How Should Pain At The Inguinal Hernia Surgery Site Along With Back Pain A Year After Surgery Be Medically Addressed?

Posted on Thu, 31 May 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 31 May 2018 Answered on

Fri, 15 Jan 2021 Last reviewed on

Question : I'm 53 years old and I had inguinal hernia surgery last July. 2 weeks ago, out of the blue, I began to feel pain in that area. At first it was gradual, but now it is more frequent. Right now it is a dull pain and it seems as if it is accompanied by lower back pain on the right side.

Answered by Dr. Dr. Ivan Romich (39 minutes later)

Brief Answer:
Possible post herniorraphy pain syndrome

Detailed Answer:
Hi and welcome.

Considering your previous history, it may be post herniorraphy pain syndrome which is caused by ingrown of MESH into inguinal nerves which may occur even years after surgery. Second, it may be caused by disc dislocation or arthrosis of lumbar vertebra.

At this point, you should rest take diclofenac or paracetamol.
If there wont be improvement you should do MRI scan of lumbar spine and EMG of ilioinguinal nerve. In severe cases it may be treated with surgery, but first, the exact cause should be established.
Wish you good XXXXXXX Regards

Above answer was peer-reviewed by : Dr. Yogesh D