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Lingering problems after possible scar tissue break
I have seen this with patients and have theories about why it happens but no scientific evidence.
All synthetic mesh shrink to some extent. Also, synthetic mesh is not as compliant as normal muscle, as Dr Goldstein mentioned. So it does not stretch with activities.
I feel that once the mesh is adherent to the muscle, with ingrowth, if it’s already tight, then the patient might feel pain, pulling, and this is from a sheering effect.
No good non surgical treatment for this. I have injected steroids into the mesh:muscle region and in some patients that has helped.