drtowfigh
Forum Replies Created
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Please provide me with your wants and needs for the new upcoming site. Obviously the bugs will be fixed. But what added benefits would you like?
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You may have a combination of problems. Sounds dominantly neuropathic. You may also need genital nerve branch nerve block. Repeat injections can help. Also, do you know if the neurologist was really a neurectomy or if the nerves are intact? That may change where the blocks should be done.
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Hi there
exactly what type of surgery did you have? Inguinal? Open or laparoscopic? What type of mesh, if any? -
I offer an Online Consultation which includes reviewing your entire history, symptoms, past surgical procedures, and any imaging. Plus I recommend a plan of care based on that.
you can contact my office to initiate it. Info@beverlyhillsherniacenter.com -
3 months? That sounds very conservative. Do you know how much steroids they are using each time?
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– lidoderm patch helps
– topical creams of CBD help
– see if ice packs help
– nerve blocks are a good idea
– there are prescription medications that can hel -
You should be fine. It’s not that easy to make these repairs recur.
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Depends on the indication.
If there is a neuroma or neuralgia (nerve pain) from the GFN then neurectomy will cure that.
The nerve runs over the muscle but is otherwise unrelated to the muscle. -
Agree with Dr Brown.
There are no nerves to injure in an epigastric hernia repair, which is way up above your belly button in the upper abdomen.
Not sure why you would have leg issues from the hernia repair unless weird positioning from the operation or a blood clot in the leg.
See your doctor. -
It really irks me that this type of sloppy treatment still goes on. Endometriosis is cyclical pain and doesn’t get worse with standing or activity. IBS never gives groin pains. Patients don’t make up pains that can be explained anatomically. I’m sorry to say, it happens way too much for women. They even label it as “chronic pelvic pain” which really means nothing.
Read what ive written here and online, on my website, in NY Times and Washington Post. My blog post on the pelvic rehab webaite linked above is another good one. If you relate to them, please also share with your doctors and educate them as well.
get an ultrasound or MRI. CT scan is a waste of your money and unnecessary radiation.
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Very satisfying. Thanks for sharing.
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Does the ART include deep tissue massage at the repair site? I don’t recommend it. A Shouldice after mesh removal is already tenuous and in some tension.
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[USER=”2894″]pmv[/USER] have you read your operative report? Did they mention how they handled your direct hernia? Did they patch it or did they imbricate or suture close the defect? Perhaps what you felt was a seroma/hematoma where your hernia defect was. You should not be able to see any deformity from the mesh itself as it’s Dee to the muscles.
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I disagree with that statement. It’s also not based on any documented observations, such a matter anatomy dissections, etc.
Also note that when we talk about closing the internal ring, we usually mean closing the gap. The internal ring remains open enough to allow for the spermatic cord contents to run through it. The rest of it tightened up to reduce risk of other content squeezing through.
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Find a general surgeon who enjoys hernia surgery.
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The hope is that all patients who have hernia surgery can then lead a normal life, including serving their country, no matter how physically taxing.
The reality is not everyone fairs well. If you’ve done fine at 1 year, chances are you will have no problems in the future and recurrence risk is under 1%. We just don’t have any way to predict who will do well and who won’t.
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Depends on the symptoms.
mid the pain is purely neuropathic AND blocking the GFN 100% cures you of the pain, then, Yes. Neurectomy is all you need. Don’t mess with the repair. -
Most likely you’re just fine.
Sometimes patients may Strain the repair or even try to tear at it. but doesn’t mean it’s destroyed or there is a hernia recurrence. -
Please read the Pinned post.
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Get those nerves blocked! No need to delay that aspect.
I agree with the Elavil. I also agree with the Lidoderm patches.
If you’re in a state that allows for marijuana, CBD cream can help too.
[USER=”3024″]andrew1982[/USER] Most importantly: there is a cure. Don’t lose hope. Whatever the problem, it can be fixed. Continue to be your own biggest advocate.