[ctguy]

yes, will update the thread in a few weeks as I progress.

[ctguy]

FWIW, on my “small” SH… I just went through PRP last Friday and as the doctor put it when he inserted the needle into the base of my RA (where there was asymmetrical thinning), he said “wow, thats crunchy”. Turns out there was calcification in the wound where he did the PRP injection and where the pain was. The pain for me happened only during certain movements.

The doctor explained (as he was breaking up the calcium with the needle), muscles as they rub up against the calcified area can feel it and cause pain.

Its only been a week, so we’ll see where this goes.

Also, I had a small partial tear in my AL at its pubic insertion that has gotten much better. This area also injected with PRP, but no crunch there.

[ctguy]

An interesting read on this topic on this link, it is about half way down the article discussing use of mesh and FDA and different doctors views. https://www.generalsurgerynews.com/In-the-News/Article/01-19/On-the-Spot-The-Art-of-Herniology/53744?sub=51A335B2A07F07423EF3A3BEE242AB695A2E88CB76CB16791576AD74EB6DAA&enl=true

[ctguy]

Thank you!

[ctguy]

Results from MRI from the report (not the doctor), I can’t seem to clearly see what these two mean and not sure if they are an indication of surgery being necessary.
1. small partial tear of the right adductor longus aponeurosis at its pubic origin
2. asymmetric thinning of the distal right rectus abdominalis muscle at its pubic insertion

Can anyone interpret in english?

Thank you.

[ctguy]

It does… I’ve made an appointment with Litwin & Busconi in Mass, not too far away. I’ve read somewhere they worked/trained under Meyers so would use the same technique. I am really looking for guidance from them on either “you can rehab this” or “you need surgery to get to pre-injury status”. I am also considering PRP injections, but wary of the cost if I ultimately need surgery.

[ctguy]

Results from MRI… torn oblique and rectus abdominus, adductor strained (doctor explained it was “pulled down” from where it is normally attached, but not torn).

The doctor was very nice and explained things well, but recommend a robotic approach because of concern needing to likely cut through the old patch and related scar tissue. He also mentioned the mesh he used is a Bard/poly mesh, but uses only what is absolutely necessary.

If this doctor is most comfortable doing a robot/lap procedure I can’t fault him for that, but I’d like to know if an open procedure can be done without risk to the old patch/plug that’s been there for 15 years. I have the MRI disc, whats the best way to go about getting a second opinion from known “open” doctors who are not local to me?

Thank you.

[ctguy]

Thank you, hopefully won’t come to that, but very good to know.

[ctguy]

Thank you, intend to go that route. If surgery will be required, is open a possibility on the same side as a mesh/plug repair from years ago?

[ctguy]

Thank you, that’s kind of how I will try and handle. What would an approximate time frame be where if there is no improvement should I go get it checked?

[ctguy]

It is a 4″x6″ 3DMax mesh “secured to the Cooper ligament using a 2-0 barbed V-lock suture” (from op notes), not sure how it is positioned if it would even reach over to where I feel the issue. Also note, I only feel something when jogging/running. Normal everyday activities, I am not really feeling anything unusual.