@entity158 may be produced by a true @entity547 , @entity130 to the groin structures or peripheral nerve, or root compression at various levels. Approximately 4,000 @entity1 underwent inguinal herniorrhaphy (group A). An additional 134 @entity1 complaining of groin @entity158 and exhibiting no evidence of primary or recurrent @entity547 fell into two categories: 30 @entity1 who had a previous herniorrhaphy (group B) and 104 @entity1 without previous surgery (group C). Group B @entity1 underwent a diagnostic nerve block which, when positive, suggested ilioinguinal nerve compromise at the wound. Those who failed conservative measures underwent nerve division. Group C @entity1 were advised to decrease recreational and occupational activities; if that failed, they underwent lumbosacral spine imaging. There were no @entity9 in group A. Eight group B @entity1 responded to conservative measures; the 22 others required ilioinguinal nerve division which relieved their @entity158 . In group C, 42 @entity1 responded to physical activity restriction plus NSAIDs; the remaining 62 underwent imaging which revealed lumbosacral bone pathology producing root compression and were referred to orthopedists. Lumbosacral spine pathology should be suspected in @entity1 who complain of groin @entity158 in the absence of @entity547 or previous herniorrhaphy. Recognition of this syndrome may avoid negative exploratory herniorrhaphies.

@entity158 in the absence of XXXX : a new syndrome.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'Groin pain'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia'] @entity9 :: ('MESH:D009437', 'Disease') :: ['neuralgias'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity547 :: (MESH:D006547,Disease) :: ['hernia']
