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Cryo Nerve Ablation

Sorry I haven't been around in a while.

School got really busy, I finally found a surgeon that could do a nerve ablation for me, then last week seven days before my surgery I had a car accident, and finally this week I had the surgery. So it's been kind of crazy.

I had a bilateral ilio inguinal cryo- nerve ablation done on Tuesday for both my ilio inguinal nerves which were impacted due to hernia surgery. For anyone else who may have had a similar procedure recommended I will try and save you some time searching for doctor.

I called every neurologist and Orthrpeadic specialist I could find, in the end it turns out a plastic surgeon performs this type of treatment. Who knew?

The surgery itself isn't too bad, taking about a half hour per nerve. If done one nerve at a time they use a local anesthetic, and if you choose to have them done bilaterally they knock you out.
It would seem my nerves are not quite where they should be, and rather than making the incision where they said they were going to, they ended up cutting open the scar from hernia surgery. Apparently my nerves are lower and extremely condensed, which may explain why Dr. hernia in the first place, and why both nerves were impacted.

Recovery is not quite as bad as the hernia surgery, though it is somewhat more frustrating. The pain level seems to be less than the hernia surgery, and it stays closer to the incision site not radiating out as much. Of course this makes you think you feel better than you actually do, and can lead to frustration when you can't seem to accomplish what you want, or you may overdo things and end up feeling pretty horrible for it. Never throw up after this type of surgery that will tell you from experience you will be very very sorry you did.

In all I think I should recover in about two weeks maybe two at half. Everything still feels a bit confused at the moment.


The only weird thing is they gave me an IV in my wrist, however I have developed a long snaking bruise down my arm centering in my elbow causing a time of pain and stiffness. The hospital does not know why, so hopefully it is nothing.


I also found out from the surgeon that some people, after surgery, can develop I guess the best way to describe his second nerve pain feedback loop. He thinks that is what is going on in my wrist, and if we can break the cycle I should notice marked improvement. Apparently they are developing an interdepartmental team that will consist of surgeons, neurologists, pain management specialist, and others to help people like me who for some reason or another experience chronic pain after surgery. I am very interested in that program.

I know a few other people mention they were considering having a cryo- nerve ablation done. It is not that bad, like everything else he just takes a while for everything to settle down afterwards.
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Avatar universal
Okay well turns out getting around the house okay and getting about the great wide world are two different things.

I had to go to my follow up visit wednesday and the hospital trek and car ride hurt alot.
These last two days out of the kindness of my heart despite not feeling so well from wednesday I have been helping a dying friend out.  So new verdict.

Getting around the house after surgery not so bad.
walking more than a few minutes or across a store very bad.  When the people on carts pass you like your standing still and your having a hard time going as fast as you are, the operation took more out of you than you thought. If we don't get snowed out I might take the first week out of school anyway.

Pain wise.

The right side is doing pretty good. Pain is confined mainly to the surgical site.

The left side which was the first side done and therefore suffered more truama, as my nerve was not in quite the right place, it took some poking around to find the nerve.
Pain in the left side consists of most of the groin and testicle, it's not the same as before so it could be a muscular pain from the wretching on turkey rather than the previous nerve pain. (failing to notice the stitches had attached to the surgical tape that had come mostly of and tugging it didn't help any either.)

Sensation wise things are mostly normalish.  This morning waking up the brain was booting and doing inventory and the list came up a bit short.  For some reason, and this has been only today so far, erections are either numb, hurt alot, or the skin is numb and the internal tissue hurts alot.  I left a message for the surgeon but seeing as how I haven't heard back, my phone has been acting up (when i go into town I'll probably have 10-20 messages I'm sure.) I'll probably post on the mens health forum and see if one of the doctors over there know if it's normal or not.

Not quite as easy as I first thought, then again Ive had a lot of surgery recently and was fairly worn out going in. Instead of two weeks i'm figuring about a month now to get on my feet and for the nerves to sort themselves out.


Current Verdict:


In all I still say worth it, the previous pain was unbearable, and it's not by any means the worse proceedure I've ever had done. Plus if you're healthy going in you might recover quicker than I seem to be. I'd say the worst part of recovery so far is that it is deceptive. You tend to feel better than you actually are, and it makes it easy to get restless and overdo things, especially if you're not used to being at home or sitting still.
Don't rush things and it should be fine.
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Avatar universal
For me the main symptom was a deep pain that started in the waist and shot into the rest of the groin ending in the testicles. It felt like a deep internal bruisng, sort of like getting kicked by a horse is how I would explain it.  It never got into my legs though.

The best way to tell if it's an entrapment issue would be to have a doctor perform a nerve block on the suspected nerve in question. If it helps then there is a good chance that you are having nerve entrapment pain. If the block lasts a long time you can just repeat them.  In my case they lasted 3 days so we had to consider a more long term solution. Cryo ablation will last anywhere between 6 months and forever, depending on the patient. Most doctors will mark the nerve internally in case they need to go back in.

I do still have full feeling in the area despite the nerve being frozen it's just the pain does not go all the way down anymore, and I think as I heal the rest of the pain will dissipate as well.

Cryo Ablation is only good for sensory only nerves. Killing a nerve that controls motor skill (Carpal tunnel for example) is a bad idea and nobody will do it.
Helpful - 0
547368 tn?1440541785
Hi Again CaoMoo,

You have been missed....but we understand how life and pain happens. :o)  

Thank you for sharing your experience with us and for providing such good, detailed information. We all learn from one another and it's greatly appreciated when members return to share their experiences. Again Thank You!! I wish everyone would do so.

I hope they are able to break your current pain cycle. I will be thinking of you and praying for the very best.....And of course I'll look forward to more progress updates.

Best of luck in your recovery process.

~Tuck
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Avatar universal
I hope you are doing well!  Can I ask you some of your symtoms?  I had a double hernia surgery done when I was very small and every since I was a young, I have had what I call leg aches on both sides of my hip and groin.  I just didn't know what your symptoms where!
Thanks Kim
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Avatar universal
The hardest thing about the surgery so far was saying Bilateral Ilio inguinal Cryo Nerve Ablation at 6:00 AM. :)
Helpful - 0
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