Lateral femoral cutaneous neuritis in women

The main causes of lateral femoral cutaneous neuritis in female friends are pelvic tumors and pregnancy diseases. We must first check whether there is pregnancy. If it is during pregnancy, it is because the fetus puts too much pressure on the lumbar spine, which is a normal physiological phenomenon. If you are not pregnant, then there may be a pelvic tumor. Everyone needs to check in time in life and avoid stimulation of the nerves.

Causes

1. Compression of the lateral femoral cutaneous nerve

The lateral femoral cutaneous nerve runs at a large angle as it passes through the lateral edge of the psoas major muscle and descends to the groin, passing through the inguinal fascia and is easily injured. The usual site of compression is at the anterior superior iliac spine. Common causes include: spinal deformity, hypertrophic spondylitis, spina bifida, lumbar spondylosis, pregnancy, pelvic tumors, retroperitoneal tumors, inguinal hernia, intervertebral disc herniation, etc., all of which can cause this disease.

2. Trauma or infection

For example: lumbar myositis, pelvic inflammatory disease, neurosyphilis, appendicitis, sequelae of herpes zoster, etc. can induce this disease.

3. Others

For example, diabetic mononeuropathy is prone to affect this nerve. Drug poisoning, alcohol poisoning, cold and humidity are common causes of this disease. In some patients, the cause of injury is unknown.

Except for mild inflammatory cell infiltration around small blood vessels in the dermis, there are no special changes. Neurological examination may reveal nerve swelling, perineurial inflammatory cell infiltration, and neurodegeneration.

treat

The treatment of lateral femoral cutaneous neuritis first lies in identifying the primary disease and actively treating it, relieving stimulation to the nerve, such as treating diabetes, arteriosclerosis, poisoning, etc., helping obese people lose weight, and helping alcoholics quit drinking.

In addition, symptomatic treatment can be given with vitamins B1, B2, B12 or corticosteroids to nourish the nerves and eliminate inflammation.

If the pain is severe, analgesics or local blockade can be given. Lateral femoral cutaneous nerve injection therapy: Use a No. 12 needle to vertically penetrate the sartorius muscle about 3 to 4 cm, about 10 cm below the anterior superior iliac spine, and then slowly inject vitamin B1 or a mixture of vitamin B12 once a day, 5 to 10 times as a course of treatment.

Physical therapy, acupuncture, manipulation and massage may be effective in some cases. For patients with severe and difficult-to-relieve conditions and unknown causes, surgery to cut the nerves or perform neurolysis can be performed.