Meralgia Paresthetica | Pain Physicians | Tyler Texas

Meralgia Paresthetica Overview

Meralgia paresthetica is a health condition marked by burning thigh pain, tingling and numbness. The thigh pain is caused by the lateral femoral cutaneous nerve (LCFN) becoming compressed from weight gain, obesity, pregnancy or wearing clothing too tight. Pain Recovery Center of Tyler offers a variety of pain management treatments administered by our pain physicians to alleviate the troublesome symptoms of meralgia paresthetica in Tyler, Texas patients.

Meralgia Paresthetica Facts

Meralgia paresthetica is a condition characterized by tingling, burning thigh pain, as well as numbness in the outer thigh area. The condition is caused by compression, or pinching, of the lateral femoral cutaneous nerve (LCFN). The LCFN is responsible for supplying sensation to the thigh’s skin surface. The LCFN is a sensory nerve only so it does not contribute to muscle movement in the thigh.

Patients suffering from meralgia paresthetica commonly experience a trapped LCFN under the inguinal ligament. The inguinal ligament runs along the groin from the abdomen to the upper thigh. The compression can be caused by weight gain, obesity, pregnancy, tight clothing or scar tissue from a past injury or surgery around the inguinal ligament.

Meralgia Paresthetica Symptoms

Symptoms of meralgia paresthetica include:

  • Burning thigh pain
  • Tingling and numbness in the thigh
  • Aching in the groin area
  • Pain spreading across the buttocks

Treating Meralgia Paresthetica

A pain physician must first diagnose meralgia paresthetica in order to prescribe the proper pain management treatment. To reach a diagnosis, a physician will perform a thorough medical review and physical examination. During the physical examination, the physician will check for sensory differences between the affected leg and the healthy leg, apply pressure on the LCFN to reproduce the burning thigh pain and perform X-rays or other diagnostic tests, such as a nerve block or electromyography.

Treatment for meralgia paresthetica varies based on the cause and severity of symptoms. Treatment frequently consists of a combination of treatment options, including:

  • Losing weight
  • Wearing looser clothing
  • Pain medications
  • Corticosteroid injections

For more resources on meralgia paresthetica, or for additional information on pain management for burning thigh pain, contact the Tyler, Texas pain physicians at Pain Recovery Center of Tyler.


Coccydynia | Pain Physicians | Tyler Texas

An Overview of Coccydynia

Coccydynia is a health condition marked by inflammation of the tailbone (coccyx). Coccydynia is caused by injury in many cases, and tailbone pain is intensified when a patient is sitting. The pain physicians at Pain Recovery Center of Tyler, located in Tyler, Texas, are highly trained and experienced at diagnosing and treating a variety of pain conditions, including coccydynia.

What to Know About Coccydynia

Coccydynia is inflammation of the tailbone (coccyx) and is characterized by pain and tenderness at the tip of the tailbone between the buttocks. The coccyx is located at the very bottom of the spine.

Several other health conditions can mimic tailbone pain associated with coccydynia, such as sciatica, sacroiliitis, a tailbone fracture and pilonidal cysts. Injuries to the tailbone or pelvic bones typically cause inflammation and pain in the tailbone area.

Diagnosing Coccydynia

Coccydynia has a history of being poorly understood by pain physicians and other health professionals. In many cases, a diagnosis of the cause of this condition will identify the underlying cause of tailbone pain and inflammation, such as a fall on the tailbone or childbirth.

In order to diagnose coccydynia, a pain physician will review a patient’s medical history and perform a thorough physical examination with a focus on the tailbone area. A physician will test for local tenderness and any possible masses or tumors during the examination. X-rays and an MRI scan may also be performed to rule out any tumors, broken bones or other trauma to the tailbone or pelvic bones.

Treating Coccydynia

Treatment for tailbone pain is typically non-invasive. Pain physicians typically begin treatment by utilizing a combination of conservative measures, such as:

  • Anti-inflammatory medications
  • Pain medications and/or injections
  • Utilizing a well-padded seat or custom pillow when sitting
  • Applying heat and/or ice
  • Avoiding sitting for an extended period of time
  • Physical therapy exercises

Many patients suffering from coccydynia experience alleviated symptoms after using non-invasive, conservative measures.

If you are suffering from tailbone pain, or would like more resources on coccydynia, please contact Pain Recovery Center of Tyler’s pain physicians in Tyler, Texas.