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Ann Indian Acad Neurol. 2019 Jul-Sep;22(3):308-310. doi: 10.4103/aian.AIAN_432_18.

Is Triamcinolone an Easy and Efficient Way to Treat Meralgia Paresthetica? A Cohort Study.

Author information

1
Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.

Abstract

Introduction:

Meralgia paresthetica (MP) is a painful mononeuropathy of the lateral femoral cutaneous nerve. It is usually idiopathic and can be treated with drugs used for neuropathic pain such as pregabalin, gabapentin, and amitriptyline.

Objectives:

This study was done to study the effect of triamcinolone acetonide on drug refractory MP.

Methods:

This study was a retrospective case file review.

Results:

Eight patients were treated with local injections of triamcinolone. The patients were followed up for a period of 4 months to 54 months. There was significant symptomatic improvement with six patients having complete improvement and all patients reporting >50% improvement. Patients who had recurrence of symptoms on follow up received up to four injections as per their requirement and repeated injections also produced >50% symptom relief.

Conclusion:

Triamcinolone acetonide injected locally seems to be an effective and safe treatment for refractory MP. A randomized control trial has been planned to look for efficacy and safety.

KEYWORDS:

Drug refractory meralgia; lateral femoral cutaneous nerve; local corticosteroid injection; meralgia paresthetica; neuropathic pain; triamcinolone

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