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Treating Chronic Groin Pain / Pelvic Pain with Dermatome Mapping?
Is dermatome mapping of the groin and pelvic nerves an effective strategy for treating chronic pelvic pain? If a particular nerve can be isolated as the source of the pain, is neurectomy or cryoablation or something similar to that nerve a routinely effective approach?
For some back reference, I stumbled into an article from an individual who experienced PHPS after a hernia repair resulting in chronic groin pain, offering advice to another person with groin pain.
https://www.meshmedicaldevicenewsdesk.com/bruce-rosenberg-column-hernia-mesh-help-here/
He references a book from a Dr A.L. Dellon who apparently was able to successfully treat his pain through a very targeted nerve surgery after dermatome mapping was used to figure out what the particular nerve causing pain was, followed by an unspecified surgery to target it. The book chapter referenced in the previous article is focused on groin pain and hernia repairs:
https://www.dellon.com/images/book/cha_4_update_041116.pdf
Anyway, I wanted to share this here as a discussion item, but also it might help someone else.
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1 Reply
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Dear Chauce1234.
The ilioinguinal, iliohypogastric, and genital usually provided sensation to very specific areas. So from physical examination the doctor can usually determine which nerve has been injured. Then the patient can treated with nerve blocks, ablation, TENS, Neurontin, or neurectomy. Unfortunately the nerves often cross connect. What I mean from that say the patient has pain from the ilioinguinal nerve. But because there are often connections between nerves, even if the ilioinguinal nerve is cut pain can often still get back to the brain from the iliohypogastric nerve.
Regards.
Bill Brown MD
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