I'm looking at that Doc in LA and another one about 3 hours from sons home. The one close by in Iowa, is a neurologist with specialty in neuromuscular doc who is ADEM certified in EMG's. (took Dr. TriKat's advice) Reviews for him say he is very good at listening. One review... "He is very thorough, takes time to fully examine patient and discuss issues. Is very clear about explaining, testing and how long things will take. He let us know that he was going to look in every nook and cranny to find a cause and solution." Another said he was a great listener. All said in one way or another that he was good at listening and wouldn't give up at finding a solution. I think, I will present both options to my son and let him decide. So glad to hear that you got some relief for a few days, hoping it will last. I'll probably check with you again on how that pain is, in a couple of months. Good Luck/ wish you well. Susan

Hi Susan, I have had a couple of EMG tests which really didn't show anything, also had MRI of the femoral nerve and sciatic nerve study done at UCLA again no findings, heck they didn't even say anything about all the cut nerves I have had in the groin so sometimes these tests don't show a lot unfortunately but as he is close to your sons home it is worth a visit to the neurologist.. good luck.. LA Rob

Hi Herc, It's been a few weeks now, since your second injection. Was just wondering if you are still getting relief from that injection?

Hey I came across this, what is the outcome? Any progress? I ask because I am going through something very similar.

The ilaticus psaos is very difficult to treat and has been a huge issue for me post labrum repair.

There are two products that I know of that will help release them if you don't a PT therapist that will do it (so freaking painful). They basically, take a couple of fingers and smash your guts since the muscle is so deep.

pso-rite (I have this one )


Hip-Hook (Pre-ordered)


Basically anytime I am in pain these two muscles are the cause.

Well it seems to have turned out more about the L3 L4 disk having compressed or collapsed, I had some stem cell treatment 3 of them in 2018, injected right into the disk they sort of helped for a short while but then the pain came back. I have seen another neurosurgeon at Cedar Sini in LA and he suggested to replace the disk, I didn't want to go that route right now, he is doing a decompression surgery January 8th so we'll see if I get any relief from that, I still have the groin pain and the stabbing pain in the psoas muscle area as well, fingers crossed it will all be gone after the surgery!

Ok good luck and keep us posted.

Thank you, and I hope you are able to get some answers yourself and help for your condition as I know it is not easy it sometimes seems the more different doctors you see the harder it is to understand what is going on.

How did you get on? I have something similar post SH repair which included nerve removals so interested to hear how you are doing.

I have some ideas of my own as to what could be causing my issues so happy to share.

Cheers

 
Thanks for asking, the surgery got re scheduled having it on February 3rd now, so hopefully it will help fix the pain.

What do you think is causing your Psoas muscle pain? there are so many nerves that come out of the spine that can cause so many issues. A couple of the doctors still think after I had the IVC filter rupture that started it all has left scare tissue across where the nerves come out of the spine but they don't think they can do much about that unfortunately. Cheers LA Rob

Sorry the surgery got put back - gearing up for something and then having it delayed is super frustrating.

I have a feeling my issues may be due to neuroma formation on the cut ends of the nerves. Apparently when a nerve is cut the end that remains tries to regenerate but in reality just creates a mass of sensitive nerve tissue on the cut end. Often this does not cause too many problems but the groin is such a mobile area that the neuromas are irritated and so you feel pain.

Why does this only happen after a number of months/ years? Nerves regenerate slowly so these issues may not surface until much further down the line. It may take a neuroma a number of years, depending on its location, before it causes issues. If ever. This maybe why blocks you the nerves you have had removed have had some benefit, ie the nerves have grown back to some degree in a disorganised state.

That’s the current theory I am working with.

Good luck.

Hi, you may well be correct regarding the cut nerves, as after my IVC filter ruptured back in 2012 no one realized that at the time as I had the terrible nerve pain in my groin and all the doctors I saw back then thought it was from going into the femoral area and it got damaged so when I found Dr Brown who was a groin specialist doing the sports hernia surgeries he tested me by injecting lidocaine into the various nerve areas of the groin and came up with the plan to cut some of them to help with the pain, it was quite extensive surgery as he made two large incisions in to the groin and cut some nerves.

After I healed up I didn't have too much groin nerve pain for about 2 years but then I started to feel the pain return not anywhere like it was but certainly nerve pain, I saw a couple more specialists and was told it was probably the nerves trying to regenerate obviously they cannot connect as the ends were both buried deep within the muscle tissue inside the groin but some days when they try to fire up wow the pain can be bad. When I spoke with Doctor Chen at UCLA who is a groin doc he said well there is one way to help cure it and that is by cutting the nerve at the root in the spine but it has loads of side affects like all the muscle wasting around the flank and tummy so not really an option. I guess for me had they diagnosed it was the IVC filter rupture into the spine back then I wouldn’t have had to have any of the groin surgery or the nerves cut there but at the time it was the only relief I had so can’t look back.

Good luck with it all as I really know what it is like to suffer and trying to find doctors who deal with such things are very hard to find.

Release the Psoas WTF that means you need to shift all your organs out of the way to get to the actual muscle. Which you cannot do.

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Andrew Garwood
http://www.2xu.com
http://www.newtonrunning.com
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Forgive my ignorance in these situations. Can you explain how an EMG aids the diagnosis? What do you normally see as an indication for an EMG and what can it help with in relation to potential diagnoses? What is the role of an EMG if the MRI is essentially normal?
I am medical but this is not my area, am more used to ordering EMGs to help figure out if something I or a colleague has done has caused an injury, not something we have easily available where I work so would be great to hear what else can be learned from them etc.

EMG testing evaluates the function of nerves and muscles. MRI evaluates tissue structure. They different tests, useful for different reasons and often provide complimentary information to help diagnose symptoms such as weakness, numbness or pain.

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Two wheels good. Four wheels bad.