Case Report PULSED RADIOFREQUENCY FOR MERALGIA PARAESTHETICA
A 47 year old gentleman was seen in the Pain Clinic. He described intermittent, burning pain in the anterolateral aspect of his right leg. This was reproduced by light palpation over the exit point of the lateral cutaneous nerve of the thigh. He was diagnosed with the condition meralgia paraesthetica, where there is irritation or inflammation of the lateral cutaneous nerve of the thigh, leading to the above symptoms.
The gentleman has previously been treated on a number of different antineuropathic agents, including Pregabalin, Amitriptyline and Gabapentin. Unfortunately, he had only marginal benefit from these and suffered with many adverse effects. He was very keen to find a local solution. He was seen in the Pain Clinic and offered a local minimally invasive pain management procedure. A local procedure using pulsed radiofrequency to the lateral cutaneous nerve of the thigh was used. This is a minimally invasive procedure, which aims to neuro-modulate the lateral cutaneous nerve of the thigh and make it work properly.
The gentleman was seen approximately 3 months after this treatment and was found to be pain free. He was then discharged from the Pain Clinic.