Meralgia paresthetica - Revision history

NadavNahumi: /* Management */

2020-03-23T18:15:30Z

Management

← Older revision		Revision as of 18:15, 23 March 2020
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	==Management==		==Management==
			*Usually self-limited with frequent spontaneous remission
			*Reduce pressure over the nerve in the groin area
	*[[NSAIDs]]		*[[NSAIDs]]
	*Weight loss		*Weight loss

2020-03-23T18:13:04Z

Clinical Features

← Older revision		Revision as of 18:13, 23 March 2020
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	==Clinical Features==		==Clinical Features==
	*[[Numbness]] and pain of anterolateral thigh		*[[Numbness]] and pain of anterolateral thigh
			**Usually unilateral with subacute onset
	*Pelvic compression test		*Pelvic compression test
	**Turn patient on side		**Turn patient on side
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	<br>		<br>

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Hip pain DDX}}		{{Hip pain DDX}}

2020-03-23T18:11:11Z

Evaluation

← Older revision		Revision as of 18:11, 23 March 2020
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	==Evaluation==		==Evaluation==
			*History - tight fitting clothes/ belts, recent weight gain, worse with valsalva or prolonged walking
			*Neurologic exam - diminished sensation in the distribution of the lateral femoral cutaneous nerve
			**Rule out weakness or reflex changes that would suggest an alternative diagnosis
			*Imaging - generally not necessary, unless atypical symptoms or concern for radiculopathy/ plexopathy
			*Nerve conduction studies (NCS)/ Electromyography (EMG) - generally not necessary, unless atypical symptoms or concern for radiculopathy/ plexopathy

	==Management==		==Management==

2020-03-23T18:06:04Z

Differential Diagnosis

2020-03-23T18:05:09Z

Differential Diagnosis

2020-03-23T18:04:51Z

Differential Diagnosis

← Older revision		Revision as of 18:04, 23 March 2020
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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

			<br>
	==Differential Diagnosis==		==Differential Diagnosis==
	{{Hip pain DDX}}		{{Hip pain DDX}}
			Thigh Numbness
			*L3/L4 radiculopathy
			*Lumbosacral plexopathy
			*Femoral neuropathy

	==Evaluation==		==Evaluation==

2019-10-03T03:51:46Z

← Older revision		Revision as of 03:51, 3 October 2019
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	===Etiology===		===Etiology===
	*Intrapelvic (pregnancy, enlarging mass, aneurysm)		*Intrapelvic ([[pregnancy]], enlarging mass, [[AAA\|aneurysm]])
	*Extrapelvic (trauma, tight garment or belt, obesity)		*Extrapelvic ([[trauma]], tight garment or belt, [[the obese patient\|obesity]])
	*Systemic (DM)		*Systemic ([[DM]])

	==Clinical Features==		==Clinical Features==
	*Numbness and pain of anterolateral thigh		*[[Numbness]] and pain of anterolateral thigh
	*Pelvic compression test		*Pelvic compression test
	**Turn patient on side		**Turn patient on side
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	==Management==		==Management==
	#NSAIDs		*[[NSAIDs]]
	#Weight loss		*Weight loss
	#Corticosteroid injection		*[[Corticosteroid]] injection

	==See Also==		==See Also==

2016-07-24T04:48:46Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-07T14:11:26Z

Text replacement - "==Treatment==" to "==Management=="

2016-07-02T08:17:26Z

Text replacement - " pt " to " patient "

← Older revision		Revision as of 08:17, 2 July 2016
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	*Numbness and pain of anterolateral thigh		*Numbness and pain of anterolateral thigh
	*Pelvic compression test		*Pelvic compression test
	**Turn pt on side		**Turn patient on side
	**Compress pelvis		**Compress pelvis
	**If symptoms are relieved after 30s of lateral compression diagnosis is confirmed		**If symptoms are relieved after 30s of lateral compression diagnosis is confirmed