Hard to believe, but we had a male with signs and symptoms at Progress yesterday that we concluded to be Meralgia Paresthetica.
Asterisks:
– numbness in exact distribution as LCNT on L lateral thigh
– sharp pain in L lateral thigh that were reproduced with L extension quadrant (which we previously thought lumbar spine related, but could be placing tension on LCNT as well)
– previous history of inguinal hernia and repair with mesh placement bilaterally***
– upper lumbar hypomobility and pain
– VERY tender iliopsoas tendons B (L>R) to palpation
– positive for symptom reproduction femoral nerve tension test on L with cervical flexion
– positive sidelying pelvic compression that eased symptoms
– one of the biggest things we changed is his sleep positioning, he tended to lie on his R side with his head and trunk flexed (increased dural tension from above) so we had him position with his head and spine in a neutral position
Thanks for posting about this topic, definitely helped us with treatment and plan of care.