevant articles on the effectiveness of PRF for peripheral neuropathic pain. Read More

Clin Imaging 2018 Sep - Oct;51:209-212. Epub 2018 May 29.

McMaster University, St. Joseph's Healthcare Hamilton, Dept. of Diagnostic Imaging, 50 Charlton Ave. E., Hamilton, ON L8N 4A6, Canada. Electronic address:

We present an unusual case of sartorius muscle tear presenting as acute meralgia paresthetica. A healthy 67-year old male was referred to our department with a one-week history of pain, numbness and bruising over his hip and anterolateral thigh. Extended ultrasound assessment revealed an intramuscular tear of sartorius, with acute hematoma surrounding the adjacent lateral femoral cutaneous nerve. Read More

World Neurosurg 2018 Jul 3;115:274-276. Epub 2018 May 3.

Department of Neurosurgery, Nippon Medical School, Bunkyo-ku, Tokyo, Japan.

Background: We report a surgical case of entrapment neuropathy of lateral femoral cutaneous nerve (LFCN) with anatomical variation.

Case Description: This 53-year-old man had a 10-year history of paresthesia and pain in the right anterolateral thigh exacerbated by prolonged standing and walking. His symptoms improved completely but transiently by LFCN block. Read More

J Neurosurg 2018 Apr 13:1-6. Epub 2018 Apr 13.

Department of Neurological Surgery, University of Wisconsin, Madison, Wisconsin.

OBJECTIVE Meralgia paresthetica causes pain, burning, and loss of sensation in the anterolateral thigh. Surgical treatment traditionally involves neurolysis or neurectomy of the lateral femoral cutaneous nerve (LFCN). After studying and publishing data on the anatomical feasibility of LFCN transposition, the author presents here the first case series of patients who underwent LFCN transposition. Read More

Ann Plast Surg 2018 Feb;80(2):96-99

From the Division of Plastic and Reconstructive Surgery, Indiana University School of Medicine, Indianapolis, IN.

Introduction: Surgical drains are used in abdominoplasty patients to combat wound closure disruption by hematoma or seroma formation. Several recent publications have described techniques that allow abdominoplasty to be performed safely without the need for surgical drains. This has not, however, been described in the case of the bariatric patient, who is often considered to be of higher postoperative complication risk. Read More

Sports Med Open 2018 Jan 5;4(1). Epub 2018 Jan 5.

, Birmingham, USA.

A female with gestational diabetes presented with hip pain characteristic of meralgia paresthetica and trochanteric bursitis. She had similar episodes prior to pregnancy that were treated successfully with non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroid injections. However, NSAID use during pregnancy poses risks to the fetus and corticosteroids carry a risk of hyperglycemia, especially in those with diabetes. Read More

Cureus 2017 Oct 20;9(10):e1789. Epub 2017 Oct 20.

Department of Neurosurgery, Penn State Hershey Medical Center.

Meralgia paresthetica is a neuropathic pain disorder resulting from an entrapment neuropathy of the lateral femoral cutaneous nerve. This condition results in pain, paresthesias and numbness over the anterolateral aspect of the thigh. We present a case of meralgia paresthetica and discuss both the clinical and histopathological findings as they relate to one another. Read More

Rev Neurol 2018 Jan;66(1):34

Complejo Hospitalario Universitario de Albacete, Albacete, Espana.

J Cardiothorac Vasc Anesth 2018 02 19;32(1):495-511. Epub 2017 Aug 19.

Department of Anesthesiology, Loyola University Medical Center, Maywood, IL.

Indian J Orthop 2017 Nov-Dec;51(6):677-680

Clinic of Orthopaedics and Paediatric Orthopaedics, Medical University of Łódź, Łódź, Poland.

Background: The opinion about best methods of femoroacetabular impingement (FAI) treatment are not consistent. Operative treatment of this condition may be arthroscopic, but open procedures with osteotomy of the greater trochanter and hip dislocation has been used. The present study evaluates the benefits of the mini-open direct anterior approach (DAA) in treating patients with FAI, with is a procedure available for most orthopedic surgeons. Read More

Clin Spine Surg 2018 Mar;31(2):53-57

Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ.

Meralgia paresthetica is a non-life-threatening neurological disorder characterized by numbness, tingling, and burning pain over the anterolateral thigh due to impingement of the lateral femoral cutaneous nerve. This disorder has been seen in patients with diabetes mellitus and obesity, but has also been observed in patients after procedures such as posterior spine surgery, iliac crest bone grafts, lumbar disk surgery, hernia repair, appendectomies, and pelvic osteotomies that ultimately lead to compression or damage to the lateral femoral cutaneous nerve. Overall, permanent sequelae of meralgia paresthetica are rare, however, some cases do require intervention. Read More

MMW Fortschr Med 2017 Nov;159(19):66-68

Muskuloskelettales Zentrum, Klinikum Neumarkt i. d. OPf., Neumarkt i. d. OPf., Deutschland.

North Clin Istanb 2017 26;4(2):180-184. Epub 2017 Aug 26.

Departmant of Physical Medicine and Rehabilitation, Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey.

Warfarin is a commonly used anticoagulant agent that can have life-threatening complications, such as severe bleeding, which then require cessation of the treatment. Due to the widespread use of this therapy in recent years, incidences of its hemorrhagic complications have also increased significantly. In hemodynamically stable patients, it is possible to adopt conservative treatment strategies, such as ultrasound (US) therapy as an alternative. Read More

Neurointervention 2017 Sep 5;12(2):122-124. Epub 2017 Sep 5.

Department of Neurology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.

Meralgia paresthetica (MP) is a sensory mononeuropathy of the lateral femoral cutaneous nerve (LFCN). MP has rarely been reported after a femoral intervention approach. We report a case of bilateral meralgia paresthetica following bilateral femoral cannulation. Read More

Pain Physician 2017 09;20(6):E987-E989

Department of General Surgery, Aintree University Hospital, Liverpool, England.

Meralgia paraesthetica (MP) is a condition originally described by Bernhardt in 1878 and was eventually named by Roth in 1895. It is caused by compression of the lateral femoral cutaneous nerve (LFCN) resulting in varying types of discomfort. Severity of the symptoms can range from mildly uncomfortable to painfully disabling. Read More

Oper Neurosurg (Hagerstown) 2017 Jun;13(3):402-408

Department of Radiology, University of Wisconsin, Madison, Wisc-onsin.

Background: Difficulty and sometimes inability to find the lateral femoral cutaneous nerve (LFCN) intraoperatively is well known. Variabilities in the course of the nerve are well documented in the literature. In a previous paper, we defined a tight fascial canal that completely surrounds the LFCN in the proximal thigh. Read More

J Clin Neurosci 2017 Sep 13;43:192-195. Epub 2017 May 13.

Department of Neurology, Chang-Gung Memorial Hospital, Keelung, Taiwan. Electronic address:

Recognizing the cause is essential for the management of meralgia paresthetica (MP), also known as lateral femoral cutaneous neuropathy. The aim of this study was to investigate the etiologies of MP and their influence on each other. This retrospective study enrolled referral patients with electromyographic studies who fulfilled the clinical and electrodiagnostic criteria of MP from January 2003 to December 2013. Read More

No Shinkei Geka 2017 May;45(5):431-436

Department of Neurological Surgery, Nippon Medical School.

A 60-year-old woman presented with a 1-year history of pain and numbness in the left anterolateral thigh. The symptoms aggravated on walking and standing. Her visual analogue scale(VAS)score was 7. Read More

Scott Med J 2018 Feb 7;63(1):25-27. Epub 2017 May 7.

Medical Doctor (MD), Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit Education and Research Hospital, Turkey.

A 44-year-old female with paraesthesia and pain on the left anterolateral thigh who had been diagnosed with limb-girdle muscular dystrophy by electromyography and muscle biopsy is presented. Neurological examination revealed atrophy of the proximal muscles of both shoulders, plus pseudo hypertrophy of both calves. Electromyography exhibited a myopathic pattern. Read More

J Spec Oper Med Spring 2017;17(1):94-100

This is the second of a two-part series addressing symptoms, evaluation, and treatment of load carriage- related paresthesias. Part 1 addressed rucksack palsy and digitalgia paresthetica; here, meralgia paresthetica (MP) is discussed. MP is a mononeuropathy involving the lateral femoral cutaneous nerve (LFCN). Read More

Acta Neurochir (Wien) 2017 05 10;159(5):931-936. Epub 2017 Mar 10.

Department of Neurosurgery, Pennsylvania State Milton S. Hershey Medical Center, 30 Hope Drive, Building B, Suite 1200, Hershey, PA, 17033, USA.

Background: Meralgia paresthetica is a mononeuropathy of the lateral femoral cutaneous nerve (LCFN). Surgical treatment involves transection or decompression of the LCFN. There is no clear consensus on the superiority of one technique over the other. Read More

Clin Anat 2017 Apr;30(3):409-412

Department of Neurological Surgery, University of Wisconsin, 600 Highland Avenue, Madison, Wisconsin, 53792.

Meralgia paresthetica causes pain in the anterolateral thigh. Most surgical procedures involve nerve transection or decompression. We conducted a cadaveric study to determine the feasibility of lateral femoral cutaneous nerve (LFCN) transposition. Read More

Pain Pract 2017 11 25;17(8):1105-1108. Epub 2017 Feb 25.

Department of Physical Medicine and Rehabilitation, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

Meralgia paresthetica (MP) is an entrapment neuropathy of the lateral femoral cutaneous nerve (LFCN). There are many variations in the course of the LFCN. A 55-year-old woman presented with pain and tingling sensations on the anterolateral aspect of her left thigh. Read More

J Spec Oper Med Winter 2016;16(4):74-79

This is the first of a two-part article discussing loadcarriage- related paresthesias, including brachial plexus lesions (rucksack palsy), digitalgia paresthetica, and meralgia paresthetica. Paresthesias are sensations of numbness, burning, and/or tingling, usually experienced as a result of nerve injury, compression, traction, or irritation. Rucksack palsy is a traction or compression injury to the brachial plexus, caused by the shoulder straps of the rucksack. Read More

Semin Musculoskelet Radiol 2016 Nov 21;20(5):453-460. Epub 2016 Dec 21.

Department of Health Sciences (DISSAL), University of Genova, Genoa, Italy.

This article is a practical review update on ultrasound (US)-guided interventional procedures on peripheral nerves. Technical considerations, biopsy techniques, and some examples of injections are described. US is considered a safe imaging guidance for interventional procedures, due to its high spatial resolution and the possibility to image the needle and inject drugs in real time. Read More

Transplantation 2017 Mar;101(3):664-670

1 Department of Transplantation, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. 2 Department of Obstetrics and Gynecology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. 3 Stockholm IVF, Stockholm, Sweden.

Background: The first prospective observational study of uterus transplantation was initiated in 2013 with live donation to 9 women with absolute uterine factor infertility. We explored the medical complications and psychosocial wellbeing of the donors during the first postoperative year.

Methods: Complications were registered and graded according to the Clavien-Dindo (C-D) classification. Read More

Br J Pain 2016 Nov 16;10(4):232-237. Epub 2016 Sep 16.

Department of Anesthesiology and Pain Medicine, Asian Institute of Medical Sciences, Faridabad, India.

Meralgia paresthetica is a rare sensory entrapment neuropathy which leads to burning, tingling and numbness in the antero-lateral aspect of thigh. Mostly it runs a benign course, and responds to conservative measures. We present a case series of six patients with intractable paresthetica with severe pain over antero-lateral thigh along the distribution of lateral cutaneous nerve of thigh which was further confirmed by nerve conduction study. Read More

J Neurol Sci 2016 Nov 21;370:132-133. Epub 2016 Sep 21.

Neuromuscular Center, Cleveland Clinic Foundation, 9500 Euclid Ave S90, Cleveland, OH 44195, United States.

Compression of the lateral femoral cutaneous nerve (LFCN) in the thigh, commonly referred to as meralgia paresthetica, may be due to obesity, tight clothing and other external factors. We report two cases of meralgia paresthetica due to compression of the LFCN by portable electronic or "smart" devices. Read More

Case Rep Crit Care 2016 26;2016:7263201. Epub 2016 Sep 26.

Department of Neurology, Nordsjaellands Hospital, University of Copenhagen, Hillerød, Denmark; Department of Neurology, Zealand University Hospital in Roskilde, Roskilde, Denmark.

Meralgia paresthetica (MP) is a mononeuropathy of the lateral femoral cutaneous nerve (LFCN) caused by external compression of the nerve during its course close to the anterior superior iliac spine. We present a case of a patient with acute respiratory distress induced by pneumonia who was admitted to the intensive care unit (ICU) for mechanical ventilation. In the ICU, the patient received one session of prone position ventilation for 8. Read More

Int J Implant Dent 2016 Dec 4;2(1). Epub 2016 Jan 4.

Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine, Yokohama, Japan.

Iliac particulate cancellous bone and marrow (PCBM) is still the most predictable autogenous graft material for vertical ridge reconstruction because of its high cell content as well as osteoinductive and osteoconductive properties. However, postoperative meralgia paresthetica, gait disturbance, pain, and bleeding have been reported following conventional harvesting from the anterior iliac crest. We present a case of minimally invasive harvesting of iliac PCBM. Read More

J Neurosurg Sci 2018 Jun 23;62(3):372. Epub 2016 Sep 23.

Stereotactic and Functional Neurosurgery Unit, Department of Neurosurgery, School of Medicine and Surgery, Magna Graecia University, Catanzaro, Italy.

J Clin Anesth 2016 Sep 13;33:456-9. Epub 2016 Jul 13.

Monroe Carell Jr Children's Hospital at Vanderbilt, 2200 Children's Way, Suite 3115, Nashville, TN 37232. Electronic address:

Meralgia paresthetica is a chronic pain syndrome that is extremely rare in the pediatric population. It is manifested by hypesthesia or pain in the distribution of the lateral femoral cutaneous nerve (LFCN) and is typically caused by entrapment as the nerve passes deep to the inguinal ligament. This sensory mononeuropathy is rare in children and diagnosis is typically delayed, often leading to prolonged functional impairment and unnecessary medical testing. Read More

J Clin Neuromuscul Dis 2016 Sep;18(1):44

Department of Neurology, Haga Hospital, The Hague, the Netherlands.

Muscle Nerve 2017 05 3;55(5):646-650. Epub 2017 Jan 3.

Department of Anatomy, Research Institute of Medical Science, Konkuk University School of Medicine, 120 Neungdong-ro, Gwangjin-gu, Seoul, 05029, Republic of Korea.

Introduction: Compression of the lateral femoral cutaneous nerve (LFCN), known as meralgia paresthetica (MP), is common. We investigated the topographic anatomy of the LFCN focusing on the inguinal ligament and adjacent structures.

Methods: Distances from various bony and soft-tissue landmarks to the LFCN were investigated in 33 formalin-embalmed cadavers. Read More

Ann Acad Med Singapore 2016 Jun;45(6):259-60

National Skin Centre, Singapore.

FP Essent 2016 07;446:19-24

University of Kansas School of Medicine Family and Community Medicine, 1010 N. Kansas, Wichita, KS 672147.

Common overuse injuries of the hip include greater trochanteric pain syndrome (GTPS) and coxa saltans (ie, snapping hip). GTPS, previously called trochanteric bursitis, is a regional chronic pain syndrome. Etiologies include gluteal tendinitis or tendinosis, gluteal muscle or tendon tears, bursitis, meralgia paresthetica, iliotibial band disorders, and referred osteoarthritis pain. Read More

Pain Med 2016 Jun 21. Epub 2016 Jun 21.

Geriatric Research Education and Clinical Center, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania Clinical and Translational Sciences Institute, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania Division of Geriatric Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania Department of Psychiatry Department of Anesthesiology, Pittsburgh, Pennsylvania, USA

Objective: This article presents an evidence-based algorithm to assist primary care providers with the diagnosis and management of lateral hip and thigh pain in older adults. It is part of a series that focuses on coexisting pain patterns and contributors to chronic low back pain (CLBP) in the aging population. The objective of the series is to encourage clinicians to take a holistic approach when evaluating and treating CLBP in older adults. Read More

Mol Pain 2016 13;12. Epub 2016 Jun 13.

Osaka University Graduate School of medicineOsaka University Graduate School of medicineOsaka University Graduate School of medicineOsaka University Graduate School of medicine Osaka University Graduate School of Medicine Osaka University Graduate School of Medicine

Background: Alternative medicine is noted for its clinical effect and minimal invasiveness in the treatment of neuropathic pain. Go-sha-jinki-Gan, a traditional Japanese herbal medicine, has been used for meralgia and numbness in elderly patients. However, the exact mechanism of GJG is unclear. Read More

Pain Physician 2016 05;19(4):E667-9

Hacettepe University Medical School, Department of Physical and Rehabilitation Medicine.

Meralgia paresthetica refers to the entrapment of the lateral femoral cutaneous nerve at the level of the inguinal ligament. The lateral femoral cutaneous nerve - a purely sensory nerve - arises from the L2 and L3 spinal nerve roots, travels downward lateral to the psoas muscle, and then crosses the iliacus muscle. Close to the anterior superior iliac spine, the nerve courses in contact with the lateral aspect of the inguinal ligament and eventually innervates the lateral thigh. Read More

Ann Chir Plast Esthet 2016 Dec 18;61(6):872-876. Epub 2016 May 18.

Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France. Electronic address:

To limit the risk of iatrogenic neuroma and recurrence after surgical treatment of meralgia paresthetica, some authors have recently developed a technique of endoscopic neurolysis of the lateral cutaneous nerve of thigh (LCNT) below the level of the inguinal ligament. We report the case of a robot-assisted endoscopic technique underneath the inguinal ligament. A 62-year-old patient suffering of idiopathic meralgia paresthetica for the past 18 months received a Da Vinci robot-assisted minimally-invasive 10cm long neurolysis, of which 1/3 was situated above the level of the inguinal ligament and 2/3 below it. Read More