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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]
  • 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]
Pain
  • OBJECTIVE: Neuralgic pain caused by entrapment of peripheral nerves can be a difficult clinical problem. 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 response, physicians identify genitofemoral and ilioinguinal nerve (among others) as pain generators that innervate musculature and play a sensory role at the skin and “clip” them to reduce pain.[boddickerperformance.com]
  • 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]
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]
  • # 1 Tim Verhagen, Maarten J Loos, Leon G Mulders, Marc R Scheltinga, Rudi M Roumen OBJECTIVE: Up to 8% of patients undergoing surgery via a Pfannenstiel incision may develop chronic inguinal pain.[read.qxmd.com]
  • 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]
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]
  • May 1998: Obstetrics and Gynecology # 15 D C Knockaert, A L Boonen, F L Bruyninckx, H J Bobbaers The ilioinguinal-iliohypogastric nerve entrapment syndrome is a recognised cause of, usually chronic, lower abdominal pain.[read.qxmd.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]
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]
  • May 1998: Obstetrics and Gynecology # 15 D C Knockaert, A L Boonen, F L Bruyninckx, H J Bobbaers The ilioinguinal-iliohypogastric nerve entrapment syndrome is a recognised cause of, usually chronic, lower abdominal pain.[read.qxmd.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]
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]
  • Peripheral nerve field stimulation in chronic abdominal pain. Pain Physician. 2006;9: 261–266. 109. Carayannopoulos A, Beasley R, Sites B.[dovepress.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]
  • Peripheral nerve field stimulation in chronic abdominal pain. Pain Physician. 2006;9: 261–266. 109. Carayannopoulos A, Beasley R, Sites B.[dovepress.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]
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]
  • 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]
  • "The syndrome of low back pain with femoral neuritis is NOT UNCOMMON five or more years after an otherwise successful L4-L5-S1, two-level spine fusion." Point number 4 above is vital for the Chiropractic physician.[chiropractic-help.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]
  • 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]
Metatarsalgia
  • Nerve Syndrome 249 Chapter 49 Anterior Tarsal Tunnel Syndrome 253 Chapter 50 Tarsal Tunnel Syndrome 257 Chapter 51 Medial Plantar Nerve Syndrome Joggers Foot 267 Chapter 52 Syndrome of the First Branch of the Lateral Plantar Nerve 271 Chapter 53 Mortons Metatarsalgia[books.google.de]
  • Results of excision of the interdigital nerve in the treatment of Morton's metatarsalgia. Acta Orthop Belg . 1996 Mar. 62(1):22-5. [Medline] . Gauthier G. Thomas Morton's disease: a nerve entrapment syndrome. A new surgical technique.[medscape.com]
Heel Pain
  • Distal tarsal tunnel release with partial plantar fasciotomy for chronic heel pain: an outcome analysis. Foot Ankle Int . 2002 Jun. 23(6):530-7. [Medline] . Bailie DS, Kelikian AS.[medscape.com]
  • Approximately 10% to 15% of athletes with persistent chronic heel pain have entrapment of the first branch of the lateral plantar nerve(9).[sportsinjurybulletin.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]
  • 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 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]
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, 08:19 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]
  • […] 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]
  • (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]
  • Ilioinguinal or genitofemoral nerve entrapment neuralgias are rare complications of operations in the inguinal region.[link.springer.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]
  • The etiology and source of CPIP is complex and includes hernia recurrence, tissue inflammation, meshoma, and inguinal nerve injury or entrapment. 12, 13 Many patients suffer from neuropathic pain characterized by negative sensory phenomena, dysesthesia[dovepress.com]
Disturbed Gait
Excitement
  • […] hysterectomy) » Nerve Entrapment 2 Replies, Hysterectomy Recovery (post hysterectomy) Advertisement Hysterectomy News May 13,2019 CURRENT NEWS HysterSisters Takes On Partner To Manage Continued Growth And Longevity I have news that is wonderful and exciting[hystersisters.com]

Workup

  • After a period of failed conservative management, a workup concluded probable nerve entrapment...[read.qxmd.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]
  • 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

  • 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]
  • In the coming weeks I’ll post a few videos of some soft tissue treatment techniques for potentially freeing the ilioinguinal nerve that may be of value. Regards, Carson Boddicker[boddickerperformance.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

  • 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 and treatment. Apropos of 146 cases with surgical treatment]. Rev Chir Orthop Reparatrice Appar Mot . 1997. 83(6):515-21. [Medline] . Tseng KF, Hsu HC, Wang FC, Fong YC.[medscape.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]
  • 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]
  • 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]
  • 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]
  • The transected nerve ends should be ligated to close the neurilemmal sheath to prevent neuroma formation.[jamanetwork.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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