Aggravating factors: postures, walking, prolonged standing or sitting

Relieving factors: lying down and rest.

Have you had recent surgeries?

Have you had recent injuries to your hip area, such as from a seat belt in a motor vehicle accident?

Do you regularly do repetitive activities that affect your hip area, such as cycling?

Preventive measure for meralgia paresthetica.

Avoid wearing tight clothing.

Maintain a healthy weight, or lose weight if you’re overweight.

Diagnosis:

• It ias mostly diagnosed by clinical history and physical examinations. doctor will do strength testing and reflex testing to exclude other causes.
• Imaging studies; mri or ct imaging of your hip and pelvic area might be needed to exclude other pathologies.
• Electromyography: to rule out muscle and nerve disorders.
• Nerve conducton study: by stimulating the nerve, we can diagnose nerve pathology. also comparision of lateral cutaneous nerve on each side may be performed.
• Diagnostic nerve blockage by ultrasound machine it is very accurate for diagnosis.

Treatment:

• Pharmacotherapy

we can give pregabalin, gabapentin, or amitryptiline , OR NSAIDS .but these work well in few patients and long lasting pain relief is not observed in some patients.

• Interventional pain management