II. Pathophysiology
-
Compression Neuropathy of ilioinguinal nerve
- Direct Trauma
- Overtraining of the abdominal Muscles
- Ilioinguinal nerve course
- Abdominal musculature (often site of compression)
- Inguinal Canal
- Superficial Inguinal Ring
III. Causes
- Post-surgical
- Appendectomy
- Inguinal Herniorrhaphy
- Athletes
IV. Symptoms
- Paresthesias or numbness over nerve course
- Ilioinguinal nerve distribution
- Upper medial thigh
- Base of penis and Scrotum in men
- Labia majora and mons pubis in women
V. Signs
-
Tinel's sign
- Tap over inguinal nerve in Inguinal Canal
-
Local Anesthetic injection
- Injected at site of inguinal nerve entrapment
- Diagnosis confirmed by relief of discomfort
VI. Management
- Local Corticosteroid Injection at entrapment site
- Surgical neurolysis in refractory cases