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Meralgia Paresthetica is a condition characterized by numbness, tingling, and burning pain in the outer thigh. It occurs when the “lateral femoral cutaneous nerve” (LFCN), which supplies sensation to the skin of the thigh, becomes compressed or irritated. While not life-threatening, it can be uncomfortable and disruptive to daily activities. Now let’s see how Myotherapy treatment can help with this presentation. Causes of Meralgia Paresthetica Meralgia Paresthetica presents with symptoms of lateral thigh weakness and numbness, which are caused by compression or the lateral femoral cutaneous nerve. This compression can have typical causes, which include: Tight clothing – Wearing tight jeans, belts, or shapewear can compress the nerve at the hip height. Obesity or weight gain – Excess weight puts pressure on the nerve. Pregnancy – The growing uterus may contribute to nerve compression. Prolonged standing or walking – Excessive movement can irritate the nerve. Injury or trauma – Previous surgeries, injuries, or direct impact to the hip area can damage the nerve. Diabetes – Diabetic neuropathy may increase susceptibility to nerve-related conditions. Inguinal ligament – The LFCN passes right under the inguinal ligament, which may create compression on the nerve itself. All those factors can compress the branch of the femoral nerve, which innervates the lateral portion of the thigh. The origin of the nerve is at the lumbar level L2/L3. Indeed, when a portion of the skin has altered sensation, it is often a peripheral compression that causes the symptoms. Symptoms of Meralgia Paresthetica The symptoms for Meraglia Parestetica often involved one leg only, as it is quiet uncommon to get compression bilaterally. Those symptoms include: Burning, tingling, or numbness in the outer thigh. The skin of the lateral thigh can also become very sensitive and painful to the touch. Sharp or aching pain that worsens with prolonged standing or walking. If the compression is due to organs or the inguinal ligament, movement can aggravate the presentation due to the tightness of the structure during movement. Increased sensitivity to touch in the affected area. Muscle weakness is not a symptom, as this condition affects sensation, not motor function. How can myotherapy treatment help individualise this presentation? As a myotherapist, I specialise in muscular skeletal presentations, and we focus on soft tissues. Through a series of assessments, we can determine whether the compression is peripheral or root nerve compression. Let’s see how. Medical History In the first step, we examine the medical history and physical examination, identifying risk factors and symptoms. Along with the physical examination, we examine the Myotome and Dermatome. Examination On top of active range of motion and another orthopedic test to rule in and out other possible presentations, there are some specific tests which we want to focus on, Myotome and Dermatome. The Myotome are resisted movement, like in this case, hip flexion, knee flexion, knee extension, where it would result in positive findings if we have evident weakness and or back pain. This test would rule in a compression to the spine level. Dermatome, on the other hand, are used to test the connectivity of the cutaneous nerve. So with a sharp and soft object, we will mark some line along the thigh area, looking for loss or confused sensations. This test would rule in a peripheral compression of the nerve. Notice that both presentations can be presented at the same time. Other tests that can be done for this presentation include: Electromyography (EMG) – To rule out other neurological disorders. Imaging tests (MRI, X-ray, or ultrasound) – Identifying structural issues or nerve compression. For those tests, Giovanni would write a referral letter for your GP. Treatment Options for Meralgia Paresthetica As often happens, the treatment options are multiple and must be embraced in groups, not individually. The overall aim of any treatment is to relieve pressure on the nerve and reduce symptoms. Here is a list of treatment options and modalities: Lifestyle Modifications Wear loose-fitting clothing to reduce nerve compression. Weight management to decrease excess pressure on the nerve. Avoid prolonged standing or walking if symptoms worsen. Medical Treatments Pain relievers – NSAIDs (like ibuprofen) or acetaminophen for mild pain relief. Myotherapy treatment – along a series of myotherapy sessions we can reduce symptoms and improve the presentation. Corticosteroid injections – Reduce inflammation and pain. Nerve blocks – In severe cases, numbing the nerve can provide relief. Surgical Options (For Severe Cases) Nerve decompression surgery – Relieves pressure on the nerve. Neurectomy – Removing the affected nerve if pain is persistent. How Myotherapy Can Help At Melbourne Massage and Treatment, during a myotherapy session, after ensuring we are dealing with a Meralgia Paresthetica I may use a series of techniques to help you out with your symptoms. What technique to use is based on your individual presentation,, other cohexsitng presentations, adn also your choice and comfort. Here is a list of modalities used during a Myotherapy session: Muscle Energetic Technique (MET) – Helps reduce tension in the hip, thigh, and lower back muscles that may be contributing to nerve compression. Trigger Point Therapy – Addresses myofascial trigger points that can exacerbate pain and discomfort. Mobility and Strengthening Exercises – Improves mobility and reduces pressure on the nerve. Postural Education – Helps correct movement patterns that may be aggravating symptoms. Joint Mobilization – Enhances circulation and reduces inflammation in affected joints. Dry needling – Using a needle can help reduce pain and muscle ache and increase the neurological connection of those same soft tissues. After the hands-on treatment, we will then look into exercises that can help maintain the change we created. That said, there are other precautions to take in consideration, like: Maintain a healthy weight to prevent excess pressure on the nerve. Choose comfortable clothing that doesn’t constrict the waist or thighs. Incorporate gentle mobility and exercise into your routine. Monitor underlying conditions, such as diabetes, to reduce nerve-related complications. Conclusion Meralgia Paresthetica can be managed effectively with lifestyle changes, medical treatment, and preventive care. Myotherapy can be a valuable complementary […]