Overview

Ilioinguinal and iliohypogastric neuralgia are chronic pain conditions caused by irritation or entrapment of small nerves in the lower abdominal wall and groin region. These nerves can be injured by surgery (like hernia repair or C-sections), trauma, or repetitive strain. Pain may be burning, sharp, or tingling and is often mistaken for hernia recurrence or pelvic organ pain

Common Symptoms

• Groin or lower abdominal pain
• Burning, numbness, or tingling radiating into the inner thigh or genital region
• Pain worsened by movement, pressure, or tight clothing
• Local tenderness near prior surgical scars
• Sensory disturbances near the inguinal canal or hip crease

Causes & Risk Factors

• Inguinal hernia repair or mesh complications
• Cesarean sections, pelvic surgeries, or appendectomy
• Blunt trauma or strain to abdominal muscles
• Work-related lifting, twisting, or repetitive motion
• Nerve irritation from scarring or tension

How We Can Help

At Restore Spine and Pain, we diagnose these nerve injuries using focused exams and diagnostic injections. We offer interventional treatments that relieve nerve irritation and restore function with minimal downtime.

Treatment Options Offered

1. Conservative management with activity modifications
2. Non-opioid medications for nerve-related pain
3. Ilioinguinal or iliohypogastric nerve blocks under ultrasound guidance
4. Peripheral nerve stimulation (PNS) for select patients with refractory pain