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Possible recurrent femoral/inguinal hernia for female
A ct or ultrasound can miss a hernia as you are aware, especially if they were not done while you were bearing down and/or pushing (increasing abdominal pressure, known as a Valsalva maneuver). It’s possible that the hernia had nothing to do with the pain in the first place. It’s also possible the hernia is back, but unlikely. Sometimes, the only way to diagnose the problem is with another operation, but this should generally be the last resort. I would get an MRI, specifically looking for recurrent hernia, but also looking for surrounding musculoskeletal problems such as adductor, rectus muscle, psoas muscles, inflammations, along with hip or back problems. The test is non-invasive, and has no radiation. You’re primary should push for insurance approval for this.