Scar tissue pain

[Rafeh]

Hi,

I had my liver transplant 5 years ago (02/09). Everything's great except for past few months I'm having a very unusual pain on the right side of the scar.  The pain comes and goes and at times so sever that it literally buckle my legs and I have to hold on to something or else I will fall down. The pain feels very superficial and my G.I confirms after the CT scan that there's nothing wrong internally. He suggested the pain management treatment which I'm scheduled to next month. I just want to make sure if it the right course of action and if something's being overlooked. I'm in a very good physical health and prior to this pain started, worked out at least 2 hours a day with weights and other physical activities. Now the pain is making is really breaking my will to go to the gym.
Any help will be greatly appreciated.

Thanks
RD

[Thomas D Schiano, MD]

its possible that an internal hernia may not be visualized.  i hope u feel better

[Rafeh]

Thanks Dr. Schiano. But shouldn't any internal hernia be visible in CT scan? I specifically asked my G.I regarding hernia or any tear in abdominal wall. I was concerned due to my workout habits and therefore I was quite specific on that point. I guess I will consult with him again and perhaps discuss your suggestion.
Once again, my appreciated your reply.

Regards,

RD

[Thomas D Schiano, MD]

it sounds like musculoskeletal or neuropathic.  there possibly could be an internal hernia that might be apparant on an imaging study.  this unfortunately is not an uncommon scenario post-transplant