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Meralgia paresthetica is a specific instance of nerve entrapment. [5] The nerve involved is the lateral femoral cutaneous nerve (LFCN). [6] [7] [4] [8] The symptoms are purely sensory because the LFCN has no motor function. [4] This syndrome can be caused by anything which places prolonged pressure on the LFCN, such as wearing a tight belt.
Nerve compression syndrome, or compression neuropathy, or nerve entrapment syndrome, is a medical condition caused by chronic, direct pressure on a peripheral nerve. [1] It is known colloquially as a trapped nerve, though this may also refer to nerve root compression (by a herniated disc, for example).
The use of a nerve decompression or neurectomy to treat nerve pain along the lateral femoral cutaneous nerve is a firmly established surgical treatment. [24] [25] However, the more effective treatment between a decompression and neurectomy is still being researched.
The addition of non-steroidal anti-inflammatory medications can help with overall discomfort but has not been shown to have direct effects of the nerve. Specifically, the use of COX-2 inhibitors is a reasonable first step. [1] Other treatments of superior cluneal nerve dysfunction include both minimally invasive interventions and surgical options.
Nerve block or regional nerve blockade is any deliberate interruption of signals traveling along a nerve, often for the purpose of pain relief. Local anesthetic nerve block (sometimes referred to as simply "nerve block") is a short-term block, usually lasting hours or days, involving the injection of an anesthetic, a corticosteroid, and other agents onto or near a nerve.
The lateral cutaneous nerve of the thigh can be studied using ultrasound. [1] A patient lies on a bed facing upwards (supine). [3] The ultrasound probe is moved along the length of the nerve, often starting from near the ASIS. [3] The nerve is easier to see over the sartorius muscle than in other subcutaneous tissue, as there is greater ...
For this reason, a nerve resection may be considered after a failed decompression. Examples of nerves that may be good candidates for resection are lateral femoral cutaneous nerve, [42] zygomaticotemporal branch of the trigeminal nerve, [43] the posterior femoral cutaneous nerve, [44] [45] and the middle/superior cluneal nerves. [46]
Another branch observed, that is mentioned in passing in previous literature is the medial branch of the lateral sural cutaneous nerve. [3]In a 2021 study by Steele et al. (Annals of Anatomy), a medial branch of the lateral sural cutaneous nerve was observed in approximately 36% of lower extremities dissected (n=208) with an average diameter of 1.47 ± 0.655 mm with a 95% CI of 1.31 – 1.625 mm.
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