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  • Stinging pain with popping and clicking

    Good evening everyone. I joined this forum looking for answers since I can't find thm other ways, either on other forums or form my own dr. I have spelled this out countless times on other forums that it is now so tired to even rehash it but I am hoping that the good people here will be able to offer some advice and maybe support.
    I am a 43-year-old male who is now 11 weeks post-op and in extreme pain. I had a left inguinal hernia that was done laparoscopically here in San Francisco kaiser. I had a synthetic mesh placed in. Mistake i am sure. Ever since the 2nd week I have been in extreme discomfort. I had had a right hernia repair about 6 years ago and it never felt like this. I have tried explaining to my dr countless times about the pain and discomfort and it has taken so much to even be heard that this is for real. It has taken countless emails and visits to try and get my point across. I am now in the midst of seeing another surgeon to address all the pain and movements I feel.I won't detail every email or correspondence and timeline i have during this time. Since week 4 I have felt odd, I feel pops and clicks that radiate from my groin area all the time. While I work, move or adjust my body posture I feel these extreme bone-cracking pops in my groin. When I bend to tie my shoes Or even raise my left leg and twis I feel the collection of fluid don there. Atop of all this I have extreme pain, like a stinging pain not unlike a needle poking me up through my groin. It swells and burns. Some days I am good and others like today I am very bad. The dr dismisses it as the mesh "settling in" but at 11 weeks to feel this way I don't think so. I don't know what is goong on. I have now gone through the upper surgeon channel and speaking to someone who wants to create a pain map for me. They see me next week with much of my aggravation to even be seen. They have prescribed my naproxen but it does not work. they asked me to buy a sports massager to use every day for 5 minutes to help stimulate the nerves and healing but it doesn't help. Now they wan to shoot me up with steroids in my groin. What barbaric kind of treatment is this? I am in extreme pain and it is starring ot ruin my life. I don't want to be a statistic of those who have chronic pain forever. I can't even walk anymore without being in pain. :-( Is my body rejecting the mesh? My Dr has seen my and checked me over and nothing physically can be found and no sign of the mesh dislodging. I feel it has come loose that is what I am feeling. Could i have ripped it somehow in the corner?

    Does anyone have advice? Does this sound familiar and have others gone through this type of feeling? I am feeling lost and with a medial system not prepared for this and only seem set up for surgery and not after effects.

    Hurting is San Francisco.

  • #2
    Get the details of the method and materials. There might be a clue there. "Laparoscopic mesh" covers so many variations. Your surgeon might have done other things or even made mistakes. That information should be in your surgery notes.

    Comment


    • #3
      SFIrishGuy
      If you have this much pain this quickly after the operation, the cause is usually a problem with the operation itself.
      Post the operative report and any photos taken during the operation.
      With Kaiser you need to make a lot of noise. If necessary get a second opinion from a surgeon outside of Kaiser.
      Regards.
      Bill Brown MD

      Comment


      • #4
        Originally posted by DrBrown View Post
        SFIrishGuy
        If you have this much pain this quickly after the operation, the cause is usually a problem with the operation itself.
        Post the operative report and any photos taken during the operation.
        With Kaiser you need to make a lot of noise. If necessary get a second opinion from a surgeon outside of Kaiser.
        Regards.
        Bill Brown MD
        Dr Brown? Yes kaiser you have to make a lot of noise. I was afraid to hear this advice. Am I allowed to ask for those notes and photos? I am getting a second opinion from another kaiser surgeon tomorrow to review. My god I am so worried I will end up being permanent in pain and not treatable or will cost me in the end.

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        • #5
          [QUOTE=SFIrishGuy;n13914]

          Dr Brown? Yes kaiser you have to make a lot of noise. I was afraid to hear this advice. Am I allowed to ask for those notes and photos? I am getting a second opinion from another kaiser surgeon tomorrow to review. My god I am so worried I will end up being permanent in pain and not treatable or will cost me in the end. And if you are stating in your opionion this may have been operated wrong than what is your opinion on this idea of getting steroid shots?

          Comment


          • #6
            Originally posted by SFIrishGuy View Post

            Dr Brown? Yes kaiser you have to make a lot of noise. I was afraid to hear this advice. Am I allowed to ask for those notes and photos? I am getting a second opinion from another kaiser surgeon tomorrow to review. My god I am so worried I will end up being permanent in pain and not treatable or will cost me in the end.
            And do you feel if this was do wrong than should I entertain Kaiser's request to start steroids shots?

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            • #7
              would steroid shots be something I should explore?

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              • #8
                SFIrishGuy
                Your medical records are legally yours. At you next office visit just ask. I
                Or ​​​​​call:
                Medical Records Administration at (770) 220-3870
                Regards
                Bill Brown MD

                Comment


                • #9
                  SFIrishGuy
                  The medical records are legally yours. You can check the kaiser website to get the records. Or call:
                  Medical Records Administration at (770) 220-3870
                  Regards.
                  Bill Brown MD

                  Comment


                  • #10
                    I reviewed the medical records with a head surgeon and nothing out of the ordinary was documented. It was routine. I went in for an ultrasound to see if the mesh was intake and indeed it was or they said they cannot see any evidence of reoccurrence.

                    I did take some time to talk to the Director at least of the department so let her know how I felt.

                    Right now I am waiting to schedule a session with the pain injection clinic to start steroid injection in hopes ot help rest my nerves as the Dr had said. I hope this will help. As well I am reaching out to acupuncture groups for help as well. maybe they can do something

                    I am still in some pain. The poping and cracking sisnt as bad but there seems to be a main nerve that I feel that is painful. I can at times feel it when I wear tighter pants and I breathe in. I feel it move. It even throbs. Could this be a nerve?

                    Comment


                    • #11
                      SFIrishGuy
                      When you talked with the director, did she examine you to try to determine what is wrong?
                      An MRI may help to determine if the nerves or the spermatic cord is adhered to the mesh.
                      Diagnostic injections can also be helpful.
                      For example, if the ilioinguinal nerve in blocked with local anesthetic and you feel better for a few hours, that would be strong evidence that the nerve is involved.
                      In a similar manner the mesh can be injected with local anesthetic and other structures in the area until the one that is giving you trouble is identified.
                      Regards
                      Bill Brown MD

                      Comment


                      • #12
                        Dr Brown,

                        Thank you for responding. I had the enitofemoral nerve block done and it did nothing. I am still in pain and discomfort. I will be ok for days then any activoty will bring on this lingering and radiating pain in the mesh area. The Dr who performed it says we should wait 6-8 weeks and maybe try addressing the ilioinguinal nerve next.
                        IN the meantime Kaiser placed me in contact with the pain management clinic, some specialists for groin pain. Don't know if this will work.

                        No, the director had not physically looked me over. I emailed my Dr what you asked about the MRI and the spermatic cord. I am waiting for a response.

                        :-(

                        Comment


                        • #13
                          SFIrishGuy
                          Dear SF
                          You need a very careful physical examination.
                          Did your skin get numb after the injection, if not then you did not have an adequate nerve block?
                          If you are skinny the mesh can often be palpated.
                          If the mesh is injected with a local anesthetic and you feel better for a few hours, that would be strong evidence that the mesh is the source of your pain.
                          Regards.
                          ​​​​​​​Bill Brown MD

                          Comment


                          • #14


                            You need a very careful physical examination.I HAVE AN APPOINTMENT THIS TUESDAY WITH A SPECIALIST IN OAKLAND FOR HERNIA REPAIR. KAISER KEEPS PASSING ME ALONG TO SURGEON TO SURGEON AND IT FEEL NOBODY TAKES ME SERIOUS AND BEEN FEELING SO ALONE IN THIS. THE EMAILS I GET FROM SURGEONS IS THAT OF ANNOUNCE TO ME.
                            Did your skin get numb after the injection, if not then you did not have an adequate nerve block? I HAD THE GENITOFEMORAL NEVER BLOCK AND FELT NOTING. THERE WAS NUMBNESS THE FORST DAY BIT THAT WAS THE NUMBING AGENT THAT INJECTED ME PRIPR. THE NEXT DAY IT WAS THE SAME. DR RECOMMENDED TO DO THE ILLOINGUINAL NERVE BLOCK IN A FEE WEEKS. DONT KNOW IF THIS WILL WORK OR SOUNDS LIEK IT COULD.
                            If you are skinny the mesh can often be palpated. I AM A HUSKY MAN, I WORK OUT AND I AM NOT SKINNY NOR FAT
                            If the mesh is injected with a local anesthetic and you feel better for a few hours, that would be strong evidence that the mesh is the source of your pain.I HAVE BROUGHT UP THIS INFORMATION BUT NOTHING YET FORM DR. :-(


                            I HAVE AS WELL MENTIONED THE IDEA OF AN MRI AND IF THE MESH IS CONNECTED TO THE SPERMATIC CORD AS YOU INDICATED BUT SECOND SURGEON JST PASSED ME OF TO SPEAK TO NOW IF THE 3RD DR. IF IT IS WHAT IS THE SOLUTION?

                            DR BROWN, THANK YOU FO TAKING THE TIME TO ADVISE ME ON THIS. THIS HAS BEEN A PAINFUL JOURNEY AND I FEEL IT IS NOT BEING ADDRESSED LIEK IT SHOULD. I AM ALMOST 3.5 MONTHS POST OP AND BEEN TRYING TO ADDRESS THIS WITH KAISER SINCE THR 4TH WEEK. CAN YOU ADVICE HOW YOU WOULD APPROACH THIS IF YOU WERE IN MY SHOES? DO I MAKE A GRIEVANCE? I HAVE SPOKEN TO SO MANY PEOPLE EVEN GOING SO FAR AS TO SPEAK WITH THE UNIT DIRECTOR OF SURGERY BUT EVEN NOW I FEEL I AM NOT BEING TAKEN CARE OF LIKE I SHOULD.

                            JOSHUA

                            Comment


                            • #15
                              SFIrishGuy
                              Dear Joshua
                              If you did not develop numbness after the nerve injection, that means that they missed the nerve.
                              Thus I believe that there is a strong possibility that nerves are the source of your pain.
                              I am in Fremont if you want me to examine you.
                              Regards.
                              Bill Brown MD

                              Comment

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