Meralgia paresthetica, left lower limb
ICD-10 G57.12 is a billable code used to indicate a diagnosis of meralgia paresthetica, left lower limb.
Meralgia paresthetica is a condition characterized by numbness, tingling, and burning pain in the outer thigh, resulting from compression of the lateral femoral cutaneous nerve. This nerve, which is responsible for sensation in the skin over the lateral aspect of the thigh, can become entrapped due to various factors such as obesity, tight clothing, pregnancy, or prolonged sitting. The left lower limb designation indicates that the symptoms are localized to the left side. Patients often report discomfort that may worsen with activities that increase pressure on the nerve, such as sitting for extended periods or wearing tight belts. Diagnosis typically involves a thorough clinical evaluation, including a detailed history and physical examination, and may be supported by nerve conduction studies to assess the function of the lateral femoral cutaneous nerve. Treatment options include conservative measures such as weight loss, physical therapy, and avoidance of aggravating factors, with surgical intervention considered in severe cases where conservative management fails.
Detailed neurological examination findings, including sensory and motor assessments.
Patients presenting with unilateral thigh pain and sensory disturbances.
Ensure documentation reflects the specific nerve affected and any diagnostic tests performed.
Assessment of any structural abnormalities contributing to nerve compression.
Patients with obesity or post-surgical changes presenting with thigh pain.
Document any physical therapy interventions or surgical options considered.
Used to confirm the diagnosis of meralgia paresthetica.
Document the rationale for the nerve conduction study and findings.
Neurologists should ensure comprehensive documentation of the patient's history and physical exam.
Common symptoms include numbness, tingling, and burning pain in the outer thigh, often exacerbated by prolonged sitting or tight clothing.
Diagnosis is primarily clinical, supported by a detailed history, physical examination, and may include nerve conduction studies to assess the lateral femoral cutaneous nerve.
Treatment options include conservative measures such as weight loss, physical therapy, and avoiding aggravating factors. Surgical intervention may be considered in severe cases.
