Meralgia paresthetica, bilateral lower limbs
ICD-10 G57.13 is a billable code used to indicate a diagnosis of meralgia paresthetica, bilateral lower limbs.
Meralgia paresthetica is a condition characterized by numbness, tingling, and burning pain in the outer thigh due to compression of the lateral femoral cutaneous nerve. When bilateral, it indicates that both lower limbs are affected. This condition often arises from factors such as obesity, tight clothing, pregnancy, or prolonged sitting, which can lead to nerve entrapment. The lateral femoral cutaneous nerve, which is responsible for sensation in the skin of the outer thigh, can become compressed as it passes under the inguinal ligament. Patients may report symptoms that can significantly impact their quality of life, including difficulty in walking or standing for prolonged periods. Diagnosis typically involves a thorough clinical history, physical examination, and may include nerve conduction studies to assess the function of the affected nerve. Treatment options often focus on alleviating pressure on the nerve, which may involve lifestyle modifications, physical therapy, or in some cases, surgical intervention. Understanding the underlying causes and appropriate management strategies is crucial for effective treatment and patient education.
Detailed neurological examination findings, including sensory and motor assessments.
Patients presenting with unilateral or bilateral thigh pain and sensory disturbances.
Ensure documentation includes the duration of symptoms and any previous treatments attempted.
Assessment of musculoskeletal factors contributing to nerve compression.
Patients with obesity or post-surgical patients experiencing thigh pain.
Document any surgical interventions or recommendations for weight management.
Used to confirm the diagnosis of meralgia paresthetica.
Document the rationale for the nerve conduction study and findings.
Neurologists should ensure comprehensive documentation of nerve function.
Common causes include obesity, tight clothing, pregnancy, and prolonged sitting, which can compress the lateral femoral cutaneous nerve.
Diagnosis is typically made through clinical evaluation, patient history, and may include nerve conduction studies to assess nerve function.
Treatment options include lifestyle modifications, physical therapy, and in some cases, surgical intervention to relieve nerve compression.
