Meralgia paresthetica, right lower limb
ICD-10 G57.11 is a billable code used to indicate a diagnosis of meralgia paresthetica, right lower limb.
Meralgia paresthetica is a condition characterized by the compression of the lateral femoral cutaneous nerve, which supplies sensation to the skin of the outer thigh. This condition typically presents with symptoms such as tingling, numbness, and burning pain in the outer thigh, particularly on the right side in this case. The entrapment often occurs as the nerve passes under the inguinal ligament, which can be exacerbated by factors such as obesity, tight clothing, or prolonged sitting. Diagnosis is primarily clinical, supported by patient history and physical examination. Nerve conduction studies may be utilized to assess the function of the lateral femoral cutaneous nerve and rule out other neuropathies. Treatment often involves conservative measures such as weight loss, physical therapy, and avoidance of aggravating factors. In some cases, corticosteroid injections or surgical intervention may be necessary if conservative management fails. Understanding the underlying mechanisms of nerve entrapment and the specific anatomical pathways involved is crucial for accurate diagnosis and effective treatment.
Detailed neurological examination findings, including sensory deficits and pain description.
Patients presenting with unilateral thigh pain and sensory changes.
Ensure documentation includes the patient's history of risk factors such as obesity or tight clothing.
Assessment of musculoskeletal factors contributing to nerve compression.
Patients with hip or pelvic issues presenting with thigh symptoms.
Document any physical therapy interventions or surgical options considered.
Used to assess the function of the lateral femoral cutaneous nerve in patients with suspected meralgia paresthetica.
Document the rationale for the nerve conduction study and the specific symptoms being evaluated.
Neurologists should ensure that the study is performed in conjunction with a thorough clinical evaluation.
Common symptoms include tingling, numbness, and burning pain in the outer thigh, particularly on the affected side.
Diagnosis is primarily clinical, based on patient history and physical examination, often supplemented by nerve conduction studies.
Treatment options include conservative measures such as weight loss, physical therapy, and avoiding aggravating factors. In some cases, corticosteroid injections or surgery may be necessary.
