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Ilioinguinal Nerve Entrapment


Presentation

  • The objective of the present study was to assess pain and quality of life in women with pain secondary to ilioinguinal nerve entrapment.[ncbi.nlm.nih.gov]
  • It presents a total of 50 tunnel syndromes. Following the tradition of the first two editions, this resource continues to probe the origins of tunnel syndromes and to propose probable causes that lead to them.[books.google.de]
  • Springer Science & Business Media , 06.12.2012 - 240 Seiten 0 Rezensionen The present publication relating to peripheral nerve entrapment is an attempt to bring to the attention of physicians an easily readable source of information on this common class[books.google.de]
  • AN entrapment neuropathy of the ilioinguinal nerve can cause pain and disability that may present serious diagnostic difficulties. The nerve is analogous to an intercostal nerve since it has both motor and skin sensory functions.[nejm.org]
  • Some weakness may be present because of guarding or disuse atrophy from pain, but no direct weakness will result from the nerve impingement. Sensory loss in the saphenous distribution may be present on examination.[emedicine.medscape.com]
Inguinal Pain
  • Other diseases that can clinically present with chronic inguinal pain (including hip osteoarthritis, disc herniation, recurrent inguinal hernia, and tumor) can be ruled out by selective radiological examinations including ultrasonography, computed tomography[painspa.co.uk]
  • In the case of chronic postherniorrhaphy inguinal pain (CPIP), taking into account postoperative inflammatory processes, 3–6 months is usually the definition for chronicity.[dovepress.com]
  • In the extremely rare patient with inguinal pain but no physical or sonographic evidence of inguinal herniation, computed tomographic scanning can be used to evaluate the pelvis for the presence of an obturator hernia.[aafp.org]
  • After walking for about half an hour I begin to get a pain down mt left leg which gets more painful the further I walk and then starts to cause a limp … Femoral nerve & Inguinal pain Approximately 6 weeks ago I was extremely exhausted and fell asleep[chiropractic-help.com]
  • Ilioinguinal nerve entrapment is a well-established cause of chronic inguinal pain in patients who have had lower abdominal surgery (eg, appendectomy or inguinal herniorrhaphy) (5).[davidhinman.com]
Abdominal Pain
  • The accurate diagnosis has the potential to alleviate some of the unpleasant implications of this abdominal pain of presumed psycho-somatic origin.[academic.oup.com]
  • Nerve entrapments can occur throughout the body and cause headaches, chest pain, abdominal pain, pelvic pain, low back pain, and upper and lower extremity pain.[springer.com]
  • Surgical scar in patient with iliohypogastric neuropathy Persistent pelvic and/or abdominal pain post c-section often poses a diagnostic and treatment dilemma, because most OB/GYNs know very little about pain and most pain doctors know very little about[drjengunter.wordpress.com]
  • Once again, make sure to ask the patient if they have abdominal pain, such as bloating or similar, before going in. If they do, use MMT or SSE for provocation assessment instead.[treningogrehab.no]
  • Since 1989, elite ice hockey players have been referred to our center for an atypical lower abdominal pain syndrome (figure 5: not shown) that resembles but does not clearly correspond to previously described entities.[davidhinman.com]
Chronic Abdominal Pain
  • Chronic abdominal pain is a frequently presenting condition in the pain clinics. Patients have often undergone a plethora of investigations, including diagnostic surgery and psychiatric review, before referral to Pain Management Services.[academic.oup.com]
  • Peripheral nerve field stimulation in chronic abdominal pain. Pain Physician . 2006;9: 261–266. 109. Carayannopoulos A, Beasley R, Sites B.[dovepress.com]
Recurrent Abdominal Pain
  • Neurolytic agents such as phenol and ethyl alcohol have been injected in place of local anaesthetic for recurrent abdominal pain in the past. 7 Owing to complications, the use of neurolytic techniques for management of chronic non-malignant pain has declined[academic.oup.com]
Abdominal Wall Pain
  • References 1 Chronic abdominal wall pain—a diagnostic challenge for the surgeon , Am J Surg , 2009 , vol. 198 (pg. 129 - 34 ) 2 Chronic abdominal wall pain: a frequently overlooked problem.[academic.oup.com]
Vascular Disease
  • Despite the neuro logical and neurosurgical orientation, there is much of value for or thopedists and specialists in peripheral vascular disease.[books.google.de]
Low Back Pain
  • Nerve entrapments can occur throughout the body and cause headaches, chest pain, abdominal pain, pelvic pain, low back pain, and upper and lower extremity pain.[springer.com]
  • Risk Factors Vasectomy Other scrotal or abdominal surgery Bicycle riding Horseback riding Long periods without postural changes Heavy lifting Intercourse Commonly Associated Conditions Low back pain Clinical depression -- To view the remaining sections[unboundmedicine.com]
  • Classic symptoms of an iliopsoas muscle spasm are diffuse achy- type low back pain of a few days onset. The history is generally not specific to an injury which would be considered for low back pain, but it can be.[davidhinman.com]
  • Of course I also checked the little quadratus lumborum that levels the hip and is often the cause of low back pain and it’s associated iliolumbar ligament . (I have several posts about this too so, again, I won’t repeat here.)[abbottcenter.com]
  • An important study in the fascial world by Langevin et al., 2009 proposed that people with chronic and recurrent low back pain had 25 percent greater fascial thickness than a low back pain-free group.[treningogrehab.no]
Hip Pain
  • Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.[dynamicchiropractic.com]
  • Example, while standing trying to raise leg … Hip pain and "blocking" of quadriceps Not rated yet Hip pain, muscle cramping, cramping and "blocking" of quadriceps when walking. I fell on my right side and twisted my ankle.[chiropractic-help.com]
Incontinence
  • This article reports two clinical histories to illustrate the diagnosis and management, and outlines prevention of ilioinguinal nerve entrapment as a complication of needle suspension procedures for stress urinary incontinence.[ncbi.nlm.nih.gov]
  • It has not previously been described as a complication of the tension-free vaginal tape (TVT) procedure, which is the most recent technique for the treatment of genuine urinary stress incontinence.[ncbi.nlm.nih.gov]
  • 10) Incontinence “I sneeze, I pee.” – The odds that mesh surgery won’t cure your incontinence is the same as other surgical repairs: one in three. 11) Urinary Retention “I can’t pee right.” – A mesh that is implanted too tight can slow down or stop your[pelvicmeshownersguide.com]
  • ., for relief of chronic pain, sexual dysfunction, or urinary or fecal incontinence. External programmer 29 may control delivery of electrical stimulation by IMD 28 .[google.com]
Urinary Stress Incontinence
  • It has not previously been described as a complication of the tension-free vaginal tape (TVT) procedure, which is the most recent technique for the treatment of genuine urinary stress incontinence.[ncbi.nlm.nih.gov]
Bladder Spasm
  • Doctors have been less than helpful....one doctor would say it could be a bladder spasm another bowel...there is other pain as well with no explanation...answers would be nice. # 8 04-26-2010, 09:19 AM HysterSister Posts : 224 Hysterectomy : May 4th,[hystersisters.com]
Neuralgia
  • A probable cause of the neuralgia could be found in only six women. Ilioinguinal nerve entrapment should be considered early in the differential diagnosis of lower abdominal and pelvic pain.[ncbi.nlm.nih.gov]
  • Those with debilitating pain from ilioinguinal neuralgia may be able to get disability benefits. Ilioinguinal neuralgia is a condition in which there is damage to the ilioinguinal nerve.[disabilitysecrets.com]
  • (disorder) Iliohypogastric nerve neuritis Iliohypogastric neuralgia Iliohypogastric neuritis Ilioinguinal nerve entrapment Ilio-inguinal nerve entrapment Ilioinguinal neuropathy L iliohypogastric neuralgia L iliohypogastric neuritis L ilioinguinal mononeuritis[icd9data.com]
  • What is Inguinal Neuralgia? Inguinal neuralgia refers to chronic pain in the pelvic area and/or groin caused by nerve dysfunction.[paindoctor.com]
  • What is ilioinguinal neuralgia? Ilioinguinal neuralgia is a painful disorder of the ilioinguinal nerve due to damage and/or loss of function in this nerve.[pijn.com]
Excitement
  • […] hysterectomy) » Nerve Entrapment 2 Replies, Hysterectomy Recovery (post hysterectomy) Advertisement Hysterectomy News November 24,2018 CURRENT NEWS HysterSisters Takes On Partner To Manage Continued Growth And Longevity I have news that is wonderful and exciting[hystersisters.com]
Cervical Radiculopathy
  • Specifically, they excluded insulin-treated diabetic subjects because of the neurotrophic effects of insulin and of conditions such as peripheral neuropathy, cervical radiculopathy, brachial plexopathy, pronator teres syndrome, and lesions of the 6th[care.diabetesjournals.org]
Steppage Gait
  • A patient with common peroneal nerve entrapment often displays a steppage gait pattern, in which the affected foot is lifted excessively from the ground during the swing phase of ambulation in order to clear the foot.[emedicine.medscape.com]

Workup

  • He had seen a urologist and his workup was negative. His physical examination and diagnosis was consistent with a pubic symphysis sprain, sprain to the sacral ligaments, and nerve entrapments in the muscular wall of the right lower abdomen.[dremagaziner.com]
  • Further screening studies (eg, laboratory workup for arthritides, diabetes, alcoholism, and thyroid dysfunction) are indicated in cases of associated inflammation and in patients with symptoms of peripheral neuropathy (see Workup).[emedicine.medscape.com]
  • In my experience, tenderness alone at the internal ring (the 60:40 mark) is diagnostic of an occult inguinal hernia and demands further workup, such as imaging, to confirm the suggested diagnosis.[pelvicpainrehab.com]

Treatment

  • The positive results found here indicate that surgery is superior to medical treatment in ilioinguinal nerve entrapment of unknown cause as well as after previous surgery.[ncbi.nlm.nih.gov]
  • It has not previously been described as a complication of the tension-free vaginal tape (TVT) procedure, which is the most recent technique for the treatment of genuine urinary stress incontinence.[ncbi.nlm.nih.gov]
  • This paper discusses the resulting pain complex, diagnosis, pathophysiology, and options for prevention and treatment of this uncommon complication.[ncbi.nlm.nih.gov]
  • He also had treatment called neural Prolotherapy for healing and desensitizing the nerves in the right lower abdomen. After two treatments the patient reported his pain was almost gone. By his third treatment his pain was almost resolved.[dremagaziner.com]
  • Avoid potential pitfalls in diagnosis and treatment by referring to "Side Effects and Complications" sections in each chapter.[books.google.de]

Prognosis

  • Whether or not it is appropriate to offer surgery in any particular case depends on the severity of the symptoms, the risks of the proposed operation, and the prognosis if untreated.[en.wikipedia.org]
  • Electrodiagnostic testing is typically performed for diagnosis but is also important to determine the extent of the injury and to determine prognosis of recovery.[davidhinman.com]
  • Due to the rarity of saphenous nerve entrapments, little is known on the prognosis or natural history for these patients. – Porr et a., 2013 The diagnosis of piriformis syndrome is challenging, as the symptoms are often nonspecific and electrodiagnostic[treningogrehab.no]

Etiology

  • Tunnel Syndromes: Peripheral Nerve Compression Syndromes provides a quick overview of tunnel syndromes including the definition, anatomy, etiology, clinical signs and symptoms, and treatment. It presents a total of 50 tunnel syndromes.[books.google.de]
  • If no relief is obtained with injection, a different etiology should be sought for the discomfort. Alternate diagnoses include upper lumbar or lower thoracic nerve root pathology, or discogenic etiology of the pain.[bizwan.com]
  • Affects up to 6% of postvasectomy patients ( 1 ) Prevalence Up to 0.4% of men, overall ( 1 ) Etiology and Pathophysiology Trauma Infection Epididymitis Prostatitis Urinary tract infection Postvasectomy Other abdominal, scrotal, or testicular surgery Nerve[unboundmedicine.com]
  • If no relief is obtained with injection, a different etiology should be sought for the discomfort. Alternate diagnoses include upper lumbar or lower thoracic nerve root pathology or discogenic etiology of the pain.[davidhinman.com]
  • Etiology The exact etiology of CPIP is complex and variable, with many patients exhibiting signs and symptoms that suggest multiple as opposed to singular etiologies.[dovepress.com]

Epidemiology

  • Epidemiology Incidence Majority of patients present in mid- to late 30s.[unboundmedicine.com]
  • Epidemiology In the United States, approximately 96 percent of groin hernias are inguinal and 4 percent are femoral.[aafp.org]
  • A framework to establish core risk factor and outcome domains for epidemiological studies. Clin J Pain . 2013;29:2–8. 35. Franneby U, Sandblom G, Nordin P, Nyren O, Gunnarsson U. Risk factors for long-term pain after hernia surgery.[dovepress.com]
  • The condition is frequently underdiagnosed leading to controversies regarding its epidemiology and to an intense debate in the literature.[treningogrehab.no]
Sex distribution
Age distribution

Pathophysiology

  • This paper discusses the resulting pain complex, diagnosis, pathophysiology, and options for prevention and treatment of this uncommon complication.[ncbi.nlm.nih.gov]
  • This paper discusses the resulting pain complex, diagnosis, pathophysiology, and options for prevention and treatment of this uncommon complication. 1992 The American College of Obstetricians and Gynecologists[journals.lww.com]
  • Affects up to 6% of postvasectomy patients ( 1 ) Prevalence Up to 0.4% of men, overall ( 1 ) Etiology and Pathophysiology Trauma Infection Epididymitis Prostatitis Urinary tract infection Postvasectomy Other abdominal, scrotal, or testicular surgery Nerve[unboundmedicine.com]
  • Pathophysiology [ edit ] External pressure reduces flow in the vessels supplying the nerve with blood (the vasa nervorum ). This causes local ischaemia , which has an immediate effect on the ability of the nerve axons to transmit action potentials .[en.wikipedia.org]
  • Alternatively, the autonomic response may have been an entirely different pathophysiologic event that was not associated with the local anesthetic.[pubs.sciepub.com]

Prevention

  • This article reports two clinical histories to illustrate the diagnosis and management, and outlines prevention of ilioinguinal nerve entrapment as a complication of needle suspension procedures for stress urinary incontinence.[ncbi.nlm.nih.gov]
  • This paper discusses the resulting pain complex, diagnosis, pathophysiology, and options for prevention and treatment of this uncommon complication.[ncbi.nlm.nih.gov]
  • This paper discusses the resulting pain complex, diagnosis, pathophysiology, and options for prevention and treatment of this uncommon complication. 1992 The American College of Obstetricians and Gynecologists[journals.lww.com]
  • Avoiding activities such as running, jumping or squatting during this time prevents further irritation of the compressed femoral nerve. If knee buckling occurs, a knee brace may be recommended to prevent falls.[livestrong.com]
  • Página 310 - A randomized trial comparing ticlopidine hydrochloride with aspirin for the prevention of stroke in high-risk patients. ‎[books.google.es]

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