Meralgia paresthetica
ICD-10 G57.1 is a billable code used to indicate a diagnosis of meralgia paresthetica.
Meralgia paresthetica is a condition characterized by numbness, tingling, and burning pain in the outer thigh, caused by compression of the lateral femoral cutaneous nerve. This nerve is responsible for sensation in the skin of the outer thigh. The condition often arises due to factors such as obesity, tight clothing, pregnancy, or prolonged sitting, which can lead to entrapment of the nerve as it passes under the inguinal ligament. Patients may report symptoms that worsen with standing or walking and improve with sitting. Diagnosis is primarily clinical, supported by patient history and physical examination. Electromyography (EMG) and nerve conduction studies may be utilized to rule out other neuropathies or confirm nerve dysfunction. Treatment typically involves conservative measures such as weight loss, physical therapy, and avoidance of aggravating factors. In severe cases, surgical intervention may be necessary to relieve nerve compression.
Detailed neurological examination findings, including sensory and motor assessments.
Patients presenting with unilateral thigh pain and sensory disturbances.
Consideration of differential diagnoses such as lumbar radiculopathy or diabetic neuropathy.
Assessment of musculoskeletal factors contributing to nerve compression.
Patients with obesity or post-surgical changes presenting with thigh pain.
Documentation of any surgical history that may contribute to nerve entrapment.
Used to confirm diagnosis of meralgia paresthetica by assessing nerve function.
Document the rationale for nerve conduction studies and findings.
Neurologists should ensure comprehensive documentation of all findings.
Common symptoms include numbness, tingling, and burning pain in the outer thigh, often exacerbated by standing or walking.
Diagnosis is primarily clinical, based on patient history and physical examination, with nerve conduction studies used to confirm nerve involvement.
Treatment options include conservative measures such as weight loss, physical therapy, and avoiding tight clothing. In severe cases, surgical intervention may be necessary.
