Open AccessPROLONGED PAIN RELIEF WITH USE OF 10% LIDOCAINE NEUROLYSIS FOR REFRACTORY MERALGIA PARESTHETICA
Author(s) -
Gayatri Chauhan
Publication year - 2019
Publication title -
interventional pain management reports
Language(s) - English
Resource type - Journals
ISSN - 2575-9841
DOI - 10.36076/pmcr.2019/3/121
Subject(s) - neurolysis , medicine , lidocaine , inguinal ligament , refractory (planetary science) , thigh , surgery , neuropathic pain , entrapment neuropathy , anesthesia , pain medication , carpal tunnel syndrome , physics , astrobiology
Meralgia paresthetica is a sensory neuropathycharacterized by anterolateral thigh pain associatedwith paresthesiae. It is hypothesizedthat entrapment, compression, or stretching ofthe lateral femoral cutaneous nerve as it exitsthrough the inguinal ligament. Often times lifestyle modification, neuropathic pain medications,and or steroid injections can help relieve the pain.In some circumstances, the pain is refractory andmore invasive procedures such as radiofrequencyablation and or even surgery may need to bepursued. The authors report the successful use of10% lidocaine for chemical neurolysis for Meralgiaparesthetica in a 47-year-old female refractory toconventional treatment. In this case report, wewill discuss the risk factors, pathomechanics,diagnostic challenges, therapeutic options andnovel approach employed by the authors.Key words: 10% lidocaine, chemical neurolysis,meralgia, aresthetica, neuropathic pain