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Neurology (Expert Forum)
Tingly Thigh
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury
Tingly Thigh
by TinglyThigh, Jun 22, 2004 12:00AM
Hi, I am a 49-year old doctor in Malaysia with numbness and some tingling of the right lateral femoral nerve cutaneous region, ie the anterolateral of thigh for about 2 weeks. It is almost normal in the morning (after a night’s sleep) and it sets in by 2 pm. It bothers me when my trousers rubbed on the thigh but I can sleep well. I am otherwise healthy, no weakness, no pain, no fever, no lumps. My hematology (TWC, ESR 1 only) and routine biochemistry are normal. I have no family history of neurological diseases. The orthopaedic surgeon here thought it was related to my wearing my heavy camera on my belt. Somehow the belt may have caused edema to the nerve. I had stopped wearing the camera for a week and the numbness is still there. The neurologist thought it is meralgia paraesthetica. I will really appreciate some advice: would ultrasound or MRI show up anything? I have a few sores on the toes of the same side, the dermatologist thought it was eczema of some sort. I wonder if this may be the source of infection in the inguinal nodes or the nerve itself. I took ciprofloxacin 500 mg bd for a week and there seems to be slight improvement after a few days. Would a short course of steroid (say Prednisolone 10 mg tds for a week with Omeprazole 20 mg daily ) help? Thank you.
Doctor's Answer
by CCF-Neuro-M.D.-CS, Jun 27, 2004 12:00AM
Without examing you I can not be sure what this is. Disorders such as meralgia paresthetica and local trauma from a camera bag are reasonable thoughts. If there is any weakness associated with this a more extensive evaluation needs to be performed. A EMG (muscle/nerve test) can be performed to assess the lateral femoral nerve and assure that your other nerves are normal. An imaging study of the lower abdomen and pelivs may be reasonable to exclude mass lesions. Good luck
Member Comments (2)
by tycoon, Jun 25, 2004 12:00AM
Just a thought. My sister has MS. One of the things she noticed at the onset of the illness was tingling in her upper thigh which later turned numb. I understand there is medication that a person can take with early diagnosis. I know this because my step sister has been diagnosised with MS also and she is taking the medicine. Just trying to help. Sincerely, Tycoon