{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T21:28:12Z","timestamp":1780694892502,"version":"3.54.1"},"reference-count":10,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,10,16]]},"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>Bernhardt-Roth syndrome (BRS) is a neurological condition characterised by pain, burning or numbness in anterolateral thigh due to entrapment of the lateral femoral cutaneous nerve (LFCN). The possible aetiologies can be mechanical, iatrogenic, neuropathic or idiopathic. After consent for possible publication, we are discussing a case of pain management in a 38-year-old patient with BRS secondary to diabetes. The coherent history, uncontrolled glycaemic status and reduced nerve conduction velocity for LFCN helped reach the diagnosis. Initial treatment with pharmacotherapy, steroid LFCN block and conventional pulsed radiofrequency (PRF) provided moderate temporary pain relief. Extended PRF over 8\u2009min provided significant analgesia without any complications. Physical therapy, adequate glycaemic control and extended PRF provided complete pain relief and improved function over 6\u2009months of follow-up duration. Hence, a cautious multifaceted approach targeting the basic aetiology with extended PRF helped achieve significant analgesia in our refractory case of BRS.<\/jats:p>","DOI":"10.1136\/bcr-2020-237864","type":"journal-article","created":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T03:16:04Z","timestamp":1604459764000},"page":"e237864","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Extended pulsed radiofrequency as a part of multimodal pain management in a refractory case of Bernhardt-Roth syndrome"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1870-7923","authenticated-orcid":false,"given":"Priyanka","family":"Mishra","sequence":"first","affiliation":[{"name":"Anaesthesiology, AIIMS Rishikesh, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shipra","family":"Tandon","sequence":"additional","affiliation":[{"name":"Anaesthesiology, AIIMS Rishikesh, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amborish","family":"Nath","sequence":"additional","affiliation":[{"name":"Burns and Plastic Surgey, AIIMS Rishikesh, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,11,3]]},"reference":[{"key":"2025082713141424000_13.11.e237864.1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2005.072363"},{"key":"2025082713141424000_13.11.e237864.2","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1111\/j.1526-4637.2006.00227.x","article-title":"Meralgia paresthetica: diagnosis and management strategies","volume":"8","author":"Harney","year":"2007","journal-title":"Pain Med"},{"key":"2025082713141424000_13.11.e237864.3","doi-asserted-by":"crossref","first-page":"1538","DOI":"10.1212\/WNL.0b013e318233b356","article-title":"Meralgia paresthetica: relation to obesity, advanced age, and diabetes mellitus","volume":"77","author":"Parisi","year":"2011","journal-title":"Neurology"},{"key":"2025082713141424000_13.11.e237864.4","doi-asserted-by":"publisher","DOI":"10.2337\/diab.40.5.558"},{"key":"2025082713141424000_13.11.e237864.5","unstructured":"Ruane JJ , Bring BV . 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