BACKGROUND: Since 1878 when first described by Bernhadt, the condition now known as meralgia parasthetica, or Bernhardt-Roth syndrome, has been characterized by an irritating or burning sensation in the outer thigh and is often accompanied by numbness or tingling. Nerve conduction studies verify the presence of the neuropathy, a chronic neurologic disorder, caused by compression of the lateral femoral cutaneous nerve (LFCN). Traditionally, patients will receive over-the-counter pain medication, tricyclic antidepressants or anti-seizure medications to alleviate the pain. In severe cases, surgery is performed to decompress the nerve
HYPOTHESIS: Owing to its small size and the course it runs from behind the spine, down through the groin and branching out across the outer thigh, the LFCN can be difficult to visualize and even harder to ascertain the exact point of compression.
Using high-precision ultrasound, Dr. Bodor is able to better see the nerve, and its path, by rotating the viewing angle and changing the traditional visualization approach. With a different angle, he is able to clearly identify the nerve as it exits the pelvis.
TREATMENT: Dr. Bodor, using this novel approach for nerve visualization is able to delivery a precise injection of anabolic steroid to the thick fascia in the affected area that is compressing the LFCN and restricting the sensory pathway. The treatment serves to decompress the fascia, allowing the space around the LFCN to open up, eliminating the need for surgery or a continued regimen of pain medication.
GOAL: We are currently enrolling up to 20 patients for this study to determine the optimal angle for viewing and administering treatment to the affected area around the LFCN.
Please contact Yvette Uribe, to inquire about study participation.