Inguinal Hernia Nerve Entrapment Symptoms. The most common symptoms in the 21 nerve entrapments were dysesthesia 15 cases and hyperesthesia 14 cases. Symptoms of ilioinguinal nerve entrapment may include hyperesthesia or hypoesthesia of the skin along the inguinal ligament. The pain may radiate down the medial aspect of the thigh toward the knee. Treatment for chronic pain includes painkillers mesh removal and nerve removal surgery.
The pain is made worse by the extension of the lumbar lower spine which causes friction on the ilioinguinal nerve that runs through this region of the back. Genitofemoral nerve injury. Increased preoperative CCS pain values in primary open inguinal hernia are significantly correlated with gross enlargement of the overall diameter and nerve-specific diameter of the ilioinguinal nerve beyond the external inguinal ring. An athletes ability to jump may be reduced. For many patients some degree of pain persists and some patients develop moderate-to-severe pain that can be disabling or interfere with sexual function 1-3. Ilioinguinal neuralgia is a frequent cause of pain in the lower abdomen and the upper thigh and is commonly caused by entrapment or injury of the nerve after lower abdominal surgeries.
This nerve provides sensation to the skin along the outer thigh starting from the inguinal ligament and extending down toward the knee.
Most patients had inguinal hernia repairs or Pfannenstiel incisions. The ilioinguinal nerve can become entrapped after pelvic or hernia surgery which can result in disabling pain in the inguinal area lateral genitalia or abdominal wall. Pain following hernia surgery is common but should subside within an expected time interval of approximately two months. An athletes ability to jump may be reduced. Symptoms that can develop include. A small area of the upper anteromedial thigh and weakness.