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Meralgia Paresthetica: What Causes Meralgia Paresthetica and How Is It Managed?

Meralgia paresthetica is a neuropathic condition caused by compression of the lateral femoral cutaneous nerve, leading to numbness, tingling, burning, or pain on the outer thigh. Common triggers include obesity, pregnancy, tight clothing, heavy tool belts, or prolonged standing and walking. Medical conditions such as diabetes or trauma may also contribute to nerve irritation.


Diagnosis typically involves a physical examination, sensory testing, and occasionally imaging studies to rule out spinal or hip-related issues. Treatment focuses on relieving nerve pressure through weight reduction, avoiding tight garments, adjusting posture, and modifying physical activity. Nonsteroidal anti-inflammatory drugs (NSAIDs), nerve pain medications, and physical therapy can help reduce discomfort and improve mobility.


For persistent cases, corticosteroid injections can offer targeted relief by reducing inflammation around the affected nerve. Rarely, surgical decompression is recommended when conservative methods fail. Preventive strategies include ergonomic adjustments, maintaining a healthy BMI, and avoiding prolonged pressure on the hip region. Early intervention significantly improves outcomes and reduces the risk of chronic nerve pain.