Ilioinguinal Neuralgia

Category

Nerve Blocks

Ilioinguinal neuralgia is a painful condition of the lower abdomen, pelvis, and inner thigh. The pain may also radiate into the genitalia. Straightening the back often worsens the pain as it leads to nerve irritation. As a result, people remain in a bent-over position to relieve pain.

• Pain is present over the groin and inner thigh
• Burning pain is present in the lower abdomen and pelvis
• Pain radiates into the genitalia

Causes

Ilioinguinal neuralgia is caused by:

• Damage to the nerve due to abdominal surgery, pelvic surgery, kidney surgery, inguinal repair surgery, etc.
• Blunt trauma to the ilioinguinal nerve
• Pregnancy stretch

Unknown causes

• Pain is present over the groin and inner thigh
• Burning pain is present in the lower abdomen and pelvis
• Pain radiates into the genitalia

Treatment

• Pain killer
• Rest and modifying activities that cause pain
• Physical therapy
• Ultrasound or CT guided nerve block to interrupt nerve stimulation and relieve pain
• Surgery is the last resort to relieve pain. It involves cutting the nerve proximal to the damage or removing the whole nerve.

What does the procedure involve?

The doctor will clean the area over the region of interest and insert a small needle into the target area under imaging guidance. When it is in the correct position, they will inject the drug. They will remove the needle and cover the injection site with a small dressing.

What you are to do before procedure (Preparation)?

1. Book prior appointment if elective or get admission in causality if emergency
2. Lab investigation (*PT/INR, CBC), XRAY, CT/MRI scan and previous records.
3. 2-3 Hours fasting.
4. If you are on blood thinner like Aspirin, inform during appointment.
5. One accompanying person
6. Need to sign a consent form for procedure

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is few hours

Complications

Every procedure carries a risk, although this is extremely small. The risk of infection with this procedure is extremely small as no incisions are made in the skin.  

Resume to work?

You can resume your work after 1 day if existing disease allows.