MRI with valsava for imaging & diagnosing hernia?
Hello Dr Towfigh. I’m a 32 year old male with left groin / inguinal pain, perhaps coincidentally I also have a small (5mm) left-side femoral hernia that was recently found with an Ultrasound, but doctors are not convinced the symptoms and discomfort I experience match the clinical findings.
Anyway, I will be getting a pelvic MRI with Valsava (including valsava by request after reading here) soon to help determine what is going on with the area, but I want to be sure the imaging is performed properly to get the best results. Are there any specifics to request with an MRI with valsalva to properly image small and hidden hernias? Is contrast necessary for this test, and should contrast be included to determine if there are other potential findings? Is there any specific variation of MRI or MRI machine to request or are they all the same? Do we as patients just take a deep breath and strain down repeatedly for 45 minutes? I assume since this seems like a fairly unique imaging study that there may be some specifics for best results. Aside from that I figure the general MRI question will probably be relevant to some others out there in similar situations with mysterious regional pain.
Any information with understanding the proper MRI procedure to image and diagnose potential pelvic / groin hernias and/or other causes of groin and pelvic pain would be greatly appreciated! Thanks in advance.
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