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Stinging pain with popping and clicking
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[USER=”3017″]SFIrishGuy[/USER]
Dear Joshua.
I hope that you are making progress.
Regards.
Bill Brown MD -
Dr Bill Brown,
Good morning sir. Thank you again for taking the time to speak with me on this forum. From your reply I am going in next month to do a second round pain injection block on the ILLOINGUINAL nerve. Nervous and tired of the pain all the time but I will try.
last week I traveled to kaiser in Oakland and had intake from dr David Kang Nguyen who is a specialist and we talked about the options. He was familiar with this forum and I believe he may know you as well. He decided after a complete review of my hernia area to send me in for an MRI which was fine last Friday. I am awaiting the results with much anticipation and nervousness.
im still in pain. I have tingling sensation throughout my left body in my feet and arms which they can’t seem to understand why. But pain resonating in my base of my parts I’m getting more nervous. I am hoping this is all nerves and not damage to my sperm cord or anything.
Your advice had been helpful. I will keep the thread going here and if you are available than I may need to speak with you at your office.
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The Kaiser system in Northern California has a new surgeon who is their go-to for post inguinal hernia repair chronic pain. His name is dr a David Nguyen and he works at KP Oakland.
I would start with an MRI to check the mesh placement. Ultrasound is not helpful once mesh has been placed laparoscopically.
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[USER=”3017″]SFIrishGuy[/USER]
Dear Joshua
If you did not develop numbness after the nerve injection, that means that they missed the nerve.
Thus I believe that there is a strong possibility that nerves are the source of your pain.
I am in Fremont if you want me to examine you.
Regards.
Bill Brown MD -
You need a very careful physical examination.I HAVE AN APPOINTMENT THIS TUESDAY WITH A SPECIALIST IN OAKLAND FOR HERNIA REPAIR. KAISER KEEPS PASSING ME ALONG TO SURGEON TO SURGEON AND IT FEEL NOBODY TAKES ME SERIOUS AND BEEN FEELING SO ALONE IN THIS. THE EMAILS I GET FROM SURGEONS IS THAT OF ANNOUNCE TO ME.
Did your skin get numb after the injection, if not then you did not have an adequate nerve block? I HAD THE GENITOFEMORAL NEVER BLOCK AND FELT NOTING. THERE WAS NUMBNESS THE FORST DAY BIT THAT WAS THE NUMBING AGENT THAT INJECTED ME PRIPR. THE NEXT DAY IT WAS THE SAME. DR RECOMMENDED TO DO THE ILLOINGUINAL NERVE BLOCK IN A FEE WEEKS. DONT KNOW IF THIS WILL WORK OR SOUNDS LIEK IT COULD.
If you are skinny the mesh can often be palpated. I AM A HUSKY MAN, I WORK OUT AND I AM NOT SKINNY NOR FAT
If the mesh is injected with a local anesthetic and you feel better for a few hours, that would be strong evidence that the mesh is the source of your pain.I HAVE BROUGHT UP THIS INFORMATION BUT NOTHING YET FORM DR. 🙁I HAVE AS WELL MENTIONED THE IDEA OF AN MRI AND IF THE MESH IS CONNECTED TO THE SPERMATIC CORD AS YOU INDICATED BUT SECOND SURGEON JST PASSED ME OF TO SPEAK TO NOW IF THE 3RD DR. IF IT IS WHAT IS THE SOLUTION?
DR BROWN, THANK YOU FO TAKING THE TIME TO ADVISE ME ON THIS. THIS HAS BEEN A PAINFUL JOURNEY AND I FEEL IT IS NOT BEING ADDRESSED LIEK IT SHOULD. I AM ALMOST 3.5 MONTHS POST OP AND BEEN TRYING TO ADDRESS THIS WITH KAISER SINCE THR 4TH WEEK. CAN YOU ADVICE HOW YOU WOULD APPROACH THIS IF YOU WERE IN MY SHOES? DO I MAKE A GRIEVANCE? I HAVE SPOKEN TO SO MANY PEOPLE EVEN GOING SO FAR AS TO SPEAK WITH THE UNIT DIRECTOR OF SURGERY BUT EVEN NOW I FEEL I AM NOT BEING TAKEN CARE OF LIKE I SHOULD.
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[USER=”3017″]SFIrishGuy[/USER]
Dear SF
You need a very careful physical examination.
Did your skin get numb after the injection, if not then you did not have an adequate nerve block?
If you are skinny the mesh can often be palpated.
If the mesh is injected with a local anesthetic and you feel better for a few hours, that would be strong evidence that the mesh is the source of your pain.
Regards.
Bill Brown MD -
Dr Brown,
Thank you for responding. I had the enitofemoral nerve block done and it did nothing. I am still in pain and discomfort. I will be ok for days then any activoty will bring on this lingering and radiating pain in the mesh area. The Dr who performed it says we should wait 6-8 weeks and maybe try addressing the ilioinguinal nerve next.
IN the meantime Kaiser placed me in contact with the pain management clinic, some specialists for groin pain. Don’t know if this will work.No, the director had not physically looked me over. I emailed my Dr what you asked about the MRI and the spermatic cord. I am waiting for a response.
🙁
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[USER=”3017″]SFIrishGuy[/USER]
When you talked with the director, did she examine you to try to determine what is wrong?
An MRI may help to determine if the nerves or the spermatic cord is adhered to the mesh.
Diagnostic injections can also be helpful.
For example, if the ilioinguinal nerve in blocked with local anesthetic and you feel better for a few hours, that would be strong evidence that the nerve is involved.
In a similar manner the mesh can be injected with local anesthetic and other structures in the area until the one that is giving you trouble is identified.
Regards
Bill Brown MD
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I reviewed the medical records with a head surgeon and nothing out of the ordinary was documented. It was routine. I went in for an ultrasound to see if the mesh was intake and indeed it was or they said they cannot see any evidence of reoccurrence.
I did take some time to talk to the Director at least of the department so let her know how I felt.
Right now I am waiting to schedule a session with the pain injection clinic to start steroid injection in hopes ot help rest my nerves as the Dr had said. I hope this will help. As well I am reaching out to acupuncture groups for help as well. maybe they can do something
I am still in some pain. The poping and cracking sisnt as bad but there seems to be a main nerve that I feel that is painful. I can at times feel it when I wear tighter pants and I breathe in. I feel it move. It even throbs. Could this be a nerve?
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[USER=”3017″]SFIrishGuy[/USER]
The medical records are legally yours. You can check the kaiser website to get the records. Or call:
Medical Records Administration at (770) 220-3870
Regards.
Bill Brown MD -
[USER=”3017″]SFIrishGuy[/USER]
Your medical records are legally yours. At you next office visit just ask. I
Or call:
Medical Records Administration at (770) 220-3870
Regards
Bill Brown MD -
would steroid shots be something I should explore?
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quote SFIrishGuy:Dr Brown? Yes kaiser you have to make a lot of noise. I was afraid to hear this advice. Am I allowed to ask for those notes and photos? I am getting a second opinion from another kaiser surgeon tomorrow to review. My god I am so worried I will end up being permanent in pain and not treatable or will cost me in the end.
And do you feel if this was do wrong than should I entertain Kaiser’s request to start steroids shots?
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[QUOTE=SFIrishGuy;n13914]
Dr Brown? Yes kaiser you have to make a lot of noise. I was afraid to hear this advice. Am I allowed to ask for those notes and photos? I am getting a second opinion from another kaiser surgeon tomorrow to review. My god I am so worried I will end up being permanent in pain and not treatable or will cost me in the end. And if you are stating in your opionion this may have been operated wrong than what is your opinion on this idea of getting steroid shots?
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quote DrBrown:[USER=”3017″]SFIrishGuy[/USER]
If you have this much pain this quickly after the operation, the cause is usually a problem with the operation itself.
Post the operative report and any photos taken during the operation.
With Kaiser you need to make a lot of noise. If necessary get a second opinion from a surgeon outside of Kaiser.
Regards.
Bill Brown MDDr Brown? Yes kaiser you have to make a lot of noise. I was afraid to hear this advice. Am I allowed to ask for those notes and photos? I am getting a second opinion from another kaiser surgeon tomorrow to review. My god I am so worried I will end up being permanent in pain and not treatable or will cost me in the end.
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[USER=”3017″]SFIrishGuy[/USER]
If you have this much pain this quickly after the operation, the cause is usually a problem with the operation itself.
Post the operative report and any photos taken during the operation.
With Kaiser you need to make a lot of noise. If necessary get a second opinion from a surgeon outside of Kaiser.
Regards.
Bill Brown MD -
Get the details of the method and materials. There might be a clue there. “Laparoscopic mesh” covers so many variations. Your surgeon might have done other things or even made mistakes. That information should be in your surgery notes.
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