The diagnosis of meralgia paraesthetica (MP) was established on the patient’s description of burning and blade like sensation in the thigh, which are typical signs of neuropathy, affecting the lateral cutaneous nerve (LFCN). Bedside tests, for example, the Tinel’s sign over the inguinal ligament on both sides further supported this diagnosis. The use of self-reported pain scales, such as the Visual Analogue Scale (VAS), helped in assessing the severity of her pain pre- and post-intervention.
A comprehensive biopsychosocial assessment revealed that her MP is complex, with significant interplay among biological, psychological, and social factors.
The patient’s elevated BMI is likely contributing to her MP and compounded by risk factors such as polycystic ovary syndrome (PCOS) and endometriosis. Additionally, the patient reported that chronic pain and restricted mobility cause frustration and anxiety, leading her to avoid physical activities to prevent pain flare-ups, which perpetuates a cycle of inactivity and worsening symptoms. Socially, she reports her role as an assistant service manager requires prolonged standing, which exacerbates her pain. Reduced engagement in physical and social activities has also negatively affected her overall quality of life.
