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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]
  • In the present study we assessed the value of abdominal muscle electromyography in 41 patients with a clinical syndrome suggestive of ilioinguinal-iliohypogastric nerve entrapment.[lirias.kuleuven.be]
  • 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 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 of disorders[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]
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]
  • The main cause of inguinal pain is injury or irritation to the following nerves: ilioinguinal, iliohypogastric and genital branch of genitofemoral nerve [ 4 ].[bmcsurg.biomedcentral.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
  • Incidence of abdominal pain due to the anterior cutaneous nerve entrapment syndrome in an emergency department. Scand J Trauma Resusc Emerg Med. 2015; 23: 19-25. Akhnikh S, de Korte N, de Winter P.[medigraphic.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]
  • These scars can lead to entrapment of two nerves called the ilioinguinal and hypogastric nerves causing low abdominal pain. Other risk factors for abdominal entrapment neuropathies include obesity and tight fitting clothing.[tricountypain.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]
Chronic Abdominal Pain
  • Positive predictive value of Carnett’s sign in differential diagnosis of chronic abdominal pain: a retrospective cohort study. J Pain. 2013; 14 (4): S8. Boelens OB, Scheltinga MR, Houterman S, Roumen RM.[medigraphic.com]
Abdominal Wall Pain
  • Chronic abdominal wall pain. Dtsch Arztebl Int. 2016; 113 (4): 51-57. Srinivasan R, Greenbaum DS. Chronic abdominal wall pain: a frequently overlooked problem. Practical approach to diagnosis and management.[medigraphic.com]
Chronic Abdominal Pain
  • Positive predictive value of Carnett’s sign in differential diagnosis of chronic abdominal pain: a retrospective cohort study. J Pain. 2013; 14 (4): S8. Boelens OB, Scheltinga MR, Houterman S, Roumen RM.[medigraphic.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]
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]
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]
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]
Urinary 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]
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]
  • Author: Knockaert, Daniel Boonen, AL ; Bruyninckx, Frans ; Bobbaers, HJ Keywords: Abdominal Muscles, Adult, Anesthetics, Local, Electromyography, Humans, Middle Aged, Nerve Compression Syndromes, Neuralgia, Science & Technology, Life Sciences & Biomedicine[lirias.kuleuven.be]
  • Ilioinguinal Neuralgia Symptoms Ilioinguinal neuralgia is one of the most common causes of lower abdominal and pelvic pain.[londonpainclinic.com]
  • […] nerve neuralgia Ilioinguinal nerve neuralgia (disorder) Ilioinguinal nerve neuritis Ilioinguinal nerve neuritis (disorder) Inflammation of obturator nerve Inflammation of obturator nerve (disorder) Neuritis of saphenous nerve Neuritis of saphenous nerve[averbis.com]
  • 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]
Dysesthesia
  • Chronic neuralgia, however, is an often debilitating pain that includes paresthesia, hypoesthesia, and dysesthesia.[jamanetwork.com]
  • Clinical The symptoms of a femoral neuropathy may include pain in the inguinal region that is partially relieved by flexion and external rotation of the hip and dysesthesia over the anterior thigh and anteromedial leg.[davidhinman.com]
Disturbed Gait
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]

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]
  • Senior Member Contributor SomaSimpler Join Date: Dec 2005 Posts: 389 I believe he has had all the diagnostic workup for Ostetis Pubis-including the blood work. I will press him again when I see him.[somasimple.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

  • CONCLUSIONS: 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]
  • 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]
  • This paper discusses the resulting pain complex, diagnosis, pathophysiology, and options for prevention and treatment of this uncommon complication.[ncbi.nlm.nih.gov]

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]

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]
  • The etiology of ulnar nerve entrapment includes trauma, arthritis, and systemic diseases (less often than in CTS). As in CTS, conduction through the elbow is decreased.[care.diabetesjournals.org]

Epidemiology

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]
  • Acta obstetricia et gynecologica Scandinavica. 2011 Sep; [PubMed PMID: 21615360] [9] Mackinnon SE, Pathophysiology of nerve compression.[statpearls.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]

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]
  • Knowledge of this syndrome prevents unnecessary investigation. Key words: Entrapment, ilioinguinal nerve, chronic abdominal pain. REFERENCES Koop H, Koprdova S, Schürmann C. Chronic abdominal wall pain. Dtsch Arztebl Int. 2016; 113 (4): 51-57.[medigraphic.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]

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