Meralgia Paresthetica: Causes, Symptoms, and Treatment Options for Thigh Numbness and Pain

Meralgia paresthetica, also known as Bernhardt-Roth syndrome, is a condition that causes numbness, pain, or a burning sensation in the outer thigh. This occurs when there is excessive pressure on or damage to the lateral femoral cutaneous nerve (LFCN), which is responsible for providing sensation to the front and side of the thigh.

Symptoms of Meralgia Paresthetica

Symptoms of meralgia paresthetica usually occur on only one side of the body and may include:

• Pain, tingling, numbness, or burning in the outside of the thigh

• Sensitivity to light touch rather than firm pressure

• Increased sensitivity to heat

• Worsening pain after walking or standing for extended periods

Causes and Risk Factors

Meralgia paresthetica occurs when the LFCN does not have enough space to pass through the hip bone or joints, which can be caused by swelling, trauma, or increased pressure in the area. Some common causes and risk factors include:

• Weight gain and obesity

• Tight clothing, such as pants, leggings, or belts

• Pregnancy

• Injury, such as trauma from a seatbelt during a car crash

• Certain medical conditions, like diabetes or hypothyroidism

• Repetitive motions that irritate the nerve

• Prolonged standing or walking

Diagnosing Meralgia Paresthetica

To diagnose meralgia paresthetica, your doctor will perform a physical exam and ask about your symptoms and medical history. They may also order tests, such as:

• Imaging tests (X-rays, CT scans, or MRIs)

• Electromyography

• Nerve conduction tests

• Nerve blockade

• Blood tests

Treatment Options for Meralgia Paresthetica

Treatment for meralgia paresthetica focuses on relieving pressure on the affected nerve. Depending on the cause and severity of the condition, treatment may include:

• Physical therapy, including stretching and strengthening exercises

• Medications, such as corticosteroid shots, antidepressants, or anti-seizure drugs

• Lifestyle changes, like wearing loose clothing and losing weight

• Home remedies, such as heat, ice, or over-the-counter pain relievers

• Surgery (in severe cases)

Most people with meralgia paresthetica recover within 4 to 6 weeks with proper treatment. However, some may experience lingering numbness even after treatment.

Managing Meralgia Paresthetica at Home

In addition to medical treatment, there are several things you can do at home to manage meralgia paresthetica symptoms:

• Perform recommended stretches and exercises, such as cat-cow, clamshell, and lunges

• Avoid sleeping on the affected side and use pillows to support your legs and hips

• Wear loose, comfortable clothing

• Maintain a healthy weight

• Use heat, ice, or over-the-counter pain relievers as directed by your doctor

If you suspect you have meralgia paresthetica, consult your healthcare provider for an accurate diagnosis and appropriate treatment plan. With proper care and management, most people can find relief from the numbness and pain associated with this condition.

For more information on meralgia paresthetica, visit:

• National Institute of Neurological Disorders and Stroke

• Mayo Clinic

• StatPearls - Meralgia Paresthetica

The Bottom Line

Most people with this nerve compression condition recover completely with simple lifestyle changes like looser clothing and brief walking breaks every 30 minutes. Early intervention prevents chronic pain and speeds recovery within a few months. If you're experiencing persistent outer thigh numbness or burning, Doctronic can help evaluate your symptoms and guide appropriate treatment.