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Injury of femoral nerve at hip and thigh level, unspecified leg, initial encounter
ICD10CM code
Name of the Condition
- Injury of Femoral Nerve at Hip and Thigh Level, Unspecified Leg, Initial Encounter (ICD-10 Code: S74.10XA)
Summary
This condition involves damage to the femoral nerve, which is responsible for muscle movements and sensations in the hip and thigh. The initial encounter indicates the first time the patient is being treated for this particular injury.
Causes
- Traumatic injuries such as fractures or dislocations at the hip or thigh.
- Surgical complications or pressure from surgical tools.
- Compression by tumors or hematomas.
Risk Factors
- High-impact activities or sports increasing the likelihood of traumatic injuries.
- Previous surgeries or medical procedures in the area.
- Conditions such as diabetes that may predispose nerve damage.
Symptoms
- Pain, tingling, or numbness in the hip or thigh region.
- Weakness or difficulty in extending the knee.
- Sensation changes in the thigh.
Diagnosis
- Physical examination assessing reflexes and muscle strength.
- Electromyography (EMG) to test for nerve dysfunction.
- Imaging studies like MRI or CT scans to identify structural causes.
Treatment Options
- Medications: Pain relievers, anti-inflammatory drugs to manage symptoms.
- Physical Therapy: Exercises to maintain strength and flexibility.
- Surgery: In cases of severe trauma or structural causes pressing on the nerve.
Prognosis and Follow-Up
- With proper treatment, many patients recover well, although nerve healing may take time.
- Regular follow-up visits are crucial to monitor progress and adjust treatments as needed.
Complications
- Persistent or chronic pain.
- Muscle atrophy or weakness if the nerve does not heal properly.
- Reduced mobility or difficulty in movement.
Lifestyle & Prevention
- Using protective gear during activities or sports to prevent injuries.
- Managing underlying conditions like diabetes or obesity that can affect nerve health.
When to Seek Professional Help
- Experiencing sudden, severe pain in the hip or thigh.
- Noticing weakness or inability to move related muscles.
- Any significant changes in sensation.
Additional Resources
Tips for Medical Coders
- Confirm the affected region is specified as hip and thigh level.
- Ensure "unspecified leg" is appropriately noted if not otherwise indicated.
- Avoid confusion with other femoral nerve injuries that may occur at different levels.