Comparing Ways to Freeze the Nerve That Provides Thigh Sensation
Meralgia Paresthetica
About this trial
This is an interventional diagnostic trial for Meralgia Paresthetica focused on measuring Lateral Femoral Cutaneous Nerve Block, Meralgia Parasthetica, nerve stimulator, ultrasound
Eligibility Criteria
Inclusion Criteria:
- male and female between 18 and 60 years old
- American Society of Anesthesiologists classification 1-3
Exclusion Criteria:
- adults who are unable to give their own consent
- pre-existing neuropathy (assessed by history and physical examination) -
- coagulopathy (assessed by history and physical examination and, if deemed clinically necessary, by blood work up i.e. platelets ≤ 100, International Normalized Ratio ≥ 1.4 or prothrombin time ≥ 50)
- renal failure (assessed by history and physical examination and, if deemed clinically necessary, by blood work up i.e. creatinine ≥ 100)
- hepatic failure (assessed by history and physical examination and, if deemed clinically necessary, by blood work up i.e. transaminases ≥ 100)
- allergy to local anesthetic agents local anesthetic
- pregnancy based on patient self report of last menstrual cycle. If a patient wish/insist on participating in the study, and pregnancy status is unclear, a urine pregnancy test will be offered. Also risk of Lidocaine in pregnancy will be discussed with the patient as currently classified. We will convey that this risk is currently classified as a Risk Class B, which means that animal-reproduction studies have not demonstrated a fetal risk but there are no controlled studies in pregnant women. We will also discuss that animal-reproduction studies have shown an decrease in maternal fertility), but that was not confirmed in controlled studies in women in the first trimester and there is no evidence of a risk in later trimesters,
- prior surgery in the hip and lateral leg region
- prior lumbar surgery
- previous pelvic fracture
- previous L1, L2 or L3 lumbar radiculopathy, plexopathy or meralgia paresthetica
- chronic pain syndromes requiring opioid intake
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Nerve Stimulation- Xylocaine injection
Ultrasound guided Xylocaine injection
Anesthesia of the lateral femoral cutaneous nerve using local anesthetic will be randomly assigned on the right or left side to receive nerve stimulation-xylocaine or ultrasound guided -xylocaine injections in all patients. One patient will therefore have both nerve stimulation AND ultrasound guided injections, only the side of the injection will be randomly assigned to one of the two modalities. Once one technique has been used to freeze one side, the other side will be frozen using the other technique.
Anesthesia of the lateral femoral cutaneous nerve using local anesthetic will be randomly assigned on the right or left side to receive nerve stimulation-xylocaine or ultrasound guided -xylocaine injections in all patients. One patient will therefore have both nerve stimulation AND ultrasound guided injections, only the side of the injection will be randomly assigned to one of the two modalities. Once one technique has been used to freeze one side, the other side will be frozen using the other technique.