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15 Possible Causes for Inguinal Pain, Tinel's Sign

  • Ilioinguinal Nerve Entrapment

    Other diseases that can clinically present with chronic inguinal pain (including hip osteoarthritis, disc herniation, recurrent inguinal hernia, and tumor) can be ruled out[] In the report by Wieman and Patel ( 28 ) on 33 limbs in 26 patients, 32 had a positive Tinel sign, yet 19 of 26 responded and 7 with positive Tinel signs did not.[] A review of chronic pain after inguinal herniorrhaphy. Clin J Pain. 2003;19(1):48–54. View Article PubMed Google Scholar Zacest AC, et al.[]

  • Entrapment Neuropathy

    “Anatomic variations of the obturator nerve in the inguinal region: implications in conventional and ultrasound regional anesthesia techniques.”[] The motor Tinel sign (MTS) refers to electromyographic activity, sometimes associated with a visible muscle jerk, evoked by percussion or manipulation of a peripheral nerve[] Tinel's sign was located in the upper arm medial to the biceps and 5 cm proximal to the elbow. The patient underwent microsurgery under local anesthesia.[]

  • Median Neuropathy

    Clinical Presentation The clinical syndrome, known as meralgia paresthetica , results in a painful, burning, numb patch of skin over the anterior and lateral thigh, sometimes[] […] of the nerve at the carpal tunnel (the onset of paresthesia indicates a positive Tinel's sign).[] Signs include a positive Tinel's sign at the wrist (tingling in median nerve distribution on percussion over ventral wrist), positive Phalen's sign (similar findings within[]

  • Meralgia Paresthetica

    pain and dysesthesia in the anterolateral thigh during pitching practice.[] Tinel's sign was elicited on percussing the avulsed bony fragment of the anterior superior iliac spine. He underwent open reduction and internal fixation.[] On physical examination, a positive Tinel’s sign is usually present 1 cm medial and inferior to the anterior superior iliac crest.[]

  • Peroneal Nerve Compression Neuropathy

    […] region intrapelvic structures ( e.g., gunshot or knife injuries and surgery) • Pain in the inguinal region - hip flexion and external rotation improves pain • Dysesthesia[] Provocative testing by the scratch collapse test and Tinel's sign was performed.[] When examined, she had a positive Tinel sign over the common and superficial peroneal nerve in left lower extremity.[]

  • Peroneal Nerve Paralysis

    ., pregnancy, obesity, ascites ) External compression (e.g., tight belts, pants, or compression dressings) Local compression (e.g., tumors, hematomas ) Sensory deficit : pain[] On physical examination, a painful deep mass on the outer side of his right leg was evident, with positive Tinel sign.[] Prognostic ability of Tinel sign in determining outcome for decompression surgery in diabetic and nondiabetic neuropathy. Ann Plast Surg. 2004; 53(6):523-527. 12.[]

  • Neuralgia

    Lumbar neuralgia gives rise to pain in the lumbar region, along the crest of the ilium, in the inguinal and femoral regions, and in the spermatic cord, scrotum, or vulva.[] . • Symptoms: – unilateral pain in the forehead – Tinel's sign at the supraorbital notch, and hypoesthesia in the forehead 15.[]

  • Pudendal Hernia

    About three quarters of these patients report in addition to dull inguinal pain, intermittent neuralgic pain and in almost two thirds of the patients a pin-prick hyperalgesia[] This entrapment can sometimes be identified on physical examination with a positive Tinel sign at the level of the external inguinal ring.[] […] of their pain was an occult inguinal hernia.[]

  • Anterior Thigh Pain

    Other Causes Inguinal hernias and herniation in the femoral region are also responsible for causing front thigh pain and inner thigh pain.[] Signs of MP include tenderness over the LFCN next to the ASIS and a positive Tinel’s sign 2 , 3) .[] […] of pain Learn to perform inguinal ligament stretching (from a physical therapist) which can rapidly relieve symptoms Use rest periods to interrupt long periods of standing[]

  • Neurilemmoma

    She currently reported having severe post-hernioplasty pain in the entire inguinal region that did not radiate to the right leg.[] On examination, there was positive Tinel sign over the medial heel with pain radiating to the lateral sole.[] At later follow-up visits, (6 months) the patient presented no functional loss; the pain in the inguinal region continued, but the patient refused triple neurectomy.[]

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