Chronic Pain after Inguinal Hernia Surgery
Presenting Complaint
The patient presented with groin pain of at least 3 years duration following inguinal hernia surgery. The pain was sharp in nature, with intermittent burning and shooting pains. The pain was exacerbated by standing, walking, bending and lifting.
The patient was on restricted duties for at least 12 months because of the severity of his pain.
Previous Investigations/Treatments
The patient was investigated with an ultrasound scan of the groin, which did not show a recurrence of a hernia.
Treatment from DR. Krishna at Pain Spa
The patient saw Dr. Krishna at his private clinic in Bristol. Dr. Krishna diagnosed him of neuropathic (nerve) pain following inguinal hernia repair, which is not uncommon. Dr. Krishna initially performed an ultrasound-guided injection with local anaesthetic and steroid. This gave him excellent pain relief lasting approximately 4 months.
The patient returned for further treatment and Dr. Krishna performed Ilioinguinal nerve ablation (pulsed radiofrequency treatment) under ultrasound guidance.
Outcome
The patient responded very well to the nerve ablation treatment and continues to be pain-free at 18 months post-treatment.
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