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Decompression of the lateral femoral cutaneous nerve arrow. The double asterisk indicates the inguinal ligament. Immediately after the surgery, all patients were able to. This case series shows ultrasound-guided lateral femoral cutaneous nerve neurolysis is a safe and effective treatment for intractable meralgia paresthetica and also provides prolonged pain relief and is a good option in avoiding the surgery. Jul 08, 2019 · Approach Considerations.Treatment for meralgia paresthetica is directed toward identification and relief of the compressive force on the lateral femoral cutaneous nerve LFCN. In many instances, the nerve spontaneously heals if the compression is relieved. If symptoms continue, anti-inflammatory medications, local injection.

P ain, paresthesia, and abnormal skin sensation on the lateral side of the thigh result from pathology of different origins in the course of spinal nerves L2 and L3 to the lateral femoral cutaneous nerve LFCN. The clinical diagnosis of idiopathic meralgia paresthetica iMP is made when a herniated lumbar disc or a pelvic tumor is excluded and the symptoms are not caused by trauma or surgical intervention. Injury to the lateral femoral cutaneous nerve LFCN from compression or entrapment may result in meralgia paresthetica, a painful mononeuropathy of the anterolateral thigh. Surgical decompression of the LFCN may provide relief when conservative management fails. Background Meralgia paresthetica is a mononeuropathy of the lateral femoral cutaneous nerve LCFN. Surgical treatment involves transection or decompression of the LCFN. Nerve Decompression Surgeries Nerve decompression surgery is a minimally invasive surgical procedure to relieve pressure caused by a neuroma – a pinched or entrapped nerve. Patients suffering from peripheral neuropathy symptoms numbness, pain, and/or functional loss due to compressed nerves, who have not found relief through other, more. For meralgia paresthetica that does not respond to these treatments, the doctor may recommend surgical treatment called sensory nerve surgery to relieve the compression surrounding the nerve. Surgery techniques include neurolysis, which is surgically freeing a nerve that is compressed by scar tissue or a neuroma tumor.

Lateral femoral cutaneous nerve. Pure sensory nerve. Formed by the ventral rami of the L2 and L3 nerve roots. Runs in the retroperitoneal space along the lateral border of the iliacus muscle, and then passes under the lateral aspect of the inguinal ligament about 1-cm medial to. Right at the outset, we should emphasize that we cannot and should not make any recommendations to any individual patient, and that doing so may not be ethical or prudent. But in general, no such surgery should be performed until: 1. potential s. Meralgia Paresthetica Overview. The lateral femoral cutaneous nerve is a pure sensory nerve that exits the pelvis over the superior brim of the pelvis the front of the pelvis in the area of a tunnel created by the pelvic rim and Poupart’s ligament.

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