Forum Replies Created

  • wth

    Member
    October 12, 2019 at 3:38 am in reply to: How to instruct the radiologist to look for occult hernia in the MRI?
    quote drtowfigh:

    As far as I know, Beverly Tower Wilshire does not have our protocol. You can share it with them. Beverly Hills Imaging does have our protocol, just a few streets away. As does Mink and Cedars-Sinai.

    See our protocol, attached, and you can show it to them to see if they will follow it.

    #MRI #MRIProtocol

    Thank you [USER=”935″]drtowfigh[/USER]
    Unfortunately Beverly Tower Wilshire can’t follow the protocol, as they have standards to follow they can’t deviate from.
    However, I did find a place that my insurance takes that can follow the protocol:

    United Medical Imaging of Century City
    NPI: 1053759811
    2080 Century Park E #104
    LOS ANGELES, CA 90067
    (310) 432-8000,

    But they told me that they don’t have 3Tesla MRIs (which is preferred in the protocol), only 1.5T (which is acceptable in the protocol).
    How big of a difference is it for diagnosing the occult inguinal hernia? Just want to know if I should follow through or keep searching through the list of imaging locations to see if there is one with 3Tesla MRIs that also can follow the protocol.

    Thanks!

  • wth

    Member
    October 7, 2019 at 5:30 am in reply to: How to instruct the radiologist to look for occult hernia in the MRI?
    quote Momof4:

    In my experience with MRI for hernias, you don’t need contrast and you need it with valsalva. Dr. Towfigh has a protocol that I have given to radiology. Important to call ahead because not all imaging centers perform the dynamic imaging. Hope this helps.

    What is the protocol? I’m planning to get it done at Beverly Tower Wilshire Advanced Imaging Center (@ Beverly Hills), do you know if they perform the dynamic imaging including valsalva?

    Thanks!

  • quote Good intentions:

    I tried to break your story down to the basic elements. It was a bit convoluted.

    I think that as a hernia develops the tissue and nerves in the vicinity get stretched and damaged, causing discomfort and pain. There is a certain threshold I’m sure where a surgeon’s fingers can feel a hernia or where it shows clearly on imaging. But before then it’s just overly stretched nerves and tissue, that look and feel normal.

    So, a guess would be that you are in the early stages of hernia development. You might consider doing exercises that help strengthen the abdominal wall, in the hope of preventing a full hernia from developing. The results might also be a clue as to what is happening, If things get better or worse, it might be telling.

    Be careful though, in seeking a solution. If you look far and long enough you will find a surgeon who proposes “exploratory” surgery to see if you have a hernia. The end result could easily end up as a mesh “repair” and you’ll be in a whole different world if you have mesh problems.

    So, good luck, don’t be hasty, and don’t trust “big medicine”. It’s not designed for the individual patient, it’s designed for the masses,

    Any recommended exercises that help strengthen the abdominal wall and prevent a hernia? Also, how do I avoid the excercise making it worst (if possible)? Should I do it only when I don’t have “current” symptoms or it shouldn’t matter?

    quote Good intentions:

    I also see that you have not seen a hernia expert. That should be your next step. Not a hernia repair method expert, but a hernia expert. You will find many surgeons who have expertise in the latest repair method but not in diagnosing hernias.

    [USER=”2976″]wth[/USER]

    Any recommended hernia experts in LA and the area?

    Thanks again, [USER=”2029″]Good intentions[/USER]

  • wth

    Member
    September 1, 2019 at 12:25 am in reply to: What can cause lower abdominal pain triggered by certain physical movements?

    Hi Guys,

    I played some table tennis yesterday… And the pain got activated again on the left side… And I would feel this pain when I moved and played in the left lower groin area. To the point when I just felt wrong to continue playing because of the pain, so I stopped playing. Now that the pain is in activated mode, I felt it yesterday and today in the left groin radiating to the left testicle, but then today, it switched to the right side… not the groin, but just lower stomach, with this feeling of tenderness in the right side, like I feel something from the inside, but not much pain, more of a discomfort, especially if I get into bending positions or do bad moves…

    Please help me… What does this sound like? One guy who played there said that it’s very much likely sound like a hernia, and he said he had something similar in his 30s, and he would go to the doctor, and they couldn’t diagnose what was wrong with him… He said that rest could help the situation better by abstaining from physical activities that can trigger the pain like that. Is that true? Because I think I tried it for 2 weeks, and I don’t recall it going away…
    I already have this discomfort for 7-8 weeks, and I know this is not just in my head… Any advise would be appreciated, thanks!

  • does anyone can help please? I’m still in pain
    where are all the forum hernia experts

  • Please help