Has anyone been treated for an impinged ilioinguinal nerve?

Posted by terri86 @terri86, Aug 16, 2023

My scoliosis and back pain has been an ongoing thing for years with many treatments, some helpful, some not. Things have worsened in the last couple of years and now the most excruciating pain is located around my left middle side. My latest doctor decided it was probably caused by the treatment foran impinged ilioinguinal nerve and suggested a nerve block.

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Hello, I had the same pain on the right side for years and talked with 3 different surgeons about the continuous pain.

My GP sent me to a pain management doctor for my ilium area pain, and he gave me steroid injections, which took the edge off a bit, but the pain came back after a few months. Then he did an ablation, but decided to go up one vertebra…and bingo, we discovered my ilium pain was stemming out of my L3.

I also was seeing a lumbar surgeon for very complex back issue. He recommended a fusion of the L3- S1, and some other surgical procedures. He is an extraordinary surgeon and fixed all of my issues causing back pain.

I’m 3 1/2 months out from the back surgery, and recovering was difficult, but I am thrilled to say I am no longer living in pain!

My nerve pain after surgery was overwhelming but now they are almost healed. I still take 2400 mg of Gabapentin daily but expect to be off of it ( gradually) within a few more months.

Everyone has a different experience…so it’s a good idea to be thorough on your research.

All the best!

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@pmhall

Hello, I had the same pain on the right side for years and talked with 3 different surgeons about the continuous pain.

My GP sent me to a pain management doctor for my ilium area pain, and he gave me steroid injections, which took the edge off a bit, but the pain came back after a few months. Then he did an ablation, but decided to go up one vertebra…and bingo, we discovered my ilium pain was stemming out of my L3.

I also was seeing a lumbar surgeon for very complex back issue. He recommended a fusion of the L3- S1, and some other surgical procedures. He is an extraordinary surgeon and fixed all of my issues causing back pain.

I’m 3 1/2 months out from the back surgery, and recovering was difficult, but I am thrilled to say I am no longer living in pain!

My nerve pain after surgery was overwhelming but now they are almost healed. I still take 2400 mg of Gabapentin daily but expect to be off of it ( gradually) within a few more months.

Everyone has a different experience…so it’s a good idea to be thorough on your research.

All the best!

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Wow. You've been through a lot. I'm so glad you're on your way to being pain free. I'm going to start with the nerve block but the anesthesiologist said if that doesn't work we might look at burning the nerve ends. I'm not sure that sounds good but I'll research it when the time comes.

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Terri, if the block works, it will prove the location of the pain. The injection includes a numbing agent (lidocaine or similar) and a steroid. The numbing agent will wear off after about 6 hours. The steroid should prevent inflammation, hopefully preventing the impingemet on the nerve. Sometimes a body reacts to the steroid with a flare of inflammation. So it is really the first six hours that certifies the pain's origin. Relief from the steroid is sometimes only 3 months. Radiofrequency ablation is a longer term solution targeting only the pain nerve. Eventually the nerve can regenerate. I've been told that it always regenerates.
Do you have any treatments to recommend for scoliosis?

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@gently

Terri, if the block works, it will prove the location of the pain. The injection includes a numbing agent (lidocaine or similar) and a steroid. The numbing agent will wear off after about 6 hours. The steroid should prevent inflammation, hopefully preventing the impingemet on the nerve. Sometimes a body reacts to the steroid with a flare of inflammation. So it is really the first six hours that certifies the pain's origin. Relief from the steroid is sometimes only 3 months. Radiofrequency ablation is a longer term solution targeting only the pain nerve. Eventually the nerve can regenerate. I've been told that it always regenerates.
Do you have any treatments to recommend for scoliosis?

Jump to this post

Dear Gently,

Thanks for the helpful information.
I did not know I had scoliosis until I was in my 60s and asked my doctor if my body is crooked because my clothes are always off-center. She said, yes, you have scoliosis.
I did physical therapy, rolfing, a few Alexander lessons, a tilt table, and a few sessions with a physical therapist in Massachusetts (I live in Maine) who was specially trained in the Schroth method, specifically for scoliosis. If I had began any of them earlier, I wouldn't be where I am now. If I had known much earlier I would have been willing try try surgery. Many options are too late at age 87.

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I did some Schroths without gain. What really helps me is chiropractic. You might try it just for the fist visit which is usually mechanical analysis. I have the sacroiliac joint that wants to move out of position because of the rotational aspect of the scoliosis. That makes one leg shorter creating leg pain. The adjust the joint and I feel great for a couple of days, then I return for another adjustment.
The relief from massage is more temporary. I'm tempted to try rolfing.
My very best friend my Mom got relief from radiofrequency for over a year. They sometimes miss the nerve, though
Terry

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