Wireless Peripheral Nerve Stimulation in the Management of Debilitating Extremity Pain from Meralgia Paresthetica and Complex Regional Pain Syndrome: Report of Two Case Illustrations

Perryman, Laura Tyler; Kubias, Jana; Stockli, Stefan; Herschkowitz, Daniel

doi:10.26717/bjstr.2018.09.001806

Cited by 2 publications

(2 citation statements)

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“…65 More recently, a case report described the novel use of a PNS implanted along the course of the LFCN in a patient with severe refractory MP. 66 The implanted device resulted in immediate pain relief that was sustained at a 3-month follow-up evaluation. 66 The use of an SCS for the treatment of meralgia paresthetica has only been reported once in the literature.…”

Section: Treatmentmentioning

confidence: 92%

“…66 The implanted device resulted in immediate pain relief that was sustained at a 3-month follow-up evaluation. 66 The use of an SCS for the treatment of meralgia paresthetica has only been reported once in the literature. 67,68 After the implantation of the device, the patient reported nearly complete pain relief at 8 months with no reported adverse effects.…”

Section: Treatmentmentioning

confidence: 92%

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Meralgia Paresthetica Review: Update on Presentation, Pathophysiology, and Treatment

Gomez

Remotti

Momah

et al. 2023

Health Psychology Research

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Purpose of Review Meralgia paresthetica (MP) is a condition characterized by paresthesias, neuropathic pain, and alterations in sensorium of the anterolateral thigh secondary to impingement of the lateral femoral cutaneous nerve (LFCN). MP is generally diagnosed by clinical history and is often a diagnosis of exclusion. When diagnosis remains a challenge, diagnostic modalities such as ultrasound, MRI, electromyography, and nerve conduction studies have been utilized as an adjunct. This review summarizes the most recent medical literature regarding MP, its pathophysiology, presentation, and current treatment options. Recent Findings Treatment options for patients with MP range from lifestyle modifications and conservative management to surgical procedures. Initial management is often conservative with symptoms managed with medications. When conservative management fails, the next step is regional blocks followed by surgical management. The conflicting data for treatment options for MP highlight how the evidence available does not point to a single approach that’s universally effective for treating all patients with MP. Summary Despite the apparent success at treating MP with regional blocks and surgical interventions, much remains to be known about the dosing, frequency, and optimal interventions due to the inconclusive results of current studies. Further research including randomized controlled trials are needed to better understand the most optimal treatment options for MP including studies with a larger number of participants.

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Section: Treatmentmentioning

confidence: 92%