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8 months after Hernia repair
I had my right inguinal hernia repaired in December of 2018. Two months after my surgery, I returned to work. Where I was able to work to a little discomfort, then pain ended up getting worse to where I am now off on another medical leave. The pain is in the area when the hernia was repaired, it is a sharp pain that wraps around the inside of my hip, and it also shoots down into my right testicle. I went and saw my surgeon again and she told me that the hernia was repaired well, and the scans show that the mesh is still in the same place and that it hasn’t moved. I also went and saw a surgeon at Northwestern in Chicago and he said that mesh placement looks good and he can’t see where there would be any pain from the mesh. I have also gone to pain management for nerve blocks, and they haven’t worked either. I feel like I have exhausted all of my avenues to try to figure out why I am in so pain. I just want to go back to having somewhat of normal life and doing the things that I used to without being hunched over in pain. Has anyone else had this issue? This is starting to drive me insane, so any help or insight would be great.
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7 Replies
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[USER=”2580″]DrBrown[/USER] Thanks for all your help!
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[USER=”2959″]thkenster[/USER]
The area of your pain is in the distribution of the ilioinguinal nerve.
Ask your local doctor to block the ilioinguinal nerve. If the skin does not turn numb, then the block was not successful.
If the block is successful and you pain resolves for a few hours that is strong evidence that the nerve is entrapped.
If the pain does not resolve then the mesh itself should be injected.
More information about blocks is available at:
https://www.nysora.com/techniques/truncal-and-cutaneous-blocks/truncal-and-cutaneous-blocks/regards.
Bill Brown Md -
[USER=”2580″]DrBrown[/USER] The red is the sharp pain that runs down to the right testicle, the green is a pain that wraps around the inside of the hip as if someone is digging a spoon in there. The yellow is where whenever I try to pivot or turn it, it feels as if the muscles are popping. Creating localized pain that radiates outwards.
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[USER=”2959″]thkenster[/USER]
Post a photo of yourself with marks on the skin that identify the sites of your.
Then I can let you know the most likely nerve involved.
Bill Brown MD -
[USER=”2580″]DrBrown[/USER] I do not remember if the skin was numbed after the nerve block. I was under anesthesia for the procedure since it was fluoroguide spine injection. But I will look into nerves and spermatic cord to see if they can be the root of the problem.
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[USER=”2959″]thkenster[/USER]
After the nerve block did your skin turn numb? If not, then the doctor missed the nerves.
Also consider a spermatic cord block and to have the mesh injected.
Review the the major nerves, you can determine which nerve is giving your trouble by the location of your pain.
Regards.
Bill Brown MD -
Sounds like an entrapped nerve. Was your mesh placed openly or laparoscopic? The nerves which can be damaged due to mesh repair are the ilioinguinal, iliohypogastric, genitofemoral and possibly the lateral femoral cutaneous nerve. If you do a google image search you can find pictures of the areas that those nerves supply sensation to. I had a very similar situation happen to me and now I am getting close to having the mesh removed.
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