drtowfigh
Forum Replies Created
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Sports Hernia – Convo with dr. Shirin Towfigh
Hi there!
How are you feeling and how is the groin pain from the core muscle injury?
Some surgeons operate on more severe cases of injury in order to expedite care for professional athletes. Not sure if that’s the right idea.
Let us know how you’re doing. -
Colonoscopy possible hernia
Call Dr Archana Ramaswamy. She’s at the U of MN.
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Help!
Hi
Did you find a specialist who can help you?
Your symptoms sound suggestive of a hernia
Drs Sharon Bachman and James Bittner are excellent resources near you. -
Umbilical hernia question
I don’t recommend mesh if less than 1cm hernia
I also prefer not to place mesh if pregnancy planned. Dr Earle has had good experience with mesh. I have not placed mesh as I personally feel there is a risk of mesh-related chronic pain during pregnancy
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Hernia returned or a new one.
Hi there. Thanks for posting. Where is your pain now? How was the femoral hernia repaired? What about the incisional hernia?
These are important questions as each repair type has its own type of complications, recurrence rate, and so on.
Did you see your surgeon in followup? -
Continued proliferation of Millikan tension-free plug and patch repair?
Allow me to provide a different view:
Most hernia specialists no longer implant the plug and patch. Many many general surgeons still use it. It remains among the most sold mesh types in the US. It’s hard for surgeons to get rid of old habits.
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Physiomesh Recall… Should I be concerned?
By definition, recalled mesh is not available for implantation by any surgeon. They have been pulled from all the shelves.
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Central Pain after Neurectomy
I highly recommend Dr Tim DAVIS, as your type of pain may benefit from a nerve stimulator. He is a lead in the latest technology for management of chronic groin pain.
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Fat in Inguinal Canal vs Hernia vs Cord Lipoma?
– Size of hernia does not determine need for repair
– Size of hernia helps determine best technique for repair
– All hernias increase in size and content over time. It’s unpredictable who and which type of hernia will grow faster.UhOh,
CT 7 yrs ago may indeed show a hernia. -
4 years of hip/groin pain. Help!
Wes,
Am I to understand you had hip and hernia operations with no improvement?
Did either make the pain worse?
Did they look at your sacroiliac joints to look for sacroiliitis? -
Years of inconclusive groin pain on right side. Maybe swelling? Maybe Hernia?
Your workup is incomplete and not acceptable. The pain is obviously real and there is a treatable cause for it.
The CT and Ultrasound are both positive but not diagnostic. I would recommend having the films re-reviewed. Alternatively, if these do not provide an answer, I recommend MRI.
Most likely, you have a hernia. Alternative causes are vasitis and sacroiliitis.
Do not burn or destroy any nerves. It will not cure any hernia. Also, it’s rare to unlikely to have a primary nerve problem without any trauma or surgery.
If you’d like to send me your films I can help review them. Just contact my office or fill out an online consultation on my website. Or, let us know where you live and we can recommend a specialist nearby.
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Symptoms of possible internal hernia
Nodiagnosis: Heed the advice of Chaunce123. Your story does not sound like a hernia. Find a good gastroenterologist or generalist and have the workup expedited.
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Surgery VS Watchful Waiting
First: it is much more likely that you–or anyone–have improvement than chronic pain after hernia repair–even those with pain preoperatively.
At this point, we don’t have a good way to know prior to surgery if any particular person will do well. Dr Ramshaw is dedicating his career to finding this out.
To answer your two questions: we don’t know. Medicine is an Inexact science and a bit of art. We just don’t know enough to be able to answer you and therefore perfectly tailor your exercise to be the best for your situation. Yes, hernias can have intermittent pain. Why? We don’t know.
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4 weeks post op inguinal hernia surgery
It’s difficult to say exactly what the problem is especially so early after the repair.
In general, needing to slouch back implies the mesh is not flat but I can’t judge that without examining you and reviewing imaging.
Let us know what add Belhansky has to offer.
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Finding no-mesh inguinal hernia surgeons on west coast?
If the hernia is small, I would err on no mesh.
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Please help, I’m confused..
You may be right. It is possible that you had a hernia recurrence under the mesh repair and now it is returned back into place.
The best way to evaluate this is via a dynamic imaging study: hernia ultrasound with valsalva maneuvers, CT scan with valsalva, and/or MRI pelvis with valsalva.
Valsalva means bear-down.
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Mutiple Surgeries in a close proximity of time.
Not normal to hurt like hell after any operation one year later.
– what type of operation did you have for your hernias?
– where exactly is your pain and and when do you get it? -
Surgery VS Watchful Waiting
Wow. So many great questions.
Scientifically, we don’t have perfect answers for everything you are asking.
Some comments limited to inguinal hernias in particular:– all hernias in women do NOT need to be repaired. Femoral hernias are the exception. Femoral hernias should be repaired if they are diagnosed, as they are at highest risk of strangulation. The timing of that repair is unclear.
– hernias that are symptomatic should be considered for surgical repair. The size is not a determinant of repair. For sure there are super small hernias that are very symptomatic, and the reverse may also be true. I routinely repair very symptomatic often debilitating hernias that are very small. They are called occult hernias. A lot of surgeons don’t agree with me. I presented my data for these naysayers: 87% cure.
– nerve blocks do not treat hernias nor their pain. In fact, in most cases, it may increase the pain. It’s a diagnostic tool
– exercise can help reduce symptoms from the hernia and/or reduce their size.
– strangulation is most risky with Bowel. Bladder does not strangulate. Rarely it can incarcerate. Fat can strangulate
– almost al the data we have about hernia outcomes is with men. A few of us are adding women to the pot.
In short, hernia repair, as with any elective surgery, is a personal decision. You must weigh its risks and benefits. If performed by an expert, the risks should be less. This is especially true for women
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Mesh Sutures
Dr Dumanian presented his data at our most recent meeting of the American Hernia Society. Very cool idea and invention.
As I understand it, the product is intended to reduce risk of the current fish line-type sutures used to close fascia from tearing through the fasc and causing hernias. These are usually Swiss cheese-type hernias. I believe the purpose is to use these sutures when closing the abdominal wall. They are not yet ready to be used for inguinal hernia repair. Also, as far as I know, the goal is to use these the first time you need the abdominal wall closed (not necessarily at the time of hernia repair) in order to reduce the risk of incisional hernia repair.
Excited to see more results. It’s a very innovative and interesting idea. -
top hernia doctors in georgia or tn
Injections in the back help for:
– diagnostic purposes, to help determine if it’s a nerve issue at all
– sympathetic blocks can help with certain types of chronic pain
– predictive benefits for nerve stimulators in advanced cases of chronic painI tend to like to narrow the focus of the pain regimen so I don’t rely on epidural injections unless I think I need it to help narrow the diagnosis after that.
Botox may work in cases of tight repairs. Not for nerve pain.