Femoral nerve dysfunction

Alternative names:

neuropathy - femoral nerve

Treatment:

Treatment is aimed at maximizing mobility and independence. The cause should be identified and treated as appropriate. In some cases, no treatment is required and recovery is spontaneous.

If there is no history of trauma to the area, conservative treatment is indicated by sudden onset, minimal sensation changes and no difficulty in movement, and no evidence on testing of degeneration of the nerve axon.

Corticosteroids injected into the area may reduce swelling and pressure on the nerve in some cases. Over-the-counter or prescription analgesics may be needed to control pain (neuralgia). Various other medications may reduce the stabbing pains that some people experience, including phenytoin, carbamazepine, or tricyclic antidepressants such as amitriptyline. Whenever possible, medication use should be avoided or minimized to reduce the risk of side effects.

Surgical removal of lesions that press on the nerve may benefit some cases.

Physical therapy exercises may be appropriate for some people to maintain muscle strength. Orthopedic assistance may maximize the ability to walk. This may include the use of braces, splints, or other appliances. Vocational counseling, occupational therapy, occupational changes, job retraining, or similar interventions may be recommended.

Expectations (prognosis):

If the cause of the femoral nerve dysfunction can be identified and successfully treated, there is a possibility of full recovery. In some cases, there may be partial or complete loss of movement or sensation resulting in various extent of disability. Nerve pain may be quite uncomfortable and persist for a prolonged period of time. Trauma to the femoral area may also involve trauma to the femoral artery, which can cause fatal hemorrhage.

Complications:

A complication is a recurrent or an unnoticed injury to the leg.

Calling your health care provider:

Call your health care provider if symptoms of femoral nerve dysfunction develop.