Successful Management of Meralgia Paresthetica by Hydro Dissection in a Middle-Aged Male: A Case Report

Abstract

Meralgia paresthetica (MP) comes under a wide array of syndromes known as Mononeuropathies, wherein the subject presents symptoms of tingling burning pain as well as numbness in the thigh's lateral aspect which occurs as a result of the lateral femoral cutaneous nerve being compressed. The condition is commonly seen in association with diabetes mellitus and obesity. The nerve's anatomy which involves tunnelling through the inguinal ligament predisposes it to get entrapped. However, the pathophysiology of this condition additionally involves inflammation other than the usual entrapment neuropathy. Its characteristic clinical presentation usually clinches the diagnosis and the prognosis is generally favourable with the use of multiple modalities of treatment but not limited to peripheral nerve blocks, nerve decompression, neurectomy as well as pulsed radiofrequency neuromodulation. We present a case of MP which was treated promptly with hydro dissection in a rural tertiary care hospital in central India.