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Severe pain 14 months after TEP-repair
Interesting story.
If pain is due to mesh related inflammation, I typically start with local injections which includes steroids. The injection is at the level of the mesh:muscle interface. I use ultrasound guidance. This helps treat pain and buys time until the inflammation dissipates. Injections need to be repeated.
I have not seen much inflammation-related pain with the Parietex polyester mesh.
If pain is due to too tight a repair, one option is neurotoxin injection. A few Pain specialists perform this. I do it under ultrasound guidance. It really helps.