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Molly Maloof, MD

Director of Clinical Content
@DoctorBase

I still have pain 5 months after surgery to repair an inguinal hernia.

Is this normal?
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Featured Answer

25 UpVoted this answer John B. Adams, DO, FIPP, DABIPP, DABFM, CIME Pain Management Specialist, Flowood
We, doctors, often state that pain should be resolved in 6 to 8 weeks. While this is often true, I have encountered many patients whose recovery is more on the order of 6 to 12 months. I say this to reassure you that your symptoms may, indeed, continue to improve.

If the discomfort is not minor, then I agree that re-evaluation is warranted. On rare occasion, a patient may develop a peculiar level of inflammation related to prosthetic mesh, or a recurrent hernia may be present. The far more likely scenario is irritation of a sensory nerve in the region of the hernia repair that resolves with time or responds to an injection of local anesthetic.
23 UpVoted this answer Ray Sheppard Jr., MD General Surgeon, Huntsville John B. Adams, DO, FIPP, DABIPP, DABFM, CIME Pain Management Specialist, Flowood
Dear Pain in the Groin,

I have seen this way to often for it to be isolated. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1421159/

read this article published in 2001. Remember it is your body and if you are getting the run around from your surgeon it is time for a second opinion.

I have had great success with Ilioinguinal nerve injections and injections around the spermatic cord. Sometimes it appears the mesh is causing the ischemia, neuropathy or inflammation. Try an injection with sedation first then discuss options with the surgeon or a second opinion.

Good Luck
23 UpVoted this answer John B. Adams, DO, FIPP, DABIPP, DABFM, CIME Pain Management Specialist, Flowood
Healing can take time but five months after to still be feeling pain is unusual. Characteristics that are important include, constant versus sporadic, burning or dull and how large an area of pain. Post herniorraphypain can sometimes be due to nerve entrapment.
Michael D. Umanoff, MD - Total Pain Care
19 UpVoted this answer John B. Adams, DO, FIPP, DABIPP, DABFM, CIME Pain Management Specialist, Flowood
Typically, pain after a routine inguinal hernia repair should gradually subside and be gone or of minimal concern by 4-6 weeks after surgery. The scarring process can cause tightness in the groin area that is described by many patients as pain when their activity forces this area to stretch. Usually stretching exercises applied progressively a month or more after surgery will loosen the area enough that this tightness subsides. It is more often a complaint of young athletic people than older and/or obese individuals most likely because they tend to expect more of their bodies and this "limitation" is more pronounced for them. As was stated by some of the other doctors, there are other pain issues related to nerves in the area that may require further intervention. At 5 months after surgery, I would recommend a follow-up with your surgeon or a second opinion to address this.
Gregory T. Ginsburg
17 UpVoted this answer John B. Adams, DO, FIPP, DABIPP, DABFM, CIME Pain Management Specialist, Flowood
Go back to the surgeon that did your surgery....no it's not normal. BTW, Your office visit for this recheck should be free.
Gary S. Mezo
16 UpVoted this answer John B. Adams, DO, FIPP, DABIPP, DABFM, CIME Pain Management Specialist, Flowood Ray Sheppard Jr., MD General Surgeon, Huntsville
Chronic pain after inguinal hernia repair is a known complication of the surgery, and occurs in approximately 5% of patients. In some patients it can be disabling. Some causes include nerve injury, entrapment of the nerve in scar tissue or mesh, or recurrence of the hernia. You should follow up with your surgeon to determine the cause of your persistent pain.
Michael A. Zadeh
12 UpVoted this answer John B. Adams, DO, FIPP, DABIPP, DABFM, CIME Pain Management Specialist, Flowood
Depends on how much pain and the character of the pain. If it is mild, a slight pulling sensation, it could be normal. If the pain is moderate to severe, sharp or colicky in nature, it probably isn't normal. Either way a follow up visit to the surgeon is warranted.
Gina Greco-Tartaglia
11 UpVoted this answer
Sometimes pain can persist for many years after operative inguinal hernia repair. However, you should see a doctor so they can do an abdominal exam and discuss the pain with you to make sure it is not a failure of the repair or another condition causing the pain.
Shomir Banerjee
9 UpVoted this answer John B. Adams, DO, FIPP, DABIPP, DABFM, CIME Pain Management Specialist, Flowood
That is distinctly abnormal. I would go back to the surgeon and have him check you out.
9 UpVoted this answer John B. Adams, DO, FIPP, DABIPP, DABFM, CIME Pain Management Specialist, Flowood
NO, pain usually subside in 2-4 weeks, still having pain is abnormal, you need to check with the surgeon to rule out reccurance of hernia, retained stitch, also if the surgeon used a mesh to help with the repain or no, it all make a difference.

other than that a neuroma, which is abnormal healing of the small nerve at the wound can be considered.
Mohamed Osman