Treatment and Prognosis

The diagnosis is normally clinical.

Nerve conduction studies are technically difficult to perform.

The diagnosis can be confirmed by resolution of symptoms after the injection of 0.5% bupivacaine, one finger breadth below the anterior superior iliac spine.

The condition resolves on its own in at least 25% of cases.

Removing the cause is the best treatment by losing weight or wearing loose-fitting clothing.

When pain is severe, a steroid injection may temporally relieve symptoms.

If symptoms persist, surgical decompression may be required.


The pain typically resolves slowly over time, but the numbness in the distribution of the LFCN may persist.