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Meralgia paresthetica or meralgia paraesthetica is pain or abnormal sensations in the outer thigh not caused by injury to the thigh, but by injury to a nerve which provides sensation to the lateral thigh. Meralgia paresthetica is a specific instance of nerve entrapment. [5] The nerve involved is the lateral femoral cutaneous nerve (LFCN).
This reflex is elicited by lightly stroking or poking the superior and medial (inner) part of the thigh—regardless of the direction of stroke. [1] The normal response is an immediate contraction of the cremaster muscle that pulls up the testicle ipsilaterally (on the same side of the body). The reflex utilizes sensory and motor fibers from ...
Pain can increase during menstruation in women. [ 8 ] [ 9 ] [ 2 ] People with severe and disabling sacroiliac joint dysfunction can develop insomnia and depression. [ 10 ] Sacral rotation can be transmitted distally down the kinematic chain and, if left untreated over a long period of time, may lead to severe Achilles tendinitis.
For women, the presence of musculoskeletal disease, heart disease, obstructive sleep apnea, cataplexy, doing physical activities close to bedtime and the presence of a mental disorder were significantly associated with having a higher risk of both PLMD and restless legs syndrome.
In the thigh, the nerve lies in a groove between iliacus muscle and psoas major muscle, outside the femoral sheath, and lateral to the femoral artery. After a short course of about 4 cm in the thigh, the nerve is divided into anterior and posterior divisions, separated by lateral femoral circumflex artery. The branches are shown below: [1]
Pain can be referred from the SIJ down into the buttock or back of the thigh, and rarely to the foot. Low back pain and stiffness, often unilateral, that often increases with prolonged sitting or prolonged walking. Pain may occur during sexual intercourse; however, this is not specific to just sacroiliac joint problems.
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Pain is usually felt low down over the symphyseal joint, and this area may be extremely tender to the touch. Pain may also be felt in the hips, groin and lower abdomen and can radiate down the inner thighs. Women with PGP may begin to waddle or shuffle, and may be aware of an audible clicking sound coming from the pelvis.
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