Evidence Checklist: Meralgia Paresthetica

Sensory examination documenting lateral femoral cutaneous nerve distribution deficitCritical

Neurological examination documenting numbness, tingling, or burning pain confined to the anterolateral thigh in the distribution of the lateral femoral cutaneous nerve (LFCN). The diagnosis is primarily clinical.

Nerve conduction study of lateral femoral cutaneous nerve

LFCN sensory nerve conduction studies showing absent or delayed response compared to the asymptomatic side, objectively confirming the diagnosis.

Nexus opinion linking meralgia paresthetica to service (at least as likely as not)Critical

Medical opinion connecting LFCN entrapment to in-service load-bearing equipment (body armor, weapon belts, ammunition pouches), seat belt trauma, or prolonged hip flexion during military duties.

Diagnostic injection response at ASIS confirming LFCN entrapment

Records showing pain relief following local anesthetic injection at the anterior superior iliac spine (ASIS) where the LFCN exits the inguinal ligament, confirming the diagnosis.

Treatment records and functional impact documentation

Records of conservative management (activity modification, weight loss, nerve blocks) and documentation of how standing, walking, or wearing a belt aggravates symptoms.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Peripheral Nerves ConditionsCritical

VA standardized form capturing sensory deficits in the lateral femoral cutaneous nerve distribution.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.