[37F] Experiencing burning sensation on thighs

Patient Description

A 37-year-old female presents with a 2-day history of a burning sensation on the top of her thighs, described as feeling similar to a sunburn. The sensation covers a large area and is accompanied by tingling, but no rash, redness, swelling, or muscle weakness has been observed. The patient has no known allergies or adverse reactions to medications and is currently taking Wegovy, Lexapro, Clonazepam, and Omeprazole. There is no reported past medical history of chronic illnesses or recent injuries, and no changes in exercise routine that could account for the symptoms.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Meralgia Paresthetica: This is a condition characterized by tingling, numbness, and burning pain in the outer part of your thigh. It is caused by compression of the lateral femoral cutaneous nerve, which supplies sensation to your upper leg.

    • Treatment typically involves addressing the underlying cause of the nerve compression, such as weight loss or wearing looser clothing. Over-the-counter pain relievers may help with symptoms.
  • Peripheral Neuropathy: This is a result of damage to your peripheral nerves, often causing weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body.

    • Treatment typically involves managing the condition causing your neuropathy. Pain relief options include over-the-counter pain medications, topical creams, and nerve pain medications.
  • Dermatitis: While you did not report a rash, redness, or swelling, dermatitis can sometimes present as a burning sensation on the skin.

    • Treatment typically involves creams to control itching and inflammation, and avoiding irritants.

Please note that these are potential explanations for your symptoms based on the information you provided, but they may not be the actual cause. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Try over-the-counter pain relievers to help with the burning sensation.
  2. Avoid tight clothing that may be compressing nerves in your thighs.
  3. Keep the skin on your thighs moisturized and avoid irritants that could potentially be causing a dermatitis.
  4. If you have any concerns or if your symptoms worsen, make sure to consult with a healthcare provider.

What you should look out for

Reasons to see a doctor more urgently:

  • If the burning sensation becomes severe or unbearable
  • If you notice any skin changes such as a rash, redness, or swelling
  • If you develop any weakness or numbness in your legs
  • If you have difficulty walking or moving your legs
  • If the burning sensation spreads to other parts of your body

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What is Meralgia Paresthetica and how is it treated?

Meralgia Paresthetica is a condition caused by compression of the lateral femoral cutaneous nerve, leading to tingling, numbness, and burning pain in the outer thigh. Treatment often involves addressing the cause of nerve compression, such as weight loss or wearing looser clothing, and using over-the-counter pain relievers.


Can peripheral neuropathy cause burning sensations without affecting the hands and feet?

Yes, peripheral neuropathy can cause burning sensations in areas other than the hands and feet, although these are the most common areas affected. It results from damage to peripheral nerves and can manifest in various parts of the body.


Is it possible to have dermatitis without visible skin changes like a rash?

Yes, dermatitis can sometimes present as a burning sensation without visible skin changes like a rash. It is important to consider other symptoms and consult a healthcare provider for an accurate diagnosis.


What should I do if my symptoms worsen or new symptoms appear?

If your symptoms worsen or you notice new symptoms such as severe burning, skin changes, weakness, or difficulty moving, it is important to consult a healthcare provider promptly for further evaluation and management.


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