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- Jul 7, 2013
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Anybody done this for chronic ilioinguinal / iliohypogastric nerve neuralgia?
This is an elderly patient who I've blocked now twice with relief for about a week each time, but the pain keeps coming back. About 2 years ago he was down this path and a general surgeon removed a "lipoma" out of his inguinal region which apparently relieved all of this pain for about 2 years. There is no lipoma palpable on physical exam but he's overweight so it's hard to tell. GI has worked him up, neurology has worked him up, he has appt with general surgeon in coming weeks. Best case they pull out another lipoma, worst case they cut the nerve and bury it. But if nothing else is an option or helps, I have discussed peripheral nerve stimulation with him. But I've never done it. Has anyone here done it? I don't have an ultrasound and even if I did it would be hard to place this thing down well along the nerve in the inguinal region, wouldn't it?
This is an elderly patient who I've blocked now twice with relief for about a week each time, but the pain keeps coming back. About 2 years ago he was down this path and a general surgeon removed a "lipoma" out of his inguinal region which apparently relieved all of this pain for about 2 years. There is no lipoma palpable on physical exam but he's overweight so it's hard to tell. GI has worked him up, neurology has worked him up, he has appt with general surgeon in coming weeks. Best case they pull out another lipoma, worst case they cut the nerve and bury it. But if nothing else is an option or helps, I have discussed peripheral nerve stimulation with him. But I've never done it. Has anyone here done it? I don't have an ultrasound and even if I did it would be hard to place this thing down well along the nerve in the inguinal region, wouldn't it?