Treatment for meralgia paraesthetica

Watch policy (no intervention) might possibly be as effective as local injection or surgical interventions in the treatment of meralgia paresthetica, although the evidence is insufficient.

A Cochrane review included 20 high quality observational studies with a total of 636 patients. No RCTs were found. Four studies evaluating the injection of corticosteroid and local anaesthetic found cure or improvement in 130/157 (83%) cases. Surgical treatments were found to be beneficial in 264/300 (88%) cases treated with decompression (9 studies); and in 45/48 (94%) cases treated with neurectomy (3 studies). Therefore, the reported improvement rates were comparable. In 3 studies with iatrogenic meralgia paraesthetica 99/102 (97%) patients recovered completely without intervention. Also, similar outcome was reported in a single natural history study, where spontaneous improvement of meralgia paraesthetica was described in 20/29 (69%) cases.

Comment: The quality of evidence is downgraded by inconsistency (heterogeneity in interventions and outcomes).

Ədəbiyyat

1. Khalil N, Nicotra A, Rakowicz W. Treatment for meralgia paraesthetica. Cochrane Database Syst Rev 2012;12:CD004159. .