Meralgia Paresthetica
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- Опубліковано 15 чер 2024
- This video explains Meralgia Paresthetica, a compression neuropathy of the Lateral Femoral Cutaneous Nerve of the Thigh. There are a number of clinical tests described as well as supportive investogations such as USS and MRI scans, and of course, Neuriophysiology. Evidence based treatment is somewhat sparse, but the outcomes from a Cochrane review are presented including neurolysis and neurectomy. If you've found this use video useful, please do support this channel by liking, sharing and subscribing - your support is greatly appreciated.
- Наука та технологія
I am 65 and have had this for about four years. One tip, use a rolling pin to roll the thigh to loosen up tightness of the tissue.
foam or plastic roller definitely helps!!
Thank you for this excellent video on this medical condition from which I suffer. Your video is the best one on UA-cam for this issue. I appreciate your time and effort. G-d bless. 👍
Extremely well explained, thank you. I have, like many other ppl on here, have suffered with this for some 15 years. It has now impacted on my quality of life, e.g. not being able to enjoy country walks, unable to stand for long etc. I don't want to go down the surgical route as it's not successful enough for my liking and, for me at this stage, the risks outweigh the benefit/s. I have been prescribed the neuro medications, lost weight etc. to no effect the only thing that works are painkillers, Tramadol in particular. I am well aware of the downsides of Tramadol and GP's are increasingly reluctant to prescribe them. Speaking personally I would rather run the risk of addiction than continue to suffer. I do not use that word (suffer) lightly. Those with this chronic condition will understand! However, thanks once again.
try kratom?
Great information! Thank you so much!
Thank you SO much, I really appreciate in the in depth information.
Thank you for this video. I had this about year and a half ago and had it relieved through dry needling but it took a couple visits for the doc to hit the right trigger points. I just recently had another flare up from an intense kickboxing session so I’m dealing with again.
I started experiencing this kind of pain after I was given a diclofenac injection on my left thigh.Initially I was only feeling numb, loss of sensation in some portion of my outer thigh,then a week later this scorching pain that feels like as if something is biting inside of my thigh came up. No swollen,no redness for me to worry that it could be abscess. Been rubbing diclofenac gel for weeks now yet this pain ain't going away! It's frustrating!
Thank you. Very informative. With your graphs, I found the lines difficult to see on the black background.
Dr Freilich, thank you for a great video. I was wondering if the nerve block is available on the NHS?
Thanks and yes it is! Bw Simon
Im pretty sure I have this. My left outer thigh started hurting a few days ago. Not burning just shooting pain. No relief when stretching out the quad. My jobs have me standing for quite some time 7 days a week. And I also have an inguinal hernia on my left side close to my groin. Hernia repair is the end of this month so hopefully that stops the pain. Although I haven’t had a doctor/physiotherapists opinion yet either.
I have been suffering from this symptoms for past 22 years.for past one year I feel the area of numbness has spread a bit. I was unable to pin point what was causing it. Initially I suspected that the cause could be leprosy or something. But I now know it is not. The problem aggravates when I am sitting on a chair for a long time or standing. Physically I am stout. During winter I feel the problem aggravates. I get tingling sensation, sometimes I feel ants crawling or something and at times I feel skin is stretching causing pain. The surface of the skin feels dull having little sensation.
Hi. Very good explanation of this condition. I am a 58 yo male who is still actively playing football and badminton. I am of average build and good bmi. I have had this condition for 12 months now and only just self diagnosed. I’ve just been to the doctors who sent me for a back X-ray and am awaiting a nerve clinic appointment. Not looking forward to the injection side of it but if it helps to stop the pain that would be great. It is getting worse now as almost the whole side and front of my thigh from knee to hip is numb with shooting pains now and again. At night it feels like boiling water is being poured over it. I shall certainly be glad if I can be cured from this.
This is the best and most complete information I have found. I suffer from this condition on my Left thigh. My doctor said it was because of my fat belly and did nothing about it. Recently I had Left Knee Monocondyl Arthroplasty (partial knee replacement surgery). I forgot to mention this condition. They used nerve blocks in combination with an epidural and I believe they may have blocked this nerve at the knee. My symptoms on this thigh after surgery have been worse on the neuropathy. A doctor I saw thought it came from my spine and has prescribed a massive dose of muscle relaxant four times a day for a month. But I never knew this could stem from the uterine fibroid. What specialist can I seek to see for this condition, a neurologist, general practitioner, who? Any thoughts or suggestions? I hope you can respond.
Crickets in reply for two years running as of this writing. I was impressed by their presentation, but took off massive points because your question was ignored. Well, this is two years later and I'm medical laity, but I'm going to take a crack at answering based on the fact that I see a neurologist because of neuropathy. If you were experiencing neuropathic pain, I would venture a guess that you needed a neurologist. I hope your pain has resolved by this point.
Well done, Dr. Freilich. In my practice we don't typically do neurophysiologic studies to assess this since the clinical symptoms are fairly clear. Do you routinely do NCV to diagnose these in the UK?
BC Li
Thanks, yes it does seem to be the case. Personally, I would advocate a diagnostic nerve block in the first instance as it's simple, quick and offers therapy at the same time. Bw! Simon
Thank you, this was a very informative video
After a scyatica attack triggered by lifting a big and heavy furnace and a wrong stepping to avoid a really bad falling on the floor, I started to feel this strange prickling on my leg. It went on and off but now is a persistant burning aching and dull pain. I'm doing some stretching exercises but the pain doesn't leave.
I enjoy exercising like Long Walks and sadly this has been somewhat affecting me from doing consistent long walks like I use to do in my mid 20's to early 40's it's when my right-side thigh would get warm and now i get a tingly sensation when Im trying to go to sleep and i get the sensation and I must raise my Right Let with a small pillow to neutralize the tingly and somewhat light inflammation that goes away in a minute before I fall asleep.
I started experiencing a cool dripping wet sensation on my left thigh last week and this week it's a burning sensation. I don't experience and numbness or tingling. Could I have this? Also this is exacerbated when I lie down and my hip sort of aches. I'm young and not overweight
Believe me ,this is a bloody painful thing to have. I started with a little numbness and feeling of ice being placed upon my thigh when standing for a long period , it has developed into a feeling that I'm being stung by a 100 bees or being bitten by a deadly snake , just by walking about. Only down my right hand side. No painkillers work . Need some info to go to my DR and say this painkiller will help. I will obviously work on weight loss etc. and wearing loose clothing myself but in the meantime I need something to alleviate the incredible pain.
GP may prescribe you amitriptyline. Didn't work for me. Gabapentin is the devil's drug. Don't go there. Weight loss, stretching, yoga, full body massages have all helped me over the last 15 yrs but unfortunately I have had to learn to live with it as no treatment so far seems to be a permanent fix.
Part of my thigh is numb and I'm only 13 D: I'll pray to God that it'll go away, idk what I'm doing wrong.
i have it too but i think its a back problem
Mu yes I think mine is caused by lower back pain which I also have. Im trying exercises. Have you had much luck?
NoPants this pain is crazy! I cannot sleep for the last 7 days. Only today I found some exercises on UA-cam. @No Pants - how long did it last? Your post is 1 year old. Thank you for replying.
can the pain radiate up to the torso? And groin area ? The pain is just burning there’s no numbness nothing. I just have it on my left thigh and it radiates to my leg and knee and my entire torso feels like it’s on fire as well. Walking and moving doesn’t make a difference. The doctor suspects anxiety ..
What is the difference between this and sciatica pain?
Excellent explanation thankyou. I have suffered 8 years with M.P and tried many of the treatments you noted. Now considering ablation. Can you tell me, is there anywhere in the UK which offers the surgical procedures you mentioned?
Thanks, try calling BUPA. Bw Simon
Thankyou.
Appreciate you taking the time to explain this. Quite technical, but my takeaways are that a) my condition if fairly benign (although a little painful at times) and b) has a good chance of resolving itself over time. My main concern is the risk factors. Since I'm a 59 y/o male, within my normal BMI, don't wear tight clothing, I'm now wondering if I'm diabetic or am unknowingly being exposed to lead - both seem unlikely. Since I don't own a car, I walk and cycle everywhere, maybe this is the key factor. Any thoughts?
This condition can happen entirely out of the blue, for no apparent reason. Bw Simon
Doc.. I have been experiencing a gradual loss of sensation in my outer thing with burning pain and numbness..
I also have a loss of sensation in head/tip of my penis. Obviously very concerning. NHS waiting lists for neurologists are ridiculously long, so just want to see if i am possibly risking long term sensation loss if i don’t go private.
I had hernia surgery 1+ yrs ago. All of a sudden thigh pain lasted 2 weeks then went away, then a few months later a patch of skin that felt sunburned but showed nothing externally, went away. That sunburned feeling came back 2 weeks ago along with a rythmic (and sometimes random) buzzing sensation like a cell phone in my leg. No muscle weakness. Is this consistent with this condition???? Thanks, good video.
Thanks, yes it certainly could be. I think that the hernia operation is unlikely to be related as usually, any nerve trauma tends to be immediate. Bw Simon
Would it be MP if i described it as a feeling of constant lactic acid build up you get after a workout and never goes away? Like it feels like the leg burn you get when you run for miles but in reality my leg is doing nothing. Im losing sleep over this, constantly tryna stretch my quads and shake it away... but it doesnt do anything
Certainly can be. Bw Simon
@DrSimonFreilich i also have this burning sensation and sometimes ichyness on my right thigh...Im 27 years old and i've been having this for the past 2 years now its getting worse. I have had 3 previous c-section in which i think having this diagnosis was due to the shock i had on my right side during epidural injection for labour....Is this possible??
TBH quite unlikely to be directly related. Bw Simon
Thank you for the video Sir. I seem to have recently developed MP (my diagnosis only) but it only affects me when in bed (so it has the bonus of getting me up and out!) I have myelomeningocele so attributed the burning sensation to that at first - albeit a very late onset after 60+ years but now think it may be due to weight gain as a result of Metazapine therapy. However at present it is not too bothersome.
Excellent..Thanks a lot for the Video.I had been suffering a lot.The Doctors in Zurich examined and treated me for 13 years without being able to figure out my problem.Luckily I was sent to an Anesthesiologist who diagnosed it as M.P. He suggested a dissection of the LCFN. Wondering if I should get it done. But I hope that will relieve my pain.I was infiltrated many many times, without any relief.
Dear Jospeh, it's a procedure that works for some, but at the risk of permanent numbness. Bw Simon
Well done. Seems to me that supportive therapy is best, since any form of ablation leads to permanent numbness. Surgical decompression does not always have the desired outcome.
r g My orthopedic MD who is a spine pain specialist told me that he would not recommend surgery for this condition.
I was wearing tight jeans and i was trying to sit i feel like some thing exploded in my knee from that day i feel pain in my knee and if i sit on chair for half anhour i get severe pain in my nerves that i could feel from my angle to knee and side of my thigh what is this ??? Can you pls let me know ?
Hi Dr. - I got this from long distance backpacking with a tight hip belt. If I don't wear a backpack, can I continue walking/hiking with the pain or should I completely rest and be inactive for a few months in hopes it goes away?
I don't mind the pain if I can hike; I'm 57. Thanks
Time for a rest! Bw Simon
I've got this. I've got it in both hips. Right side is worse. I've also got 2 disc bulges. I can't lay out my back due to the discs and laying on my sides is painful too. No pain killers work. I'm at my wits end now. I can't live like this anymore.
Hi. What treatment can I use for this in pregnancy?
the pain gets so severe I struggle to stand or walk after 30min of activity. I still have 20weeks of my pregnancy left I need to find a resolve to my pain before I end up chopping my leg off all together.
Hi, firstly congratulations on the pregnancy ! A difficult question with limited evidence based answers. The problem will hopefully self resolve after delivery but you might benefit from physiotherapy in the meantime. I am no expert in their techniques so can't be more specific. Bw Simon
I am having this condition for more than a year now. Few questions 1. I feel the pain increases when I lift more than normal weight, does that so? 2. I am passionate about running, sometimes I dont feel the difference in pain after running or taking rest for weeks - is it good to continue running ? I am worried that it should not worsen the condition. My BMI is normal. Shown to multiple Doctors, everybody advises that it would go naturally. Appreciate your answers.
Hi, thanks for the questions. Unfortunately I can't answer individual symptoms and queries on line, it's just not good medical practice. Bw though and hope it goes away soon, Simon
I’m 21.. I think I have this what happens in my case it usually bothers me when sleeping I will wake up from excruciating burning pain on my left thigh I have to get completely off my left side and rub it for about 45 seconds for it to go away it’s fairly quick but incredibly painful. I have not been sleeping well this past month with this happening have never had anything like this before. I’m working on losing weight hopefully that will help
Same here, had it for a month. Gets much worse when lying in bed which gives me a 'dead' leg and often wakes me up. Symptoms vary between stabbing pains, general tenderness and persistent numbness.
@@dmn1000000 same laying on your back seems to worsen mines.
This can be Very painful! I pinched thus nerve while sleeping wrong and had this problem, for 2 weeks my outer thigh was completely numb as if I had a novacane shot. One night I woke out of a dead sleep and my entire leg was on fire it was the most intense pain I have ever felt I was literally in the fetal position on the floor crying my girlfriend had no idea what was going on it lasted for like 15 minutes then slowly went away but I kept screaming for her to call 911 it was a very scary thing to go through I had no idea what was going on
How is it now?
I've gained weight and was wondering since fat compresses the nerve thst is running down my left thigh which is numb, do you think the keto diet will help. I did it last year but stopped bc i was losing to much weigjt. I felt really great. I did the master cleanse and I'm weighing 206 and since I'm pear shape and i have gained major in my hip snd thigh area. The area has a numb feeling that i try to massage out. I do work standing for long periods of time. So, basically i need to lose weight to jelp this condition. What do you think. I dont use drugs. I had sciatica and use r-lipoic acid and acetyl l- carnitine which helped regenerate the nerve.
Hi Denise, losing weight sounds like a plan. Exactly how you do it - whatever works for you but do it safely and above all sustainably so you don't end up yoyo'ing. Bw Simon
Thanks for responding
I’ve just started to feel symptoms of this after using a waist trainer... will it go away on its own if I stop using it? And how long if so? Also would it be okay for me to go back to waist training after the symptoms go?
Hi Helena, best to stop then. The rest I don't know and can't really answer. Bw and hope it resolves soon, Simon
Mine happened due to surgery. But not only the nerve is trapped: there is a tare in the muscle .
Hey Dr. When I'm physically active I do feel needle like feelings around my head and arms. And I notice I have difficulty breathing. Does this nerve condition affects breathing as well?
Hi, it absolutely doesn't affect breathing and if you're having difficulties, especially at this time of Coronavirus, seek local medical attention. Very best wishes, Simon
@@DrSimonFreilich not corona had this issue since early last year. Thank you
I have it and it’s really killing me and I’m only 17 is it normal ?
John Billy I’m 18 & I’m currently experiencing it in bed rn
So , I have this, GP confirmed by exam and taking note of symptoms and then pretty much told me there is no cure you have to live with it. No tests, no nerve block offered. I also have fibro so pain is exacerbated.
Hi Gloria, its just the bad timing with Coronavirus... When things have settled down with the virus, go back to the GP and I'm sure more will be possible. Bw Simon
I have no idea what I have , I honestly thought I had this but I don’t know. I have been getting these burning throbbing pain on my side since 10 years old. The pain is unbearable it feels like a deep burning aching and sometimes shooting pain. It’s very intense pain and makes me feel very tired while going threw my episode pain. The pain is not surface deep rubbing or putting heat on it or a cold pack does nothing to help it. Standing and sitting makes the pain worse. I had it so bad the other night it woke me up from my deep sleep and I couldn’t get back to sleep because of the 10 out of 10 pain I was feeling. I wonder if stress has something to do with it? I was told that it was growing pains as a kid. The pain will start at my lower side and then work it’s way down my leg or it will start at my upper thigh and spread out up to my side and down my leg
Hi I really hope you are doing better?! Did you ever find out what caused this?
@@MrJay4491 no I haven’t it’s still a big mystery
@@UlysseLife crazy! I have been having the same issue for like 3 years I had an MRI X ray done about 2 months ago, all came back fine
I have it ...I think I got it from my 2 epidurals. I have a job where I stand on my feet
for over eight hours. What should I do ?
I can't sleep on my right side
after work.
( PS:have thin legs/ thighs )
Bonnie Bucklaw Lyrica 200 mg 3 X per day helps me. Lyrica went generic last year so it is less expensive.
What type of doctor or health provider do I go to for treatment? I am in tremendous pain
Start with a rheumatologist as they could try an injection which can be very helpful.
Bw
Simon
I think I have this. Both my outer thighs start tingling particularly when I lay on my back or sometimes stand. It's not painful. But annoying and the right side skin has a lot less sensation these days.
I have also same situation since2 weeks and it’s very irritating. How do you feel now? Do you have any suggestion for me please
good
How would you define a severe case? When I walk my leg gets so hot im surprised im not melting. Sometimes feels like my leg is gonna snap.
A very good question and probably best defined by how much it bother's those with it. I'm always surprised by how much it can affect people, given that it's a fairly minor nerve which, when healthy, no one really thinks about. Bw Simon
I'm 12 and I think I may have this due to my jogs and training sessions however sitting down isn't helping pls give advice and tips
Hi, I'd be surprised but maybe you're parents should take you to a physiotherapist to see what they think. Bw Simon
Thank u
Can laying on your back or stomach make it hurt worst?
It relieves the pain
Mine ONLY affects me when it awakens me in the morning, after sleeping on my back, with excruciating pain . I'm fine throughout the day, but it only hits in the morning as I awaken. HORRIBLE way to start the day.
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does it cause swelling?
No. Bw Simon
mid 20s, not overweight, never been pregnant, no sign of diabetes, wear only loose hippie clothes
I have this and there's no visible of calculable reason why my thighs feel like they're burning and painful all the time. Health insurance starts next month, so I'm hoping that something can be done then.
Hi, it can occur for no obvious reason. Bw Simon
Cruz the Brown Guy hi. Has this gone away now ?
Great I'm 14 and have to live with this forever🙄 yes I always where tight paints and belts all the time but I'm gonna stop that now
I'm 13 and I feel numbness in a part of my thigh. I don't wear any jeans (never do) or belts, I only wear leggings. Idk why this is happening so suddenly I need advice if u have it
Flower Child does your thigh still feel numb to this day? Mine started a week ago and I’m worried.
Day same thing happened to me 🥺 it just randomly felt a numb in the outer part of my thigh but no pain at all , I'm 19
Hi Doctor, is this life-threatening?
Hi Justin, many people find it really irritating but idiopathic Meralgia is not life threatening. Bw Simon
@@DrSimonFreilich Thank you, Doctor!
No podrán traduccirlo
En español por favor
Pongase a Dieta...😂😬
Fuck I can't even go to see a doctor about it
Anyone suggesting neurolysis of a somatic sensory nerve clearly has insufficient experience in pain management. Neurolytic destruction of the LFCN will very likely produce horrible anesthesia dolorosa. Ignore this recommendation. Pulsed RF, well, maybe. But full neurolysis.... don't do it.
I have this and I'm 25 :(
Mine started at about 23 in my left thigh, just a small patch... I'm 59 now and have it in both thighs. The right side is worse than my left and it drives me crazy.
@@mrray6983 damn same hee I hope it doesn't get worse
Weight Loss if you're overweight/obese.
Chazak
It is a very painful condition, my left outer thigh burning standing/walking to long. Does not go past the knee. Once I sit its fine. Its horrible and hopefully it resolves in time..