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Neurology (Expert Forum)
Groin Pain
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Groin Pain
by satmat, Apr 12, 2000 12:00AM
I am a 33 year old female and have had left sided groin pain for
about 1 and a half years. My GYN thought it was due to ovarian
cysts and endometriosis and I had a hysterectomy in May 99 to remove all but my right ovary. After the hysterectomy, I continued to experience this pain in my left groin and the top of
my thigh. It seems to bother me the most when I am on my feet for long periods of time or sit for long periods of time. Bothers me the least when lying flat. I have had my bladder checked to see if it could be the cause because I have chronic hematuria, but it was fine. I have also had various other tests done. I had a sonogram that showed a possible tumor. I
was sent to a orthopedic oncologist who ordered a Cat Scan, MRI, and Bone Scan. These all came back negative for a tumor or any
sign of cancer. The oncologist seemed to think that the mass on the sonogram was a lymph node that was possibly enlarged. He ordered blood tests which all came back ok. He also did a physical exam which he said showed thickening in the muscle in the inguinal area on the left. He said it was possible that I could have injured that area and scar tissue is the cause of the pain. He did not have any suggestions as to how to treat this problem. I continue to have pain and I can feel that area; the left side has a "hard" area that is not present on the right. Does anyone have any suggestions? The only thing the Dr. did suggest was possibly to have trigger point injections administered and see if that would help. Any suggestions would be greatly appreciated.
about 1 and a half years. My GYN thought it was due to ovarian
cysts and endometriosis and I had a hysterectomy in May 99 to remove all but my right ovary. After the hysterectomy, I continued to experience this pain in my left groin and the top of
my thigh. It seems to bother me the most when I am on my feet for long periods of time or sit for long periods of time. Bothers me the least when lying flat. I have had my bladder checked to see if it could be the cause because I have chronic hematuria, but it was fine. I have also had various other tests done. I had a sonogram that showed a possible tumor. I
was sent to a orthopedic oncologist who ordered a Cat Scan, MRI, and Bone Scan. These all came back negative for a tumor or any
sign of cancer. The oncologist seemed to think that the mass on the sonogram was a lymph node that was possibly enlarged. He ordered blood tests which all came back ok. He also did a physical exam which he said showed thickening in the muscle in the inguinal area on the left. He said it was possible that I could have injured that area and scar tissue is the cause of the pain. He did not have any suggestions as to how to treat this problem. I continue to have pain and I can feel that area; the left side has a "hard" area that is not present on the right. Does anyone have any suggestions? The only thing the Dr. did suggest was possibly to have trigger point injections administered and see if that would help. Any suggestions would be greatly appreciated.
Doctor's Answer
by CCF Neuro[P] MD, RPS, Apr 12, 2000 12:00AM
Dear Sheila:
Sorry to hear about your pain. Did your MRI view the spine? If there were no changes in the lumbar area then that is good. Sometimes with surgery, the nerve roots are stretched and that can cause pain. However, it is alittle far out from surgery. You may have a lymph node, or muscle hypertrophy that is causing problems with the nerve, but it is difficult to tell over the internet. I would suggest that seeing a neurologist might help to see if the pain fits a dermatome or not. I would take the MRI of the spine with you as that will help alot.
Sorry that I am not much help.
CCF Neuro MD
Sorry to hear about your pain. Did your MRI view the spine? If there were no changes in the lumbar area then that is good. Sometimes with surgery, the nerve roots are stretched and that can cause pain. However, it is alittle far out from surgery. You may have a lymph node, or muscle hypertrophy that is causing problems with the nerve, but it is difficult to tell over the internet. I would suggest that seeing a neurologist might help to see if the pain fits a dermatome or not. I would take the MRI of the spine with you as that will help alot.
Sorry that I am not much help.
CCF Neuro MD
experienced the same symptoms Sheila has. The groin pain, tingling sensation in my inner thigh, a crawling prickly pain which would get worse just after sitting for some time. I saw
five different doctors and all told me there was nothing wrong with me. At one instance I also felt the tingling crawling sensation on my cheek. Last year I went to a neurologist who
ordered an MRI of the brain and lumbar. Everything came back normal. The doctor told me I had paresthesia(nerves) as he put it. He prescribed Neurontin and I feel much better. There are some days with a mild sensations. My question does paresthesia lead to other neurological diseases? My doctor has said no. Should I seek another opinion?
good idea to consult a neurologist with this problem. What records would I need to take? I do not know if they looked at
my spine or not. They only did a pelvic MRI. The bone scan was
full body. I feel as if the oncologist really only looked for
signs of a tumor or cancer. I am not sure if he looked for any
other problem. He did not offer any further help.
good idea to consult a neurologist with this problem. What records would I need to take? I do not know if they looked at
my spine or not. They only did a pelvic MRI. The bone scan was
full body. I feel as if the oncologist really only looked for
signs of a tumor or cancer. I am not sure if he looked for any
other problem. He did not offer any further help.
I would take your MRI and any lab work that you have had, such as a CBC, electrolytes, sedimentation rate, B12 level, etc.
Sincerely,
CCF Neuro MD
and see about a referral.
I am sorry to hear about your mother. I am not sure I completely understand. Bell's palsy is the loss of muscle power and control in the facial nerve. It doesn not cause vision loss (different cranial nerve). In addition, taste is not completely conveyed by the facial nerve, it is mostly the 5th and 10th cranial nerve<