Ultrasound‐guided serial ilioinguinal nerve blocks for management of chronic groin pain secondary to ilioinguinal neuralgia in adolescents

Abstract

We examined the efficacy of serial ilioinguinal nerve blocks using ultrasound guidance for management of chronic inguinal pain secondary to persistent ilioinguinal neuralgia in adolescents. This case series consists of two adolescents who had persistent inguinal pain secondary to ilioinguinal neuralgia who were treated with conventional pain medications that did not relieve the pain. One patient had pain immediately following surgery while the other had pain several months after an injury. Serial ilioinguinal nerve blocks were performed with local anesthetic solution using ultrasound guidance in an outpatient setting. Both the adolescents had complete relief of pain symptoms and were able to resume normal activities. There were no adverse effects associated with the blocks. Performance of serial ilioinguinal nerve blocks using ultrasonography in an outpatient setting in adolescents and adolescents with ilioinguinal neuralgia may reduce pain and allow these adolescents to resume their normal activities.

Local Anesthetic Blockade of Peripheral Nerves for Treatment of Neuralgias

“…All included articles [5][6][7][37][38][39][40][41][42][43][44][45][46] (Table 2) can be classified as single case reports or case series; there were no controlled studies. Pain syndromes included various neuralgias (Table 3), the most common of which was sciatic radicular pain.…”

Anatomy of the ilioinguinal and iliohypogastric nerves with observations of their spinal nerve contributions

“…One such procedure evolving is ultrasonography for iliohypogastric and ilioinguinal nerve blocks (Willschke et al,2005; Eichenberger et al,2006; Hu et al,2007; Suresh et al,2008; Weintraud et al,2008; Jagannathan et al,2009). Ultrasonography has been shown to increase the accuracy of anesthetic administration for hernia and appendectomy procedures, leading to decreased postoperative pain and analgesic requirements (Eichenberger et al,2006; Hu et al,2007).…”

Interventional Procedures for Chronic Pain in Children and Adolescents: A Review of the Current Evidence

“…Blockade of the ilioinguinal nerve, which provides sensation to the groin area, can be used for therapeutic purposes in patients suffering from chronic pain after previous surgical procedures in the inguinal area. We have demonstrated the utility of performing ilioinguinal nerve blockade in adolescents with persistent groin pain following inguinal hernia repair . For refractory pain, we have placed a continuous infusion catheter in this space with good results.…”