Presentation
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]
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]
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]
CASE PRESENTATION: We report a case of 54-year-old male who presented with post-operative pain after 1 month and sensory disturbances of the right lower limb. [read.qxmd.com]
Presentation Sciatic pain presents as tenderness in the buttock and more difficulty sitting than standing. Diagnosis is by provocative nerve tests, EMG and MRI. [sportsinjurybulletin.com]
Entire Body System
- Pain
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]
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]
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]
There may also be referred pain to the iliac crest from entrapment in the front of the abdomen. [painbytes.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]
Surgical management of chronic pain after inguinal hernia repair. Br J Surg. 2005;92(7):795–801. View Article PubMed Google Scholar Baynielsen M, et al. Chronic pain after open mesh and sutured repair of indirect inguinal hernia in young males. [bmcsurg.biomedcentral.com]
This type of pain is frequently caused by inguinal nerve entrapment and may strongly interfere with daily functioning. [read.qxmd.com]
Operative management for pain after inguinal surgery has been reported as early as 1942 with Magee 121 describing genitofemoral causalgia as a source for post-inguinal surgery pain. [dovepress.com]
Gastrointestinal
- Abdominal Pain
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. Srinivasan R, Greenbaum DS. [medigraphic.com]
Medicine, General & Internal, General & Internal Medicine, PAIN, 1101 Medical Biochemistry And Metabolomics Abstract: The ilioinguinal-iliohypogastric nerve entrapment syndrome is a recognised cause of, usually chronic, lower abdominal pain. [lirias.kuleuven.be]
Persistent lower abdominal pain postoperatively following abdominal surgery despite a negative gastrointestinal and/or gynecologic workup should alert the surgeon to the possibility of iliohypogastric or ilioinguinal nerve entrapment. [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]
Many sufferers have had previous low abdominal surgery such as C-sections or hernia repairs. These scars can lead to entrapment of two nerves called the ilioinguinal and hypogastric nerves causing low abdominal pain. [tricountypain.com]
- Chronic Abdominal Pain
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. Srinivasan R, Greenbaum DS. [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
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. Srinivasan R, Greenbaum DS. [medigraphic.com]
Eyes
- Diplopia
OUTRAS QUEIXAS NEUROLÓGICAS DISTÚRBIOS VISUAIS: ESCOTOMAS DIMINUIÇÃO DA ACUIDADE DIMINUIÇÃO DO CAMPO VISUAL DIPLOPIA AMAUROSE FUGAZ DISTÚRBIOS DO MOVIMENTO: HIPO/HIPERCINÉTICOS 16. [slideshare.net]
Musculoskeletal
- 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]
- 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]
Pain may be increased with hip extension and relieved with external rotation of the hip. If compression occurs at the inguinal region, no hip flexion weakness is present. [davidhinman.com]
- Proximal Muscle Weakness
A boy with Duchenne muscular dystrophy (DMD) demonstrating pseudohypertrophy of his calves and a positive Gower's maneuver (climbing from a sitting position because of proximal muscle weakness). [slideshare.net]
Urogenital
- 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]
Neurologic
- Neuralgia
[…] 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]
Ilioinguinal or genitofemoral nerve entrapment neuralgias are rare complications of operations in the inguinal region. [link.springer.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]
Operations associated with neuralgias and postoperative pain outcomes were analyzed. [scinapse.io]
- Tremor
MOTRICIDADE: INSPEÇÃO, PALPAÇÃO, MANOBRAS PESQUISA DE MOVIMENTOS ANORMAIS BRADICINESIA CORÉIA DISTONIA TREMOR DE REPOUSO TREMOR DE MOVIMENTO 54. REFLEXOS MUSCULARES PROFUNDOS OU MIOTÁTICOS BOA TÉCNICA; MÚSCULO, TENDÕES, OSSOS VARIAÇÕES FISIOLÓGICAS. [slideshare.net]
- Dysarthria
Wilson's disease is an autosomal recessive disorder of copper metabolism that can present with hepatic failure, psychiatric or personality disorder, or neurologic signs, including dysarthria, dystonia, rigidity, and tremor. [slideshare.net]
- Cerebellar Ataxia
(A) Sensory ataxia (B) Cerebellar ataxia (C) Parkinsonian gait 88. [slideshare.net]
- Mydriasis
Pupillary dilatation (mydriasis) signals the parasympathetic fibers for the sphincter pupillae are affected 53. [slideshare.net]
Workup
After a period of failed conservative management, a workup concluded probable nerve entrapment... [read.qxmd.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]
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]
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]
[1] Starling JR,Harms BA, Diagnosis and treatment of genitofemoral and ilioinguinal neuralgia. [statpearls.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]
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]
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]
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]
November 2005: Journal of Reproductive Medicine # 10 Richard J Cardosi, Carol S Cox, Mitchel S Hoffman OBJECTIVE: To estimate the incidence, etiology, and outcome of neuropathies after major gynecologic surgery and to recommend management and prevention [read.qxmd.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]
Pathophysiology
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]
Uptodate, 11 Jan. 2011.Web. 26 Sept. 2012. https://www.uptodate.com/contents/acute-lumbosacral-radiculopathy-pathophysiology-clinical-features-and-diagnosis Loizidez, Alexander, MD, Siegfried Peer, MD, Michaela Plaikner, MD, Verena Spiss, MD, and HannesGruber [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]
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]
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]
Página 310 - A randomized trial comparing ticlopidine hydrochloride with aspirin for the prevention of stroke in high-risk patients. [books.google.es]