Email this article Interstitial electrical nerve stimulation in combination with perineural injections of corticosteroids in the treatment of paresthetic meralgia
- Authors: Al-Zamil M.K.1,2, Kulikova N.G.1,3, Vasilieva E.S.4
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Affiliations:
- Peoples' Friendship University of Russia
- "Olivia" Brain and Spine Clinic
- National Medical Research Center for Rehabilitation and Balneology
- A.I. Evdokimov Moscow State University of Medicine and Dentistry
- Issue: Vol 21, No 3 (2022)
- Section: Original studies
- URL: https://journals.rcsi.science/1681-3456/article/view/111791
- ID: 111791
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Abstract
Introduction: Paresthetic meralgia (PM) is a neuropathy caused by compression, pinching or stretching of the lateral femoral cutaneous nerve between the inguinal ligament and the anterior superior iliac spine.
Objective: To study the effectiveness of interstitial electrical nerve stimulation (ITENS) in combination with perineural corticosteroid injections (PIC) in the treatment of PM.
Materials and Methods: We observed 30 patients with bilateral PM. All patients suffered from numbness, tingling, and pain in the lateral thighs. Our study included only patients with bilateral lesions and severe pain.
Patients were divided into 3 groups. The first group - 10 patients underwent drug therapy (control group). The 2nd group included 10 patients who, in addition to drug therapy, underwent a course of PIC. The third group included 10 patients who, in addition to drug therapy, underwent a course PIC and ITENS.
Results: The obtained results prove the high efficacy of PIC in the treatment of PM in comparison with the exclusive use of medical therapy. At the same time, the analgesic effect increased by 2.17 times, the regression of positive sensory symptoms increased by 1.2 times, sensitivity improved by 2 times and the quality of life of patients in the physical and mental spheres significantly improved.
The use of ITENS after PIC exceeded the effectiveness of PIC in reducing pain by 98%, regressing positive sensory symptoms by 63%, reducing the zone of hypesthesia by 2 times and improving the quality of life in the physical and mental components of SF-36 by an average of 2 times.
Conclusions: It is recommended to perform PIC in the treatment of patients with PM, followed by the use of ITENS.
Keywords: Paresthetic meralgia, Perineural injection of corticosteroids, interstitial electrical nerve stimulation, SF-36, VAS
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##article.viewOnOriginalSite##About the authors
Mustafa Khalilovich Al-Zamil
Peoples' Friendship University of Russia; "Olivia" Brain and Spine Clinic
Author for correspondence.
Email: alzamil@mail.ru
ORCID iD: 0000-0002-3643-982X
SPIN-code: 3434-9150
MD, Dr. Sci. (Med.), Professor
Russian Federation, Moscow; PodolskNatalia G. Kulikova
Peoples' Friendship University of Russia; National Medical Research Center for Rehabilitation and Balneology
Email: fbrmed@mail.ru
ORCID iD: 0000-0002-6895-0681
SPIN-code: 1827-7880
MD, Dr. Sci. (Med.), Professor
Head of Department Congo, Moscow; Moscow
Ekaterina S. Vasilieva
A.I. Evdokimov Moscow State University of Medicine and Dentistry
Email: e_vasilieva@inbox.ru
ORCID iD: 0000-0003-3087-3067
SPIN-code: 5423-8408
Dr. Sci. (Med.), Professor
Russian Federation, MoscowReferences
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