lateral femoral cutaneous nerve pain treatment

In most cases Physiopedia articles are a secondary source and so should not be used as references. The .gov means its official. Meier T, Wasner G, Faust M, et al. Evaluation should begin with sites adjacent to where the pain is reported and then gradually moving towards the site because touch of the painful site can trigger allodynia in adjacent sites, obscuring the diagnostic evaluation.42 While gynecologists will generally limit their testing to response to mechanical sensitivity, neuropathy can also result in alterations in thermal sensitivity.43 Indeed, cold-induced pain can be tested by a drop of acetone on the suspected region and visual analogue scores of 3/10 and greater are considered possible evidence of neuropathic pain. Antidepressants for neuropathic pain: a Cochrane review. [2](level of evidence 5), There are some case studies regarding MP using manual therapy. Treatment for this disorder includes conservative and operative approaches; the latter is considered if conservative therapy fails. of Obstetrics and Gynecology, b University of Chicago Pritzker School of Medicine Dept. Scientists use genetic rewiring to increase lifespan of cells, 10 exercises for a pinched nerve in the neck, Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS. Greenberg SA. In some patients, this entails weight loss and wearing loose clothing. [11](level of evidence 5), The benefits of Acupuncture as an intervention (e.g. Stokvis A, van der Avoort DJ, van Neck JW, Hovius SE, Coert JH. There is a study by Terret citing a case where chiropractic manual treatment of the hip and pelvis resulted in MP. Hold the position, taking 10 slow, deep breaths. A call for further experimental and systematic clinical studies. Some exercises to try include: brisk walking low-impact aerobics swimming water aerobics cycling outdoors or on a stationary bike Wiffen P, Collins S, McQuay H, Carroll D, Jadad A, Moore A. Anticonvulsant drugs for acute and chronic pain. Other imaging tests, such as a CT scan or magnetic resonance imaging (MRI) scan can check for other spinal or nerve issues, like a herniated disc. Surgical decompression of the nerve aims to free it from a compressed position between the sacrospinous and sacrotuberous ligament. Some treatments of femoral neuropathy include: A doctor may recommend a nerve block, a local anesthetic that interrupts, or turns off, the pain signals that travel along a certain nerve. Patients may report pain when standing or walking for a long time. The use of imaging scans can help in determining where the needles should be inserted. LFCN compression under the inguinal ligament can result in medial tight pain and over to the adjacent labium majus.49 The pudendal nerve dermatome extends over the labia, perineum and anorectal region. WebMERALGIA PARESTHETICA - FRONT THIGH PAIN Meralgia paresthetica is a condition characterized by tingling, numbness and burning pain in your outer thigh. The occasional patient will experience dramatic, prolonged reduction of symptoms. The patient with MP will experience symptoms, superficial as well as deep tissue, in this part of the thigh. This pain can be turned off by using a specific type of injection that blocks the pain signals from reaching the brain and this is known as a nerve block. However, many types of exercise can help ease symptoms of the condition. MNT is the registered trade mark of Healthline Media. Their assessments are carried out to establish the patients current activity levels and any barriers the patient has to increased activity. The condition known as lateral femoral cutaneous nerve entrapment, also known as meralgia paresthetica, causes burning pain, tingling, and numbness in the outer Learn about the causes, symptoms, and treatments, as well as how to prevent and manage the, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Physical therapy aims to help people maintain, recover, or improve their physical ability. [8]Femoral neuropathy occurs when you cant move or feel your leg due to damaged nerves. Policy. Mailis-Gagnon A, Furlan AD, Sandoval JA, Taylor R. Spinal cord stimulation for chronic pain. Cleveland Clinic is a non-profit academic medical center. MRI or ultrasound examinations are performed when suspecting pelvic tumors including retroperitoneal tumor. It can help identify changes in the nerves shape. The study of pelvic neuropathic pain has likely been hampered by the wide, and confusing differential diagnosis to consider for abdomino-pelvic pain presentations. There is a problem with information submitted for this request. Last reviewed by a Cleveland Clinic medical professional on 03/27/2023. WebPain that radiates from your back and hips into your legs (radicular pain) is a common sign of femoral nerve damage. Treatment of vulvodynia with tricyclic antidepressants: efficacy and associated factors. Medical Care. [1], The lateral femoral cutaneous nerve (LFCN) of the thigh is normally a branch of the posterior disunity of the L2 and L3 spinal nerves. Oral desipramine and topical lidocaine for vulvodynia: a randomized controlled trial. Evidence of autonomic abnormalities such as erythema, or less commonly sweating, may suggest central components to the pain, and may point to a need for central agents to successfully abolish pain. This causes tingling, numbness, and pain in the outer thigh. The best example is acute ilioinguinal or iliohypogastric nerve entrapment following fascial closure of abdominal wall incisions, such as with inguinal herniorrhaphy, pfannenstiel incisions, or even lateral endoscopic port closure.66 In the past year we have seen two cases of acute unilateral ilioinguinal nerve entrapment following routine laparoscopy that resolved following removal of the fascial stitches within a week of the initial surgery. Nikolajsen L, Sorensen HC, Jensen TS, Kehlet H. Chronic pain following Caesarean section. Similarly, small case studies have suggested either abdominal wall or retroperitoneal ligation of injured ilioinguinal, iliohypogastric, or genitofemoral nerves can be effective when a release is not feasible.7071 An important caveat is that in a subset of patients ligation can produce sustained deafferentation pain which can be equally if not more devastating.72. 91 In contrast, Foster and colleagues have recently found that treatment of vulvodynia with desipraimine (with or without topical xylocaine) improved symptoms but not over placebo. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, Standard treatments for meralgia parasthetica, https://pubmed.ncbi.nlm.nih.gov/25911497/, https://www.physio-pedia.com/Meralgia_Paraesthetica, https://www.ninds.nih.gov/Disorders/All-Disorders/Meralgia-Paresthetica-Information-Page, https://pubmed.ncbi.nlm.nih.gov/19674679/, https://physio-pedia.com/Therapy_Exercises_for_the_Hip?utm_source=physiopedia&utm_medium=search&utm_campaign=ongoing_internal, https://ofpjournal.com/index.php/ofp/article/view/610, A safer blood thinner? Many home remedies can help, but people should consult a doctor about severe pain. Chou R, Fanciullo GJ, Fine PG, et al. MP is caused by damage to the nervus cutaneus femoris lateralis (LFCN). Dimensions of catastrophic thinking associated with pain experience and disability in patients with neuropathic pain conditions. Consequently, we will make recommendations for clinical practice based on more clear-cut disorders such as diabetic neuropathy. Various tests can help diagnose femoral neuropathy. Indications for a lateral femoral cutaneous nerve block include treating meralgia paresthetica and differentiating the source of anterior upper thigh pain. The available literature suggests that acupuncture may be effective in the treatment of MP. They can determine the underlying cause and recommend treatments. Approximately 85% of people with meralgia paresthetica experience recovery with conservative treatment. Nerve conduction velocity tests measure how quickly electrical signals move through nerves. It travels through the pelvis heading towards the anterior superior iliac spine (ASIS) and exits the lesser pelvis below the inguinal ligament (IL), anterior to the ASIS. [4](level of evidence 4)Two surgical techniques have been developed to cure MP. Several conditions and situations can cause it, such as wearing tight clothing, pregnancy and direct injury to your nerve. Other symptoms include: Leg, ankle or foot numbness, The most common site of entrapment occurs at the inguinal Many cases clearly do resolve with observation and pain control, and clearly a dialogue with the patient will guide how quickly this decision is made. Diagnosis and treatment of genitofemoral and ilioinguinal neuralgia. Multiple treatment options targeting the LFCN [1](level of evidence 4)Successful pain relief is significantly higher with neurectomy than with neurolysis. the contents by NLM or the National Institutes of Health. They may also recommend corticosteroids to reduce inflammation and swelling. Moldaver J. Tinels sign. People should seek medical advice if they experience new or worsening symptoms of femoral neuropathy. 300 mg qhs, increase by 300 mg every 47 d until effective or up to 600900 mg TID, in older patients or drug sensitive, consider starting/increasing by 100 mg. We and others have applied these measures to characterize a limited subset of pelvic pain conditions which may have neuropathic components.1720 Consistent with this idea, localization of the damaged nerve combined with psychophysiological characterization represent a standard component of the diagnostic work-up neuropathic pain as described below. The action potential in fibers of slow conduction in spinal roots and somatic nerves. Wearing clothing thats too tight or belts around your waist. Tu FF, Fitzgerald CM, Kuiken T, Farrell T, Harden RN. It provides sensation to the front and sides of the thigh. Recent diagnostic criteria have been proposed for perineal/pudendal nerve syndromes; however, these still require validation (Table 1).41 The two divisions to consider are the posterior branches of the lateral femoral cutaneous nerve (LFCN, L2L3) and the pudendal nerve (S2S4). Neuropathic pain: redefinition and a grading system for clinical and research purposes. Meralgia Paresthetica-A Common Cause of Thigh Pain. This novel blood clot treatment doesn't increase bleeding risk, Why young women have more adverse outcomes after a heart attack than young men, Gut microbiome appears to fluctuate throughout the day and across seasons, One-hour endoscopic procedure could eliminate the need for insulin for type 2 diabetes, New clues to slow aging? Meralgia paresthetica information page. With the conservative management, the causing factors are identified. Uchiyama K, Kawai M, Tani M, Ueno M, Hama T, Yamaue H. Gender differences in postoperative pain after laparoscopic cholecystectomy. Keegan JJ, Garrett FD. Therefore, they must be recognized during the examination and appropriately treated. National Library of Medicine 1173185. . Stand about 2 feet from a wall, with the feet shoulder-width apart. Women suffer more short and long-term pain than men after major thoracotomy. Surgical nerve release together with resection of fibrosis and removal of prosthetic material provides good long-term results. To increase the intensity, a person can place a resistance band around their thighs. The femoral nerve is one of the largest nerves in the body. The cause can be an injury, prolonged pressure on the nerve or damage from a disease. Some patients also present with hair loss in the areas of the LFCN because they constantly rub this area. Balance Exercise [4](Level of evidence 5)Programs that incorporate multisensory balance training have a potential to induce adaptive responses in neuromuscular system that enhances postural control, balance and functional ability of women. Chiropractic care involves adjusting the spine to take pressure off of the nerves. The predominant approaches have been described through either the transgluteal or transischiorectal fossa by two separate French teams. Scientists use genetic rewiring to increase lifespan of cells. 1 24 MP has a higher predilection in adult males than females and can technically occur at all Anticonvulsants for neuropathic pain syndromes: mechanisms of action and place in therapy. 8600 Rockville Pike de Ruiter, Godard CW, and Alfred Kloet. Viswanathan A, Kim DH, Reid N, Kline DG. Successful treatment of refractory pudendal neuralgia with pulsed radiofrequency. If pressure on the nerve is causing neuropathy, treatment will focus on reducing pressure on the nerve. 31 For perineal and deep pelvic/vaginal pain, both natural and operative vaginal delivery as well as vaginal prolapse and anti-incontinence procedures (cystocele or rectocele repair, vaginal vault suspension, midurethral slings) are associated specifically with neuropathic pain in the pudendal nerve distribution. Despite the hypothesized benefits, the current evidence is insufficient for MP. 2728 Patients exhibiting evidence of central sensitization may need treatment with centrally acting neuromodulatory medications labeled for use as antidepressants, anticonvulsants, and sedative-hypnotics, despite the appearance of a peripheral problem. It can lead to pain, numbness, weakness, and possibly paralysis in the legs. Last medically reviewed on December 23, 2020, A pinched nerve in the neck can cause pain, numbness, and tingling. Mauillon J, Thoumas D, Leroi AM, Freger P, Michot F, Denis P. Results of pudendal nerve neurolysis-transposition in twelve patients suffering from pudendal neuralgia. As several situations and conditions can cause meralgia paresthetica, theyll ask many questions to try to determine the possible cause of your symptoms. [5]Besides the examination, diagnosis can be based on other additional test like a nerve conduction test of the LFCN.It is very important to note that MP can sometimes occur in combination with certain red flags. In some cases, making lifestyle changes can help manage the symptoms of femoral neuropathy. WebAutologous skin grafting from the thigh is frequently required for treatment of burns and is associated with intense pain at the donor site. Left untreated, meralgia paresthetica may cause increased pain, numbness or other sensations like burning. Saarto T, Wiffen PJ. Treatment options for severe cases may include painkillers or, in rare cases, surgery. This nerve provides sensation to the skin along the outer thigh starting from the inguinal ligament and extending down toward the knee. Hillis SD, Marchbanks PA, Peterson HB. All rights reserved. Medications commonly utilized in Theyll perform a thorough physical exam, including a hands-on test called a pelvic compression test. Efficacy of lidocaine patch 5% in the treatment of focal peripheral neuropathic pain syndromes: a randomized, double-blind, placebo-controlled study. Web Most common nerve injured is a lateral femoral cutaneous nerve (2%): Hyperesthesia or paresthesia of upper aspect of thigh and hip. Lower the body until the right thigh is parallel to the floor, and the right shin is vertical. In the ideal setting, an anatomical cause for neuropathic pain can be identified and reversed. Sacrospinous colpopexy: management of postoperative pudendal nerve entrapment. Pudendal neuropathy involving the perforating cutaneous nerve after cystocele repair with graft. Particularly for pudendal nerve release surgery, referral to a specialist may be best, given the limited experience most gynecologists will have with these surgical approaches. Cardinal symptoms of neuropathic pain include hyperalgesia (increased sensitivity to pain) and allodynia (increased sensitivity to touch), although these are nonspecific. Kiff ES, Swash M. Slowed conduction in the pudendal nerves in idiopathic (neurogenic) faecal incontinence. These focus on stretching and strengthening the muscles in the hips and legs. Meralgia Paresthetica (MP) is a nerve entrapment resulting in pain, paresthesias, and sensory loss within the distribution of the lateral femoral cutaneous nerve or in more contemporary terms, the lateral cutaneous nerve of the thigh (LCNT). Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): somatosensory abnormalities in 1236 patients with different neuropathic pain syndromes. Age. Dizziness, somnolence, blurry vision, fever, hostile behavior, 75 mg BID, increase by 75 mg BID every 47 days up to effect or 300 mg BID, Weight gain, somnolence, dizziness, blurry vision, impaired thinking, Start 50 mg BID increase weekly by 50100 mg up to 200 to 400 mg/day in two divided doses, gastrointestinal, diarrhea, loss of appetite, nausea, weight loss, dizziness, paresthesia, impaired concentration, somnolence, blurred vision, fatigue, single 60-minute application of up to 4 patches every 3 months as needed must be limited to area identified by physician as hyperalgesic; do not apply more frequently than every 3 months, wear gloves while handling, Pain during treatment, skin rash, blood pressure elevation during treatment, Apply patch (cut to appropriate size) to affected skin up to 12 hours/24 hour period, Local skin irritation, very rare systemic lidocaine toxicity (light-headedness, dizziness, drowsiness, tinnitus, blurred or double vision, bradycardia, hypotension). Starling JR, Harms BA. Vroomen PC, de Krom MC, Knottnerus JA. WebLateral femoral cutaneous nerve block can be of diagnostic benefit and therapeutic value in patients suffering from meralgia paresthetica. Successful treatment of painful traumatic mononeuropathy with carbamazepine: insights into a possible molecular pain mechanism. [1](level of evidence 4), Physiotherapists aim to promote successful weight management and improved general health by appropriately increasing patients levels of physical activity. WebAfter locating the lateral femoral cutaneous nerve with ultrasound and reproducing the patient's dysthesia with stimulation, pulsed radiofrequency treatment was performed at 42C for 120 seconds. Meralgia paresthetica can also be treated by local cortisone injection at the point where the nerve crosses the crease in the groin. Roth TM. 2005 Oct;54(10):991-9. doi: 10.1007/s00101-005-0879-1. The lidocaine patch 5% effectively treats all neuropathic pain qualities: results of a randomized, double-blind, vehicle-controlled, 3-week efficacy study with use of the neuropathic pain scale. While basic research has demonstrated exercise is beneficial for peripheral neuropathy and related chronic muscle pain additional clinical research is required to prove its efficacy. If the condition is interfering with your quality of life, talk to a healthcare provider. Sites where pain is produced by light touch should be documented as allodynic. Corona R, De Cicco C, Schonman R, Verguts J, Ussia A, Koninckx PR. Can diet help improve depression symptoms? Is the ketogenic diet right for autoimmune conditions? While gynecologic surgeons should easily gain comfort in performing abdominal or perineal nerve blocks, more sophisticated testing can be conducted by a neurologist. A comparison of the lidocaine patch 5% vs naproxen 500 mg twice daily for the relief of pain associated with carpal tunnel syndrome: a 6-week, randomized, parallel-group study. It focuses on reducing pressure on the femoral nerve. Mapping the pain site in relation to the pelvic dermatome helps identify the pathological nerves. Deafferentation pain after posterior rhizotomy, trauma to a limb, and herpes zoster. Ultrasound-guided interventional procedures for patients with chronic pelvic pain - a description of techniques and review of literature. The induction and maintenance of central sensitization is dependent on N-methyl-D-aspartic acid receptor activation; implications for the treatment of post-injury pain hypersensitivity states. Meltzer-Brody SE, Zolnoun D, Steege JF, Rinaldi KL, Leserman J. Open-label trial of lamotrigine focusing on efficacy in vulvodynia. Anatomical variations of the lumbar plexus: a descriptive anatomy study with proposed clinical implications, a review of the literature. Comparative measurement of pelvic floor pain sensitivity in chronic pelvic pain. It is caused by a damage to the nervus cutaneus femoris lateralis. Harris G, Horowitz B, Borgida A. The other authors have reported no potential conflicts. Pharmacological therapy is used frequently for neuropathic pain, although the specific data for pelvic pain disorders is also quite limited. In some cases, a person may need surgery. Blood tests and thyroid function tests are used when a metabolic cause is expected.[5]. Non-surgical spinal decompression is a safe and effective treatment option for those who do not respond well to other treatments. This reduction in tension may result in reduction of the symptoms. Murina F, Bianco V, Radici G, Felice R, Di Martino M, Nicolini U. Transcutaneous electrical nerve stimulation to treat vestibulodynia: a randomised controlled trial. We describe duration and severity of these symptoms and correlate their relationship with hip functional scores. We reflect on a historical anecdote in closing: in 1863 John Hilton of London described a man with pain in whom it was quite apparent that the cause must be associated with the perineal branch of the pudic nerve. The solution to this patients treatment was merely having a hole made in his chair or to use a hollow cushion.108 This approach, which we continue to see many affected women employ, was from a prior era that put faith in nerves and their pathology--without imaging, electrical nerve testing or even nerve blocks. The use of complementary and alternative medicines by patients with peripheral neuropathy. Quantitative sensory testing: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. [4]As mentioned before a mononeuropathy of the LFCN, is commonly due to entrapment of this nerve as it passes through the inguinal ligament. WebBeing overweight or obese can increase the pressure on your lateral femoral cutaneous nerve. Outside of the perioperative period, gynecologists will mainly confront probable neuropathic pain in rare circumstances: when it presents as endometriosis invading into pelvic nerves or as spontaneous pain involving compression of pelvic nerves such as branches of the obturator, pudendal, or lateral femoral cutaneous nerves. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Pain exacerbated with sitting should direct assessment towards the perineal branches of the ilioinguinal, genitofemoral, pudendal or lateral femoral cutaneous nerves (LFCN, L2L3). Dr. Tus time preparing this work is supported by NIH grant K23HD054645. WebDeep gluteal space sciatic, posterior femoral cutaneous, superior & inferior gluteal, pudendal, nerves to obturator internus, quadratus femoris & biceps femoris LOWER BUTTOCK PAIN COMMON DIAGNOSES Lumbar radicular or somatic pain Proximal hamstring tendinopathy Ischial apophysitis LESS COMMON DIAGNOSES Ischiofemoral Deep brain stimulation for pain relief: a meta-analysis. At Another Johns Hopkins Member Hospital. The femoral nerve mainly controls the thigh muscles and is responsible for hip bending and knee extension. But in one study that evaluated 150 cases of MP, there was a higher incidence in men. Many people with meralgia paresthetica benefit from other interventions, including: Physical therapy may help, but theres limited research on its effectiveness in treating meralgia paresthetica. Top Contributors - Rani Vetsuypens, Rachael Lowe, Admin, Uchechukwu Chukwuemeka, WikiSysop, Kim Jackson and Chelsea Mclene, Meralgia Paraesthetica (MP), also known as Bernhardt-Roth or LFCN (lateral femoral cutaneus nervus) neuralgia, comes from the greek term meros algos meaning thigh pain. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Kuphal KE, Fibuch EE, Taylor BK. Stretching and strengthening exercises can help improve mobility and muscle strength. Learning more about why the pain occurs may help the individual feel more in control of the discomfort. Vardi Y, Gruenwald I, Sprecher E, Gertman I, Yartnitsky D. Normative values for female genital sensation. Theres no way to prevent meralgia paresthetica. In practice, diagnosis of many cases of abdomino-pelvic neuropathic pain occurs predominantly following a recent surgical procedure. These approaches aim to address the underlying cause of the nerve damage and relieve symptoms. Whiteside JL, Barber MD, Walters MD, Falcone T. Anatomy of ilioinguinal and iliohypogastric nerves in relation to trocar placement and low transverse incisions. This may be helpful for people living with chronic, or persistent, femoral neuropathy. The most commonly used surgical Treatment for femoral neuropathy varies depending on the cause and extent of the nerve damage. Preston, D. C. (2014). I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. Woolf CJ, Thompson SW. Your doctor may recommend medications to help Repeat the exercise at least twice a day. The https:// ensures that you are connecting to the Wear tight clothing, girdles or stockings or wear a heavy utility belt (like a tool belt). [4]-Metabolic factors: diabetes mellitus, alcoholism and lead poisoning. Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. These help stretch the muscles and tissues in the pelvis and thighs to prevent them from pressing on the LCF nerve. and transmitted securely. Schroder S, Liepert J, Remppis A, Greten JH. Daneshgari F, Kong W, Swartz M. Complications of mid urethral slings: important outcomes for future clinical trials. A person can do stretching exercises at home, but they should first work with a physical therapist. Doctors and physical therapists recommend a number of exercises for meralgia paresthetica. The effectiveness of hysterectomy for chronic pelvic pain. Quality of life and sexual function after hysterectomy in women with preoperative pain and depression. WebObjectivesSuperficial radial nerve (SRN) neuropathy is a rare focal neuropathy leading to pain and paresthesia of the dorsolateral aspect of the hand. Most cases of meralgia paresthetica improve with conservative treatment or may even resolve on their own. THA not only provides the abovementioned benefits, but also has been reported to be medically and economically cost-effective in recent years [ 1, 2 ]. You can reduce your likelihood of developing it by: The prognosis (outlook) for meralgia paresthetica is usually good. It is combined with local anesthetic and steroids to treat persistent pain. Sullivan MJ, Lynch ME, Clark AJ. Women unfortunately face many abdominal/pelvic insults that can cause probable neuropathic pain. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. 105107. The condition known as lateral femoral cutaneous nerve entrapment, also known as meralgia paresthetica, causes burning pain, tingling, and numbness in the outer thigh. 3940, Beyond sensory input, many of the pelvic nerves contain motor branches and damage can impair certain functions. In some cases, it can affect mobility. Brandsborg B, Nikolajsen L, Hansen CT, Kehlet H, Jensen TS. Reported causes include trauma, extrinsic compression, or it may be idiopathic. We avoid using tertiary references. Accessibility Acupuncture for the treatment of chronic painful peripheral diabetic neuropathy: a long-term study. A steroid can also be used to prolong the effects of Stand up straight with the hands at the sides of the body. Treating an underlying cause, such as diabetes, may also help relieve symptoms and prevent neuropathy from worsening. Other tests can help diagnose trauma, hematoma, and other contributing factors. Make sure that the right knee does not go past the toes of the right foot. Erlanger J, Gasser HS. TAP this abdominal nerve block typically targets a specific area called the triangle of Petit. Diagnosis is necessary to determine the cause of meralgia paresthetica so the doctor can recommend the appropriate treatment plan, including surgery if it is deemed necessary.
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