Meralgia Paresthetica: A 5 Model Osteopathic Approach

Abstract

Meralgia Paresthetica is the diagnostic term used to describe a neuropathy of the lateral femoral cutaneous nerve and typically presents with numbness, tingling, paresthesias or any other sign of nerve impingement along the anterior and lateral thigh. This condition is quite debilitating and bothersome for patients and typically is underdiagnosed in the outpatient setting, partially due to symptoms being attributed to other hip or lumbar spine causes. This article will provide an osteopathic perspective on this condition with all of its probable causes as well as a reference for a structured approach to managing the patient with osteopathic manipulative medicine. In addition, home exercises, stretches, and behavioral adaptations will be mentioned in order to maintain the results of the osteopathic manipulative treatment. A case report will be presented and specific findings related to this condition will be explained. Osteopathic manipulative treatment, along with behavioral retraining, should be considered as treatment options and offered to patients prior to pursuing more invasive therapeutic measures.