left groin burning/stinging pain to leg

  I had abdominal total hysterectomy with bilateral oopherectomy in 12/96.
  Since surgery I have had chronic burning/stinging pain in left groin radiating down to the left leg.
  Ten months after surgery laproscopy was done and extensive adhesions were found in the lower left,
  middle to right lower areas.  My bladder was freed and some cut from the sides but I was told it would
  take a laparotomy to get to the majority of them. I also have pain across my hips that comes and goes
  which is in the areas I received iron injections in 11/96 that I had severe bruising (lasted over 1year)
  and pain.  The hip pain comes and goes, but the groin and leg pain (I am unable to sit for any length of
  time) is constant.  My questions are, could this pain be from the adhesions or an entrapped nerve as my
  GYN says, and why has the hip pain lasted so long?  Thank you for your time.
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Dear Angie:
Your left groin burning/stinging pain radiating to the leg may indeed represent entrapment, tethering, or involvement in some other fashion of one or more of the nerves in your left groin area. The possible nerves involved in this setting are the genitofemoral, ilioinguinal, femoral, and lateral femoral cutaneous nerves. Some of these problems may be diagnosed more accurately by a test called the EMG test. Also, there are possible medications (such as carbemezepine, gabapentin, tricyclic agents) that may ameliorate the pain. In the worst situation, surgery to relaese or sever the nerve may benefit.
You need to see a neurologist specializing in peripheral nerve disorders. In case you live near Cleveland, you may want to consult with Drs. Levin, Shields, or Mitsumoto at the Cleveland Clinic. You may call [phone] for an appointment.
Good luck!

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