For most people, the symptoms of meralgia paresthetica ease in a few months. Treatment focuses on relieving nerve compression.
Conservative measures include:
- Wearing looser clothing
- Losing excess weight
- Taking OTC pain relievers such as acetaminophen (Tylenol, others), ibruprofen (Advil, Motrin IB, others) or aspirin
If symptoms persist for more than two months or your pain is severe, treatment might include:
- Corticosteroid injections. Injections can reduce inflammation and temporarily relieve pain. Possible side effects include joint infection, nerve damage, pain and whitening of skin around the injection site.
- Tricyclic antidepressants. These medications might relieve your pain. Side effects include drowsiness, dry mouth, constipation and impaired sexual functioning.
- Gabapentin (Gralise, Neurontin), phenytoin (Dilantin) or pregabalin (Lyrica). These anti-seizure medications might help lessen your painful symptoms. Side effects include constipation, nausea, dizziness, drowsiness and lightheadedness.
Rarely, surgery to decompress the nerve is considered. This option is only for people with severe and long-lasting symptoms.