Chaunce1234
Forum Replies Created
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Nathanharris86, I am not a doctor but I’d personally suggest seeing someone who has a good amount of experience in re-do hernia surgeries for pain, it is a unique field.
Dr Jonathan Yunis in Florida has done re-do surgery for a patient on these forums with good results and elsewhere you may find on the internet. Perhaps Dr Towfigh knows of other Florida groin pain and hernia experts as well to recommend.
Otherwise in the southern USA there is Dr Bruce Ramshaw in Tennessee who many people reprot good re-do experiences with.
Best of luck, keep us updated on your case.
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lifeboat, I’m just a fellow patient so don’t take this as pro medical advice…
Was your groin/hernia ultrasound with valsava to rule out hernia or recurrence? Have you tried a long course of anti-inflammatory? Assuming you can tolerate it, many clinics will try 30 and 60 day courses of strong prescription NSAID (not generic ibuprofen) which can apparently have a cumulative effect on reducing inflammation. Have you tried nerve block injections? Also I wonder if you had pain relief after a particular surgery, but the pain returned over time, it may be that the injury has returned or did not heal entirely before being re-damaged?
Dr William Meyers in PA is well known for groin pain and sports injuries. It may be worth re-visiting the clinic if you had good results there before.
Dr. Andrew Boyarsky in New Jersey is another potential east coast resource for inguinal disruption and sports hernia injuries
Keep us updated on your case, good luck.
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UhOh, I am not a doctor just a fellow patient who has done extensive reading on these topics.
A sports hernia, athletic pubalgia, or inguinal disruption is basically always painful and sometimes extremely painful either because there is a tear or a nerve compression, if you see one occur live on TV (football or soccer usually) the player is in clear pain on the field. They do not always occur with a sudden injury and they can also be gradual onset or seemingly random onset. Pain is the primary symptom. Non-pro athletes that end up with these injuries often have years of pain and misdiagnosis, it is not a subtle experience.
If you have a groin bulge that increases in size with valsava, that sounds more like a typical groin hernia. Go to a hernia doctor or general surgeon with hernia experience, they should be able to tell rather quickly. If there is some ambiguity or uncertainty, and you are troubled by pain or discomfort, then you can request a groin ultrasound with valsava or a CT/MRI with valsava and something might show up.
Good luck, keep us updated.
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Dr Michael Hibner in Arizona is well known for pelvic pain, but I am not sure if that includes hernia complications or not. It might be worth a call to that office to ask?
Dr David Chen at UCLA California and Dr Shirin Towfigh in Los Angeles (she runs these forums) are also well known for experience with these type of issues and are probably the next closest to Arizona.
Good luck and keep us updated on your progress.
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I’m sorry you’re going through this. Here are a few names of doctors that are frequently discussed on this site regarding groin pain, hernias, and complications from hernia surgery:
– Dr David Chen at UCLA California
– Dr Shirin Towfigh in Los Angeles
– Dr David Grischkan in Ohio
– Dr Bruce Ramshaw in Tennessee
– Dr Jonathan Yunis in Florida
– Dr Kevin Petersen in Nevada
– Dr Robert Martindale in Oregon
– Dr William Meyers in Philadelphia
– Dr William Brown in San Francisco
– Dr Igor Belyansky in Maryland
– Dr Paul Szotek in Indiana
– Dr Muschawek in Germany
There are certainly other skilled doctors out there on this topic and I’m sure I’m missing a few names. Depending on your location you may need to travel to find an expert or someone with experience relevant to your situation.
Perhaps reach out to a few of them to discuss your case and see what they say? Best of luck and keep us updated.
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If you have not done so already I would highly encourage you to reach out directly to the Vincera Institute and request to speak with a doctor or clinician there directly about your case, despite having many very high profile clients they are remarkably reachable and will often speak with you over the phone before you head out to Philadelphia. They really have top-notch service.
Much of Dr Meyers focus is on athletic injuries to the pelvis, groin, and abdomen, but they also address hernias, nerve entrapment, hip trouble, and other causes of groin pain. I haven’t seen much specific discussion about mesh removal from there but given their focus and expertise on the groin it’s certainly worth inquiring about.
There are many discussions from various patients of Dr Meyers on “Letsrun.com” its a runners forum, but most are for the “sports hernia” injury and so I don’t know how relevant it is to your case but it could be useful anyway http://www.letsrun.com/forum/flat_read.php?thread=559820
Good luck and keep us updated on your case.
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Hello this is a technical heads up regarding the new forum.
The old forum URLs are not properly redirecting to the new URLs, this applies to all old links currently causing old links to erroneously return the “Invalid Page URL” error,. I can give a specific example where the forum administrator needs to use 301 permanent redirects so that the old links properly direct to the new URL, this is 1 example but this is currently widespread.
For example, this old link gives an error:
http://www.herniatalk.com/hernia-dis…-new-york.html
It should redirect automatically to this new link, as it is the same post but with a new URL structure:
http://www.herniatalk.com/502-should…sland-new-york
Currently none of the old links tested are redirecting to the new links. This is causing all old bookmarks, thread replies, and all inbound searches from Google to not send the user to the proper destination and instead they see an error message.
Google has some information about proper 301 redirects after migrations here: https://support.google.com/webmaster…er/93633?hl=en and this may be useful as well https://www.bruceclay.com/blog/how-t…-301-redirect/ and https://moz.com/learn/seo/redirection
Hope this is helpful, pass it along to whoever runs the technical side of the forum.
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I’d strongly suspect that Dr Towfigh has a lot of experience with celebrity hernias given her location and expertise. I recall reading somewhere Dr Todd Harris in Newport Beach also has had some celebrity patients.
Many professional athletes go to Dr Meyers at Vincera Institute in Philadelphia and Dr Muschawek in Munich Germany, often those are for the ‘sports hernia’ and abdominal or abductor injuries, but both clinics perform true groin hernia repairs as well. Dr Brown in Palo Alto California also sees athletes for sports hernias and patients for regular hernias. The Gilmore Groin clinic in London is another one you see mentioned often relating to soccer injuries. Some of those clinics have autographed memorabilia from their patients.
A web search can reveal several celebrities that have gone to Shouldice in Toronto Canada for the typical groin hernia.
Some notable politicians have had hernia surgeries at George Washington University Hospital in Washington DC.
ESPN and sports news can be a revealing resource for injuries, patients, and their doctors. For those curious, if you go to “news.google.com” and search for “hernia surgery” you’ll find a lot of reports from sports and celebrity gossip sources too.
It’s kind of fun to think about how the elite get treatment and where. But keep in mind that celebrities and pro athletes tend to have the best resources available to them resulting in rapid diagnosis, and almost always get rehab and physical therapy after an injury or surgery. To me this says that rehab and physical therapy would likely benefit everyone, even if you aren’t famous.
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chrpainman, I am not a doctor just a fellow patient, but:
Personally I would try requesting a dynamic ultrasound with valsava on the side you are experiencing groin pain on.
As Dr Towfigh suggested, an MRI with valsava can be even better but sometimes it is harder to get insurance or a doctor to sign off on, and some clinics do not know how to perform the proper test, you may want to present some research to help your case with that. Here is Dr Towfighs research on that particular matter https://www.ncbi.nlm.nih.gov/pubmed/25141884
Start noting if any particular activities worsen the pain, improve the pain, or change the nature of the pain. That can be helpful for a doctor to troubleshoot as well.
Perhaps seek out a hernia expert or groin pain expert in your region, they could help rule in/out a hernia recurrence or other possible issues. There are experts scattered around the country and the world, but you may have to travel to get to one depending on your location.
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Hi Ziggy, you might want to try uploading your imaging pictures again, they are so small that they would be hard to read.
Anyway, I’m just a fellow patient so while I can relate to your issue I am not a doctor. With that said, since your case sounds familiar to many of us, a few things worth trying that I have learned over time:
– Request a dynamic ultrasound with valsava on the aggravated groin, these are cheap and easy, less likely to be hassled by insurance (compared to MRI anyway) and can often reveal a hernia that is less than palpable. While many surgeons can feel most hernias, not all hernias are easy to feel. You could also attempt to get a dynamic MRI with valsava or dynamic CT with valsava, but these typically require specialists to read and interpret.
– Try to figure out specific activities that aggravate or alleviate the pain, create a pain diary to detail as much as you can. When did the pain start, what activity were you doing when you first felt the pain? Has the pain changed over time? Does advil help, does tylenol help, does ice help, does heat help, does nothing help? Do certain foods make it worse? Does a bowel movement make it worse or better? Etc, this can be helpful for a doctor to sort through various potential causes of pain.
As for Florida hernia doctors, Dr Jonathan Yunis in Sarasota Florida has been helpful to several members of this forum. I know that’s a ways away from where you are located, but he is considered a hernia expert and might be a valuable resource to consult with. If you are interested, his website is: https://www.centerforherniarepair.com/meet-dr-jonathan-yunis/
I’m sure the doctors on this forum have some other good Florida recommendations as well.
Good luck, keep is updated on your case and progress.
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Possible hernia in Los Angeles
The likelihood of an internal hernia if you have not had previous surgery is extraordinarily low. The real question is whether or not the CT finding from the first scan had anything to do with your symptoms. It is impossible to know. The most definitive way would be a diagnostic (and hopefully therapeutic) laparoscopy as Dr. Goldstein suggested. Only you can determine if the risk/benefit ratio is appropriate. Generally speaking, the potential risk is low, and the potential benefit is moderate. You however are not a statistic, and these estimates won’t predict what will happen for an individual. Hope this helps!
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6th Right Inguinal Hernia
Glad you’re feeling better. Understandably you’re a bit concerned over any sense there may be another hernia. Maybe it’s time to get a snow blower.
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Hernia mesh fixation questions
Agree with Dr. Towfigh. I couldn’t have said it better myself.
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Post vasectomy complications
acschiropractic – I’m sorry you’re going through this – it sounds awful. Something is definitely wrong, and it is unknown to medical doctors at this point. Logically, scarring from the hematoma can contract, and potentially pull on nerves causing them to send signals to the brain that are interpreted as pain. This however is speculative at best. It could be related to an unknown viral infection that has caused the abnormal response to the hematoma. That more systemic perspective could explain the symptoms from higher up, but gain, this is speculative. Unmasking an existing, but latent autoimmune disorder is another possibility as you mentioned. Medications are also a possibility, but less likely. Since the nerve blocks of the peripheral nerves you mentioned (GN, LFCN, IH, II) helped, you could consider transecting some or all of them, but the abnormal reaction you have already demonstrated raises the concern that the response to neurectomy would be highly unpredictable. I would ask your post-vasectomy complication doctor about this possibility, and whether or not he knows anyone that does these frequently in your area. Hope this helps!
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6th Right Inguinal Hernia
You may not have another hernia. There could be a muscle strain, or a small tear from one of the sutures. You could try treating as such with ice, rest, and Myoflex cream or Aspercreme. If it doesn’t get better, you’ll need a physical exam to start. Best by your surgeon. Hope this helps!
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Medium inguinal Hernia – Traditional Tension Repair
He can do both types of repair.
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Medium inguinal Hernia – Traditional Tension Repair
HowardF – It’s important to keep in mind that all of the non mesh repairs use the same type of permanent material that the many mesh products are made from. So the goal of repairing the hernia with permanent sutures will not meet your goal of no foreign material being implanted, unless all absorbable materials are used (mesh or no mesh). If absorbable materials are used to repair the hole, then theoretically the hole will have a greater chance of re-appearing once the materials go away. There is some data about lap inguinal hernia with a biological mesh that doesn’t get absorbed, but remodels. It’s a single study, so not sure how that would work for you. You will have to decide if you want to take a chance for higher recurrence, or a chance from a mesh/suture reaction from permanent material. Ramon Berguer is a laparoscopic surgeon in the Bay area that I would trust to help you make these decisions for yourself. Ed Felix in Fresno is a hernia specialist that could also help. Hope this helps!
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Serious pain, femoral hernia maybe?
MRI is the best, but nothing definitive other than surgery, and while that is very good, it’s still not 100%. That’s just life – nothing perfect. I’m sure it will all work out for you. Stay tough!
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Serious pain, femoral hernia maybe?
Dr. Towfigh is absolutely correct. I highly recommend Dr. Ramaswamy as well.
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Hiatal/umbilical
Kelly88 – Hang in there. You will be ok, and it will work out. I know it’s hard right now, but your persistence and strength and beautiful baby will get you through it. This is a complex situation, and you should see Steven Schwaitzberg, chairman of surgery in Buffalo. Feel free to use my name, and mention hernia talk. Hope this helps! DE