Iliac abdominal inguinal nerve trunk pain

　　First, Etiology

　　Mostly due to injury during lower abdominal surgery or iliac bone surgery.

　　Second, Pathogenesis

　　Clinically, the common causes are mostly iatrogenic, including:

　　1, Lower abdominal surgery:Mostly due to accidental injury, such as contusion or rupture caused by traction, cutting, or postoperative scar contraction during lower abdominal surgery such as appendectomy and hernia repair.

　　2, Iliac bone surgery:It is more common in cases of accidental injury during iliac bone resection, or accidental injury to the iliac bone itself during surgery, or postoperative compression, etc.

　　3, Trauma:In addition to direct violent action and剧烈 abdominal muscle activity in athletes, it is more common to involve the anterior superior iliac spine during pelvic fracture, mainly due to hematoma stimulation of the nerve.

　　4, Others:Such as local inflammation, tumor, etc., generally less common.

　　The main complication of this disease is referred pain, with pain in the department of neurology appearing in other superficial parts of the skin according to the distribution area of nerves. Due to nerve injury in this disease, it can also cause dysfunction in tissues innervated by nerves, such as weakness and motor disorders in the muscle tissues innervated by nerves. The skin innervated by nerves may appear numbness, pricking sensation, pain, and so on.

　　1. Pain and tenderness

　　There is often pain radiating downward from the anterior superior iliac spine, reaching the scrotum, accompanied by tenderness, and exacerbated during coughing.

　　2. Abdominal muscle contraction

　　Due to pain, the muscles innervated by the lower abdomen are in a state of contraction or spasm, and the hip joint prefers to be in a flexed and adducted position, with a smaller gait when walking.

　　1. Avoid the irregularity of lower abdominal surgery:Lower abdominal surgery is often accidental injury, such as due to traction, cutting, or postoperative scar contraction after appendectomy, hernia repair, and other lower abdominal surgery, causing contusion or rupture. Iliac bone surgery is more common in cases of accidental injury during iliac bone resection, or accidental injury to the iliac bone itself and postoperative compression.

　　2. Avoid trauma:In addition to direct violent action and剧烈 abdominal muscle activity in athletes, it is more common to involve the anterior superior iliac spine during pelvic fracture, mainly due to hematoma stimulation of the nerve.

　　1. Examination

　　Perform nuclear magnetic resonance imaging, CT examination, and other examinations of the affected area in a timely manner.

　　2. Clinical symptom examination

　　Pain, tenderness, abdominal muscle condition, and gait, etc.

　　3. Closure test

　　Use 1% procaine 10-15ml to block the anesthesia of the nerve, and the symptoms disappear or alleviate for a positive result. During the operation, the operator inserts the needle tip between the internal oblique and transverse abdominal muscles and pierces towards the inner wall of the ilium, injecting the drug in a fan shape, paying attention not to go too deep to avoid entering the abdominal cavity.

　　What kind of food is good for the body for ilioinguinal neuralgia

　　Diet should be light, eat more vegetables and fruits, supplement vitamins, and properly match the diet to ensure nutritional balance.

　　(The above information is for reference only, please consult a doctor for details.)

　　First, non-surgical treatment

　　1. Physical therapy:Choose hyperthermia, iontophoresis, and high-frequency therapy, etc. according to circumstances.

　　2. Closure therapy:Same as the closure test, once every 3 to 5 days, and one course of treatment every 4 times.

　　Second, surgical treatment

　　For those who fail conservative therapy, neurolysis or neurotomy can be performed (usually near the anterior superior iliac spine).