This protocol is for patients with meralgia paresthetica in whom a prior neurolysis of the lateral femoral cutaneous nerve — surgical decompression at the inguinal ligament or radiofrequency ablation — has not delivered adequate pain relief, and a further step in management is required.
Neurolysis of the lateral femoral cutaneous nerve (surgical decompression or radiofrequency ablation) did not achieve the target of relief of pain in the lateral thigh. This unmet goal is the trigger for escalation to the next treatment line.
The structured next step involves a surgical intervention on the lateral femoral cutaneous nerve that goes beyond decompression. The complete protocol — specific technique, patient selection, and full sequencing — is available via the link below.
Complete resolution of meralgia paresthetica symptoms.
DOI: 10.1007/s40122-024-00693-4
It should be noted that surgical strategies for MP can be categorised into two broad categories, neurolysis and neurectomy.
Berini et al. [30] recruited 7 patients who underwent complete resection surgery after all patients had failed adequate pain relief following steroid injection, and 6/7 patients reported complete relief of symptoms following surgery at the end of follow-up and 1 reported partial relief.
all 9 patients who underwent complete resection reported complete symptom resolution at the end of follow-up.
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