Question

Is anyone aware of new procedures to deal with long term inguinal pain syndrome? This issue is due to an inguinal hernia repair.

This patient has had numinous doctors that have come to the same conclusion that there is nothing to be done with him. There have been numerous papers that have been written on this matter and I can not believe that there is no one to help with this problem. Thank you for all your comments.

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  • Kelly Lloyd · Sarcoidosisonlinesites
    Dr Jay Redan has taken on many hernia repair pain syndrome patients. He is located in Celebration Florida.
  • Thank you, I cant believe it either. Every Dr that he has seen in Reno NV. has said that nothing goes wrong with these surgery's. He has been to UCSF med center and everyone knows whats wrong.But we are having so much trouble with workers comp to get him back to see a surgeon there . We will see if we can contact Dr. Jay Redan. Thank you G. Fitzgerald.
  • Kelly Lloyd · Sarcoidosisonlinesites
    Dr. Jay Redan is the only physician I've found that is brave enough to tackle these tough hernia cases. Many times stitches do not hold. The mesh that is used fails as well. Oftentimes this is impossible to detect via testing and can only be seen under laporoscopic surgery. Dr. Redan looks at each case independently, and can repair or replace mesh with a more patient friendly bioabsorbed mesh. I believe he had a couple of longterm studies regarding this topic. Don't give up. Best of luck to your patient/friend.
  • Mark Soldin · Kingston University London
    I have not been able to see the entire initial entry, but it sounds like you had an inguinal hernia repaired, and now some years later have pain and possibly a recurrence ?
    With inguinal hernias there is usually a congenital weakness allowing intra-abdominal contents to bulge through. If someone is overweight or smokes then the risks of a repair failing are higher. With hernia recurrence - optimise your general health first, then think about further 'procedures'.
    When a hernia repair is done cutaneous nerves are injured ( any cut in the skin damages small nerves). Even if there is no recurrence of the hernia - these damaged nerves can lead to pain - this is usually managed by someone with an interest in 'pain management' and does not necessarily need any additional procedure. With best wishes.
  • Loreto de caro · University of Padova
    It is very interesting to know the hernia repair procedure adopted and how long time from operation started pain.
  • The Lichtenstein repair was done 6 years ago the 52 year old male is in chronic pain after only 1 month out of surgery. All mentions of this were ignored by both the surgeon and pain management Dr's in Reno NV. We are finally getting help outside of the region and going to the Lichtenstein Amid Institute in southern California at UCLA. A triple neurectomy of the Ilioinguinal, Iliohypogastric, and genitofemoral nerves look to be promising. Please if anyone is preforming this Operation in the future please be very aware of these nerves, as it can become a very debilitating problem. There are many reports on the subject matter on line.
  • Jan-Paul Wingerden · Spine & Joint Centre
    How is his abdomen? Does he have an 'inflated' belly? Some people put pressure on their abominal wall in order to get some control over their trunk. This pressure may load the inguinal region leading to pain. In this case relearning correct use of abdominal pressure may give some relief.
  • Joseph Thavundayil · McGill University
    His pain could be neurogenic from entrapment .A course of lyrica(Pregabelin) is worth trying to relieve his pain.
  • Kirsty McKenzie · Sheridan College (Oakville)
    Hello,

    You may want to considered some manual therapy techniques to work on breaking up the scar tissue and then balancing the pelvis. This may assist in preventing any "matting" down of tissue which may eventually lead to a neurological entrapment.
  • Hi Kristy . To late,nerve Entrapment already there. Mr Fitzgerald is going to UCLA for a triple neurectomy of the Ilioinguinal, Iliohypogastric, and genitofemoral nerves. This seems as the best treatment for him as he has had this issue for almost 6 years. He has had numerous alternative treatments with no success. Thank you so much for your response.

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