42 year old patient presented with pain in the left anterolateral thigh. She described it as sharp, shooting pain, radiating up to the knee. Pain would be exacerbated by light touch, including any contact with loose clothing. Her sleep was disturbed as any movement would trigger the burning sensation in her thigh.
Previous Investigations/ Treatments
She had input from various specialists in the past including osteopaths, chiropractors, physiotherapists and the Orthopaedic team. She has had various tests including MRI scans of the hip, pelvis and lower back. No specific cause could be identified for the ongoing pain. She tried various pain killers including Gabapentin, Pregabalin, Amitriptyline and Morphine, without any benefit.
Treatment from Dr. Krishna at Pain Spa
The patient saw Dr. Krishna in his private clinic at the Willow surgery in Bristol, desperate for some pain relief. Dr. Krishna felt that her pain was secondary to irritation of the Lateral Femoral Cutaneous Nerve (LFCN) in her groin and diagnosed her of Meralgia Paresthetica. Dr. Krishna offered her a diagnostic Lateral Femoral Cutaneous nerve block under ultrasound guidance. This treatment gave her excellent pain relief lasts 4 months.
Patient subsequently underwent pulsed radiofrequency ablation of the LFCN under ultrasound guidance under the care of Dr. Krishna. This resulted in complete resolution of her pain for several months.
The patient was reviewed at 3 months and 9 months post nerve ablation procedure. She continues to be completely pain free and her function also improved significantly. She has managed to stop all her pain medications and is now fully functional.
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