Any success having Lateral Femoral Cutaneous fixed?

Posted by notsureabout @notsureabout, Apr 20 12:08pm

My left outer thigh feels on fire, sharp sudden stabbing pains, constant numbness, tingling and prickly feeling.
They have done X-rays, MRI and what they called ‘nerve test’ yet no one said what’s causing the discomfort for years, the Orthopedic has concentrated on lumbar issues and recommended Physical Therapy of which is causing more pain.
I found the term Lateral Femoral Cutaneous Nerve Entrapment on line and it describes and shows pics of exact location of the discomfort in my thigh.
I’m wondering if anyone has had any success in finding help to fix a Lateral Femoral Cutaneous Nerve Entrapment, and what type of Specialist diagnose the issue?

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I have the same thing 3 years after anterior total hip. I've seen neurologist, ortho, back specialist with no answers. I think doctors don't know and don't want to find the treatment. Tired doctors and they don't want to investigate.

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Good morning. I began having symptoms of lateral femoral nerve impingement back in the mid-1990s after spending a lot of time sitting with my legs crossed "Indian style." Meralgia Paresthetica is often used as another name for the diagnosis. The affected nerve distribution is sensory and has not interfered with muscle strength or movement ability. I had severe but intermittent pain in the outer upper thigh area, which increased to the point that I would awaken from sleep in severe pain when repositioning in bed. Lidoderm patches helped; however, the pain of removing the patch was significant.
Finally, after multiple tests and years of pain, I underwent a lateral femoral nerve clipping (through my appendectomy scar), also called a neurectomy, and a lateral calf nerve release to relieve abnormal dorsal foot sensations. The Surgeon who performed my procedure now lives in Arizona and is named Sean Wolfort, MD. If surgical intervention is the chosen way to move forward, I recommend that a surgeon who is trained in this specific procedure be located.
The pain is now mostly resolved. I do have intermittent flares of nerve discomfort, but I am mostly pain-free. I take low-dose Pregabalin at night to suppress any discomfort and use a Lidocaine, gabapentin, and Flexeril topical compound created by a local apothecary as needed. I believe that other treatments, including local medication injections, are also available. An ice pack for 10 minutes or so before bed has also been helpful.
I hope this information has been helpful. Know that you are not alone and that others understand the pain. Best of luck!

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I was diagnosed with this condition after hip replacement surgery and had my lateral femoral cutaneous nerve severed on August 29 of this year. I am currently trying to recover. Prior to the surgery, I had nerve blocks to relieve the pain which were unsuccessful. My LFCN was damaged during my hip replacement surgery, which is one of the lesser known risks of a hip replacement surgery because that nerve is located just under the skin and can easily be damaged when they open up your hip and move everything around to perform the hip replacement. The pain that I experienced from this condition was hands-down, the worst pain I have ever felt in my life. It was excruciating and unrelenting. I suffered from mid April until the end of August with this pain and at times it was so bad I had thoughts of ending my life. The surgery so far has relieved some of the pain. At least at this point, there are periods where I have only mild pain, but I am not pain-free, at least not yet. Unfortunately, I think I’m going to be one of these people that it takes quite a bit of time to heal completely. If you have this condition, I feel for you because it is horrible. I’ve had three neck surgeries, one back surgery, rheumatoid arthritis and fibromyalgia most of my adult life and so I am no stranger to pain. When I tell you, this is the worst pain of my life, I’m not kidding. I wouldn’t wish this condition on my worst enemy. I hope that’s not what’s going on with you, but if it is, please find a good doctor and get some relief. I will be praying for you. Ice helps more than anything else.

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Profile picture for melindaheim @melindaheim

Good morning. I began having symptoms of lateral femoral nerve impingement back in the mid-1990s after spending a lot of time sitting with my legs crossed "Indian style." Meralgia Paresthetica is often used as another name for the diagnosis. The affected nerve distribution is sensory and has not interfered with muscle strength or movement ability. I had severe but intermittent pain in the outer upper thigh area, which increased to the point that I would awaken from sleep in severe pain when repositioning in bed. Lidoderm patches helped; however, the pain of removing the patch was significant.
Finally, after multiple tests and years of pain, I underwent a lateral femoral nerve clipping (through my appendectomy scar), also called a neurectomy, and a lateral calf nerve release to relieve abnormal dorsal foot sensations. The Surgeon who performed my procedure now lives in Arizona and is named Sean Wolfort, MD. If surgical intervention is the chosen way to move forward, I recommend that a surgeon who is trained in this specific procedure be located.
The pain is now mostly resolved. I do have intermittent flares of nerve discomfort, but I am mostly pain-free. I take low-dose Pregabalin at night to suppress any discomfort and use a Lidocaine, gabapentin, and Flexeril topical compound created by a local apothecary as needed. I believe that other treatments, including local medication injections, are also available. An ice pack for 10 minutes or so before bed has also been helpful.
I hope this information has been helpful. Know that you are not alone and that others understand the pain. Best of luck!

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@melindaheim I had this surgery on August 29 of this year and was wondering how long it took you to recover fully. My pain has been relieved somewhat as prior to the surgery. It was excruciating and unrelenting, but I still have difficulty walking and periods of pretty bad pain but again, nothing like it was before the surgery. I’m just eager to get back on my feet and was wondering, even though you still have some issues, at what point did you feel fairly good after your surgery?

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Good morning! I obtained fair relief almost immediately. Some of the mild discomfort, unfortunately, continues to this day; however, I have learned to recognize it and use topical meds/ice when it happens. Maybe some gentle strength training for your lower extremities and/or stretching will help resolve your pain. Although I realize it is only a cutaneous sensory nerve distribution, I would never have guessed it could be so painful. May I ask who performed your surgery? I think that the longer a nerve has been injured, the longer it takes to recover. When I compare the discomfort now to the outright pain I had before surgery, I am grateful that I had it done. I wish you the best of luck!

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