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Key Risk Factors – Tight belts, corsets or clothing – Obesity or rapid weight gain – Pregnancy – Diabetes mellitus – Hip or pelvic surgery How It Presents & How It’s Diagnosed Common Symptoms – Burning or tingling on the outer thigh – Numbness or hypersensitivity to light touch – Symptoms worsen with standing, walking or hip extension Diagnostic Clues – Positive Tinel’s sign over the inguinal ligament – Ultrasound-guided diagnostic block with local anesthetic Conventional Treatment Options Lifestyle Modification – Wear looser clothing, avoid tight belts – Weight loss if appropriate – Activity or posture changes Medications – Gabapentin or pregabalin – Tricyclic antidepressants – Topical lidocaine or capsaicin Ultrasound-Guided Nerve Block & Hydrodissection – Inject local anesthetic ± corticosteroid around the LFCN to separate adhesions and reduce inflammation S urgical Options (for refractory cases) – Neurolysis (decompression) – Neurectomy (surgical removal of the nerve segment) PRP: A Regenerative Frontier in Nerve healing What Is PRP
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