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August 8, 1977

Meralgia Paresthetica

JAMA. 1977;238(6):482. doi:10.1001/jama.1977.03280060026014

To the Editor.—  Some emendations to "Meralgia Paresthetica" (237:1125, 1977) are necessary for a useful picture of this common condition. The patient described may be unusual to some observers, but the syndrome is extremely common. Among many well-known causes are prolonged standing in a lordotic position. However, from the data supplied it is conjecture that this patient had meralgia paresthetica because the virtually infallible therapeutic test using local anesthetic injection of the nerve at the foramen was not mentioned.Before neurotomy with the resulting unpleasant anesthesia, and rather than useless attempts at weight reduction and temporizing oral medications, simple enlargement under local anesthesia of the foramen in the fascia lata is the most successful treatment. Teng1 has had an enviable series of successes with this approach, and a review of the recent literature would have revealed this.One wonders what is meant by "anterior superior iliac portion of the