Though faith runs high in MRI’s – in Post hernia pain issues they do not help
J Am Coll Surg. 2009 Jun;208(6):1023-8; discussion 1028-9.
MRI and pathology in persistent postherniotomy pain.
Aasvang EK, Jensen KE, Fiirgaard B, Kehlet H. abstract here
Post hernia problems must be high, as I get many hits for articles related to this. While researching MRI issues, I came across this article:
- 32 cases MRI scanned
- all they could find was
“contrast enhancement in groin” ,
Pathologic changes in the form of “contrast enhancement in groin,” “edema,” and “spermatic cord caliber increased” - there was poor inter-observer reliability and no useful information
Comment – what people really need with post hernia pains are selective nerve blocks to ilioinguinal (most common issue) and genitofemoral nerves. Now ultrasound guidance make this more easily localized.