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#What is Meralgia paresthetica (MP)? Meralgia Paresthetica is a thigh pain condition that develops as a result of problems with a nerve called the lateral cutaneous nerve of the thigh. This nerve supplies sensation to the side and front of thigh. It origin
#pain and altered sensation in the area supplied by the nerve and this condition is called Meralgia paresthetica. What causes this condition? The most common cause for this condition is pinching (entrapment) of the nerve as it enters the thigh travelling
#military armour and police uniforms Diabetes and other conditions affecting nerves such as alcoholism Underactive thyroid (Hypothyroidism) Nerve injury due to seat belt injury or injury associated with surgeries such as hip or back surgery
#surgeries requiring bone grafting
#keyhole (laparoscopic) hernia repair Growth/ swelling of the nerve (neuroma) Difference in the length of the two legs Activities involving repetitive leg motion for long hours such as walking or cycling. MP is seen associated with sports such as gymnastic
#soccer and strenuous exercise
#bodybuilding. What are the symptoms of Meralgia paresthetica? The main symptoms of this condition include Pain
#burning
#aching or stabbing sensation in the front and outer side of the thigh
#extending as far as the outer side of knee. This may be accompanied by groin and buttock pain Altered sensitivity in the front
#other side of thigh Numbness
#tingling sensation Worsening of symptoms with certain positions such as squatting
#walking or standing for long hours. Lying down with legs bent towards the tummy (hip flexion) or sitting may help to reduce the symptoms severity. As this nerve does not control any muscles
#there is no muscle weakness. How is Meralgia paresthetica diagnosed? In most cases
#the diagnosis can be made by the history and examination. Simple tests such as altered sensation in the area supplied by nerve
#pressure on the nerve in the groin
#moving the hip backwards may reproduce the symptoms and help in establishing the diagnosis. An ultrasound scan can be useful. I have previously identified nerve abnormalities with ultrasound scans prompting other investigations. Investigations such as MR
#physical therapy and ultrasound guided injections or radiofrequency treatment. Surgery is rarely required and is considered for chronic refractory cases not responding to other measures. Lifestyle changes– these include Avoiding tight clothes and belts
#this option can be utilised to prolong the pain relief. The procedure involves identifying the nerve under ultrasound guidance followed by placement of a special needle close to the nerve. The needle is connected to a radiofrequency machine which is used
#usually lasting 6-8 months although some studies have found even longer lasting benefits. If required repeat freezing of the nerves can be performed with good results. Surgical management. This is rarely required and is considered for non-resolving sever
#Meralgia paresthetica diagnosed
#Meralgia paresthetica treated
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#symptoms of Meralgia paresthetica
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Fibromyalgia/ Widespread Pain Treatment In Delhi
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Posted by Dr Amod Manocha Filed in Health #Pain Management in Delhi #Pain Treatment in South Delhi #Pain management centre in Delhi #Pain Management in South Delhi #Body pain treatment in Delhi #Pain Treatment in Delhi #Fibromyalgia Pain Treatment In Delhi #Widespread Pain Treatment In Delhi 75 views
Tag: Fibromyalgia/ Widespread Pain Treatment In Delhi
Fibromyalgia is one of the common causes of long-term widespread body pain. Pain may be accompanied by other symptoms including
- Fatigue
- Non refreshing sleep
- Impaired concentration
- Memory issues
- Mood disturbances
- Increased sensitivity
- Numbness and tingling in hands and feet
Management
Pain clinic is the ideal place to manage fibromyalgia as it brings together the skills of a wide range of specialists working together as a team. This multi-disciplinary approach is essential to minimise the impact on the quality of life. A combination of drug and non-drug treatments can help manage the symptoms. I offer personalised pain management plans on lines of Pain Management Programme (PMP). I can help you
- Understand the condition
- By making a management plan and prescribing medications. When considering medications I take into account the latest evidence and individualise it keeping in mind your symptoms and other medical problems. The resulting pain reduction can enable active participation in physical therapies and rehabilitation.
- Implement necessary life style modifications
- By involving other experts and coordinating your care with help from other specialists including
- Physiotherapist– they will advice you on posture, physical function, pacing of activities. There is good evidence supporting aerobic exercises and graded exercise program in fibromyalgia management
- Psychologists– Cognitive behavioral therapy has been shown to improve function and decreased the pain severity in fibromyalgia. Psychologists can help in reducing the impact of depression/ anxiety and in stress management by teaching relaxation, coping strategies
- Occupational therapist
- Nutritional specialist– dietary profiling and nutritional advice helping you eat a balanced diet and keep a healthy weight.
- Complementary and alternative therapies including Acupuncture, TENS, meditation, ayurveda and wellness