Pain Diary

21tomlinson: I’d have to physically se you and review all that’s been done to figure it out. You’re quite complicated and seemed to have undergone all the right procedures.

But there is always hope: a missed nerve, a new neuroma, a hernia recurrence, etc. there are also localities we can try to address your pain besides surgery if it’s none of the above and more of a nerve system issue.

I am happy to see you and help you. But you have to be patient with me and allow me to figure it out. Another surgery may not be your answer. You remember I was concerned that you have been having a lot of back to back operations, with potential of compounding your problems and not curing them.

Jgens: every patient is different. Anatomy can be different with aberrant nerves and branches. Some are more likely than others to develop scar tissue, neuromas, and so on, which in essence results in recurrence of the same neuropathic pain. In others it’s a completely different probem that is being missed. And there are complications with each procedure. For example, Higher neurectomy in some cases can denervate the abdominal wall causing potentially irreversible abdominal protrusion on one side.