Genitofemoral Nerve Block
Genitofemoral neuralgia is one of the most common causes of lower abdominal and pelvic pain encountered in clinical practice. Genitofemoral neuralgia presents as paresthesias, burning pain, and occasionally numbness over the lower abdomen, which radiates into inner thigh in men and women and into the labia majora in women and the bottom of the scrotum and cremasteric muscles in men. The pain does not radiate below the knee. The pain of genitofemoral neuralgia is worsened by extension of the lumbar spine, which puts traction on the nerve. Patients with genitofemoral neuralgia often assume a bent-forward novice skier’s position. A genitofemoral nerve block can be diagnostic as well as therapeutic in patients with genitofemoral neuralgia.
Because of the course of the genitofemoral nerve, it is at risk of injury from the lower abdominal incision (appendectomy, inguinal herniorrhaphy) or trocar insertion performed in laparoscopic surgery. Patients with neuropathic pain following injury to the nerve may present with groin pain that may extend to the scrotum or testicle in men, labia in women, and the medial aspect of the thigh.
At Pain Spa Dr. Krishna performs genitofemoral nerve block under real time ultrasound guidance, using state of the art equipment. This ensures 100% accuracy and our complication rates are extremely low.