Lateral Thigh Pain Singapore – Meralgia Paresthetica
Meralgia paresthetica is a thigh pain condition that is relatively common but not well known and that gives pain, numbness and tingling in the front and outer thighs. Described several years ago in the 19th century, he immediately concluded that this syndrome is due to compression of the nerve in the nearby area, lateral cutaneous nerve thigh. This nerve is a sensory nerve that transmits feeling and did not have the strength of muscle activation, supplying a feeling described in the thigh. The frequency of this condition is not clear, but it does not appear to the public, but may be under diagnosed.
This condition can be mistaken for a series of other musculoskeletal conditions such as nerve root compression, spinal pain called trochanteric bursitis and bilateral and perhaps at times. The most common cause of this syndrome is not appropriate pressure on the nerves at certain points where it can be trapped. Being overweight can be a risk factor for this condition and has been recorded as being caused by the belt tight. Various surgical procedures may be aggravating factors such as hip replacement, bone grafts and surgery for quads.
The lateral femoral cutaneous nerve is responsible for being compressed at various places along its length, originally came from the psoas muscle, ligament called runing under the inguinal ligament, round bony ridge on the top and sides of the pelvis anterior to the legs and out through a layer of connective tissue known company the fascia lata. The most common type of injury is nerve neurapraxia, the least serious, in which the neural response to compression by the loss of some insulating sheathing or the myelin sheath.
In neurapraxia the nerve axon itself is damaged and this class is the one that injured a full recovery over a relatively short period of time up to several months. If the tube itself is disrupted axon injury is classified as axonotmesis, with long axons degenerate nerve all the way up to the cell body. Regeneration of this point is very slow which leads to a very long period the patient should wait if the injury is to complete from time to time. A nerve has been severely injured so cutting edge anymore do not relate to each other is not likely show any recovery unless the operation is used.
Diagnosing Lateral Thigh Pain Singapore – Meralgia Paresthetica
On examination the patient’s history should include questions about any traumatic event that could have a bearing on the condition. The physical examination will find altered sensibility in the front and side of the thigh, the symptoms of which include pain, burning, numbness, feeling diminished and pins and needles. The onset of symptoms usually occurs gradually and slowly, and they do not go beyond the knee, with pain often sharper and burn but it can also be a dull ache. Widespread symptoms in the thigh can vary with the severity of the condition, with symptoms of anterior or lateral thigh exclusively reported.
Treatment for Meralgia Paresthetica
The initial treatment for lateral thigh pain Singapore is aimed at finding out what the problem is probably the press and to correct that, for example, wearing tight clothes, tight belts or something heavy around the waist. Overweight patients can be encouraged to lose weight because it alone can be enough to improve or eliminate symptoms. If any patient is very risky posture adopted in the course of their work or activities should also be addressed. Injections of local anesthetic with or with corticosteroids may be useful to disrupt the pain or reduce local inflammation was possible.
The surgeon should be very aware of the variations in the position of lateral cutaneous nerve anatomy in order to inject or operate successfully. At the release of nerve compression syndromes tend to heal without further intervention. If the change in the functional activity not handle the pain, injections or surgery options further, with neurolysis, cutting nerves and decompression potential options. Decompression may be needed in different locations where the nerve vulnerable. Scientific reports the following groups of patients after surgery are generally reported a good recovery.
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