drtowfigh
Forum Replies Created
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Some insight: inguinal hernias can be the cause of pelvic floor spasm.
Pain with sex and with coughing can also be seen with inguinal hernias.
i agree with the nearby surgeons listed by Chaunce… always full of helpful info.
i can also help review your history and imaging looking for an occult inguinal hernia. Is an online consultation.
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Hernias do not cause leg drops or nerve pain behind the leg or below the knee.
Also, sciatica and scoliosis are not associated with hernias.
A nonmesh repair is an option for most patients with inguinal hernias, with some exceptions.
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Femoral hernias are more commonly seen among women. They likely have a genetic predisposition. Your level of activity does not positively or negatively protect against these, as there is very little muscle in the area. It’s all bone and ligament.
Femoral hernias are usually small and rarely present as a bulge. If you see a bulge then most likely it’s an inguinal hernia. Physical exam by your doctor will help.
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So sorry about your pain.
What type of hernia repair did you have, exactly?
Also, the nerves associated with the groin do not inner age the back of the leg or the foot, or anything below the knee. Neurectomy therefore will also not help that pain.
have you. Had your spine carefully evaluated for the pain?
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Sounds like your surgeon is right on and the suture needs to be removed. Sometimes if you can have thin skin (literally, not figuratively) :p and can feel the knots from the suture, then that can cause your symptoms. Removal is relatively simple.
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Very complex situation. We are learning more each year.
There is no single wonderful mesh. Also, it is difficult to predict superiority of one mesh or technique over another for each Individual patient. What we do know is based on population data and our own experiences.
Mesh repair has a lower recurrence rate for hernias than nonmesh repair. If you’ve already had a recurrence, then nonmesh repair has a poor outcome, ie, the rate of failure is higher than with the first repair and mesh repair is indicated.
There are complications with mesh. There are complications without mesh.
In general, if you’ve had a recurrence with the PHS system then you will need a redo surgery also with mesh. There are a variety of mesh options and 3D Max is among the most popular and among the mesh type with the most experience.
If you didn’t have a mesh allergy or reaction with the PHS, you wil not have one with the Bard product.
Really it’s technique that will bring you the best outcome. Typically after PHS recurrence, laparoscopic repair is indicated. However, the posterior leaflet of the PHS may need to be excised laparoscopically. Make sure your surgeon has performed laparoscopic repair for recurrent hernias and also excised mesh laparoscopically.
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Let’s have you start a new post for this important question.
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Sounds like complications related to a disruption injury, sometimes referred to as a sports hernia. Which is a misnomer.
In Va, seek consultation with Dr Sharon Bachman. In Md, it’s Dr Igor Belyansky. They may be able to help.
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😀 excellent.
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Chronic pain is defined as any symptom lasting longer than 3 months. Let’s think positive and hope you’re pain free as time goes by.
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Sports hernias tend to be painful and less of a bulging.
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Haven’t figured out why hernias cause lower back pain, but they can. It may be related to disruption of core muscle stability.
Sports hernias are mostly painful and less likely bulging.
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I am happy to see you and/or consult with you online regarding mesh removal.
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Seems to be within the normal range of healing.
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Ice works best for hernia related pain.
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My out of town Patients are usually allowed to fly home after 24 hours. Preferably, I’d like them to stay a few days so that I can re examine them before they leave.
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Hernia and groin related symptoms can cause pain that radiates to the flanks and lower back. Hip problems can do the same. It’s usually not a nerve issue.
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Excellent post.
Yes, your symptoms are very consistent with either an inguinal hernia, or, less likely, a hernia at one of your surgical scars if you have on in that region.
CT scan may show the hernia. Your surgeon is correct that not all hernias can be felt.
If a CT scan does not show a hernia, I would still follow up with an MRI with valsalva as most CTs will not show really small hernias.
Best of luck! Let us know how it goes with the CT
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Hilarious.
and true: we currently do not have genetic testing for hernias. If you fund the research, it will happen -
Not really for inguinal hernias. The overall risk is very very low: a fraction of 1% per year for incarceration.
For bentral hernias, if the contents are 2x or more wider than the fascia hole, then the risk is higher