Moving the mention of what meralgia paresthetica means in greek to the signs and symptoms section as it's not really the key info you want to highlight in the intro.
Okumaya devam et...
← Previous revision | Revision as of 07:17, 27 April 2024 |
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| '''Meralgia paresthetica''' or '''meralgia paraesthetica''' is [[numbness]] or [[pain]] in the outer [[thigh]] not caused by injury to the [[thigh]], but by injury to a [[nerve]] that extends from the [[spinal column]] to the [[thigh]]. | '''Meralgia paresthetica''' or '''meralgia paraesthetica''' is [[numbness]] or [[pain]] in the outer [[thigh]] not caused by injury to the [[thigh]], but by injury to a [[nerve]] that extends from the [[spinal column]] to the [[thigh]]. |
| This [[chronic (medicine)|chronic]] [[Nerve compression syndrome|nerve entrapment]] disorder<ref name=":0">{{cite journal |vauthors=Cheatham SW, Kolber MJ, Salamh PA |date=December 2013 |title=Meralgia paresthetica: a review of the literature |url= |journal=Int J Sports Phys Ther |volume=8 |issue=6 |pages=883–93 |doi= |pmc=3867081 |pmid=24377074}}</ref> involves a single nerve—the [[lateral cutaneous nerve of thigh|lateral cutaneous nerve of the thigh]], which is also called the lateral femoral cutaneous nerve (and hence the syndrome '''lateral femoral cutaneous neuropathy''').<ref>IASP, [http://www.iasp-pain.org/"*****"/Te...mplate=/CM/ContentDisplay.cfm&ContentID=16282 XXXI: LOCAL SYNDROMES IN THE LEG OR FOOT: PAIN OF NEUROLOGICAL ORIGIN] {{webarchive|url=https://web.archive.org/web/2012121...mplate=/CM/ContentDisplay.cfm&ContentID=16282 |date=2012-12-19 }}, 2012</ref> The term "[[wikt:mero-|mer]]algia paraesthetica" combines four [[Greek language|Greek]] roots to mean "thigh pain with abnormal sensations". | This [[chronic (medicine)|chronic]] [[Nerve compression syndrome|nerve entrapment]] disorder<ref name=":0">{{cite journal |vauthors=Cheatham SW, Kolber MJ, Salamh PA |date=December 2013 |title=Meralgia paresthetica: a review of the literature |url= |journal=Int J Sports Phys Ther |volume=8 |issue=6 |pages=883–93 |doi= |pmc=3867081 |pmid=24377074}}</ref> involves a single nerve—the [[lateral cutaneous nerve of thigh|lateral cutaneous nerve of the thigh]], which is also called the lateral femoral cutaneous nerve (and hence the syndrome '''lateral femoral cutaneous neuropathy''').<ref>IASP, [http://www.iasp-pain.org/"*****"/Te...mplate=/CM/ContentDisplay.cfm&ContentID=16282 XXXI: LOCAL SYNDROMES IN THE LEG OR FOOT: PAIN OF NEUROLOGICAL ORIGIN] {{webarchive|url=https://web.archive.org/web/2012121...mplate=/CM/ContentDisplay.cfm&ContentID=16282 |date=2012-12-19 }}, 2012</ref> |
| == Anatomy == | == Anatomy == |
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| The lateral femoral cutaneous nerve (LFCN) is a purely sensory nerve,<ref name=":1">{{cite journal |vauthors=Scholz C, Hohenhaus M, Pedro MT, Uerschels AK, Dengler NF |date=September 2023 |title=Meralgia Paresthetica: Relevance, Diagnosis, and Treatment |url= |journal=Dtsch Arztebl Int |volume=120 |issue=39 |pages=655–661 |doi=10.3238/arztebl.m2023.0170 |pmc=10622057 |pmid=37534445}}</ref><ref name=":2">{{cite journal |vauthors=Khalil N, Nicotra A, Rakowicz W |date=December 2012 |title=Treatment for meralgia paraesthetica |url= |journal=Cochrane Database Syst Rev |volume=12 |issue=12 |pages=CD004159 |doi=10.1002/14651858.CD004159.pub3 |pmc=7197425 |pmid=23235604}}</ref> and consequently the symptoms are also sensory.<ref name=":3">Coffey R, Gupta V. Meralgia Paresthetica. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: <nowiki>https://www.ncbi.nlm.nih.gov/books/NBK557735/</nowiki></ref> Symptoms are typically unilateral, seen in about 78% of cases, but may be bilateral.<ref name=":3" /><ref name=":2" /> | The lateral femoral cutaneous nerve (LFCN) is a purely sensory nerve,<ref name=":1">{{cite journal |vauthors=Scholz C, Hohenhaus M, Pedro MT, Uerschels AK, Dengler NF |date=September 2023 |title=Meralgia Paresthetica: Relevance, Diagnosis, and Treatment |url= |journal=Dtsch Arztebl Int |volume=120 |issue=39 |pages=655–661 |doi=10.3238/arztebl.m2023.0170 |pmc=10622057 |pmid=37534445}}</ref><ref name=":2">{{cite journal |vauthors=Khalil N, Nicotra A, Rakowicz W |date=December 2012 |title=Treatment for meralgia paraesthetica |url= |journal=Cochrane Database Syst Rev |volume=12 |issue=12 |pages=CD004159 |doi=10.1002/14651858.CD004159.pub3 |pmc=7197425 |pmid=23235604}}</ref> and consequently the symptoms are also sensory.<ref name=":3">Coffey R, Gupta V. Meralgia Paresthetica. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: <nowiki>https://www.ncbi.nlm.nih.gov/books/NBK557735/</nowiki></ref> Symptoms are typically unilateral, seen in about 78% of cases, but may be bilateral.<ref name=":3" /><ref name=":2" /> |
| The most common symptom is pain, [[Paresthesia|paresthesias]], or [[Dysesthesia|dysthesias]] on the anterolateral surface of the thigh that extends just above the knee.<ref name=":1" /><ref name=":5">{{cite journal |vauthors=Lu VM, Burks SS, Heath RN, Wolde T, Spinner RJ, Levi AD |date=January 2021 |title=Meralgia paresthetica treated by injection, decompression, and neurectomy: a systematic review and meta-analysis of pain and operative outcomes |url= |journal=J Neurosurg |volume=135 |issue=3 |pages=912–922 |doi=10.3171/2020.7.JNS202191 |pmid=33450741}}</ref><ref name=":0" /><ref name=":2" /><ref name=":6">{{cite journal |vauthors=Schönberg B, Pigorsch M, Huscher D, Baruchi S, Reinsch J, Zdunczyk A, Scholz C, Uerschels AK, Dengler NF |date=February 2023 |title=Diagnosis and treatment of meralgia paresthetica between 2005 and 2018: a national cohort study |url= |journal=Neurosurg Rev |volume=46 |issue=1 |pages=54 |doi=10.1007/s10143-023-01962-0 |pmc=9925535 |pmid=36781569}}</ref><ref name=":3" /> Examples of paresthesias (abnormal sensations but not unpleasant) and dysthesias (abnormal sensations that are unpleasant) are burning, tingling, numbness, stinging, hypersensitivity, and itching. The symptom intensity can be mild to severe in a way that limits function due to pain.<ref name=":0" /> | The most common symptom is pain, [[Paresthesia|paresthesias]], or [[Dysesthesia|dysthesias]] on the anterolateral surface of the thigh that extends just above the knee.<ref name=":1" /><ref name=":5">{{cite journal |vauthors=Lu VM, Burks SS, Heath RN, Wolde T, Spinner RJ, Levi AD |date=January 2021 |title=Meralgia paresthetica treated by injection, decompression, and neurectomy: a systematic review and meta-analysis of pain and operative outcomes |url= |journal=J Neurosurg |volume=135 |issue=3 |pages=912–922 |doi=10.3171/2020.7.JNS202191 |pmid=33450741}}</ref><ref name=":0" /><ref name=":2" /><ref name=":6">{{cite journal |vauthors=Schönberg B, Pigorsch M, Huscher D, Baruchi S, Reinsch J, Zdunczyk A, Scholz C, Uerschels AK, Dengler NF |date=February 2023 |title=Diagnosis and treatment of meralgia paresthetica between 2005 and 2018: a national cohort study |url= |journal=Neurosurg Rev |volume=46 |issue=1 |pages=54 |doi=10.1007/s10143-023-01962-0 |pmc=9925535 |pmid=36781569}}</ref><ref name=":3" /> (The term "[[wikt:mero-|mer]]algia paraesthetica" combines four [[Greek language|Greek]] roots to mean "thigh pain with abnormal sensations".) Examples of paresthesias (abnormal sensations but not unpleasant) and dysthesias (abnormal sensations that are unpleasant) are burning, tingling, numbness, stinging, hypersensitivity, and itching. The symptom intensity can be mild to severe in a way that limits function due to pain.<ref name=":0" /> |
| Activity and position can affect the symptoms. For example, symptoms may be exacerbated by standing or prolonged hip extension, with relief when sitting or flexing the hip.<ref name=":3" /><ref name=":1" /> Sometimes strenuous exercise may exacerbate symptoms.<ref name=":4">{{cite journal |vauthors=de Ruiter GC, Oosterhuis JW, Vissers TF, Kloet A |date=May 2023 |title=Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience |url= |journal=Neurosurg Rev |volume=46 |issue=1 |pages=107 |doi=10.1007/s10143-023-02023-2 |pmc=10162905 |pmid=37148363}}</ref><ref name=":0" /> | Activity and position can affect the symptoms. For example, symptoms may be exacerbated by standing or prolonged hip extension, with relief when sitting or flexing the hip.<ref name=":3" /><ref name=":1" /> Sometimes strenuous exercise may exacerbate symptoms.<ref name=":4">{{cite journal |vauthors=de Ruiter GC, Oosterhuis JW, Vissers TF, Kloet A |date=May 2023 |title=Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience |url= |journal=Neurosurg Rev |volume=46 |issue=1 |pages=107 |doi=10.1007/s10143-023-02023-2 |pmc=10162905 |pmid=37148363}}</ref><ref name=":0" /> |
Okumaya devam et...