Meralgia Paresthetica Due to Body Armor Wear in U.S. Soldiers Serving in Iraq: A Case Report and Review of the Literature
ABSTRACT Meralgia paresthetica is a disorder of the lateral femoral cutaneous nerve that results in symptoms of anterolateral thigh paresthesias and dysesthesias without associated loss of reflexes or motor weakness. Chronic meralgia paresthetica, not related to traumatic or lesion-producing compression of the nerve, is associated with obesity, pregnancy, tight-fitting garments, as well as specific duty uniform belts used by police officers and carpenters. Cases are presented in which two U.S. soldiers in Iraq experienced symptoms of meralgia paresthetica, most likely due to repetitive wear of protective body armor. Although use of protective body armor is proven to be lifesaving, modifications to improve current equipment may help to decrease morbidities such as meralgia paresthetica.
- SourceAvailable from: Robin M Orr
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- "The nerve is considered vulnerable to entrapment as it is compressed against the anterior iliac spine when a waist belt , like that on a backpack , is tightened ( Boulware , 2003 ) . Recently , Fargo and Konitzer ( 2007 ) reported on two case studies of soldiers serving in Iraq , both of whom suffered meralgia due to prolonged wearing of body armour . In these two case studies , both soldiers still experienced symptoms a month after diagnoses . "
ABSTRACT: This narrative review examines injuries sustained by soldiers undertaking occupational load carriage tasks. Military soldiers are required to carry increasingly heavier occupational loads. These loads have been found to increase the physiological cost to the soldier and alter their gait mechanics. Aggregated research findings suggest that the lower limbs are the most frequent anatomical site of injury associated with load carriage. While foot blisters are common, other prevalent lower limb injuries include stress fractures, knee and foot pain, and neuropathies, like digitalgia and meralgia. Shoulder neuropathies (brachial plexus palsy) and lower back injuries are not uncommon. Soldier occupational load carriage has the potential to cause injuries that impact on force generation and force sustainment. Through understanding the nature of these injuries targeted interventions, like improved physical conditioning and support to specialised organisations, can be employed.International Journal of Injury Control and Safety Promotion 09/2013; 21(4). DOI:10.1080/17457300.2013.833944 · 0.67 Impact Factor
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ABSTRACT: The purpose of this study was to investigate the relationship between back, neck, and upper extremity (UE) musculoskeletal pain and the wear of individual body armor, physical training (PT), and work tasks. We conducted a cross-sectional randomized-survey design in which 1,187 surveys were distributed to U.S. Soldiers in Iraq; 863 were completed. The survey was a three-page questionnaire covering demographics, body armor wear, PT, and reports of neck, back, and UE musculoskeletal pain before and during deployment. The results of the survey revealed a substantial increase in the incidence of back, neck, and UE pain during deployment, and approximately twice as many Soldiers attributed their musculoskeletal pain to wearing body armor than to job tasks and PT. In addition, there was a significant positive correlation between Soldiers who wore the body armor for four hours or more a day and self-reported musculoskeletal complaints. These results demonstrate a need to consider the potential adverse effects of individual body armor on combat Soldiers.Journal of Hand Therapy 04/2008; 21(2):143-8; quiz 149. DOI:10.1197/j.jht.2007.10.017 · 2.00 Impact Factor