Genitofemoral nerve neuralgia is a common pain syndrome observed in female person as well as male patients . Pain is observed over lower stomach mostly unilateral , very seldom bilateral . Pain may be referred to groin ( along genital arm ) and inner second joint ( along femoral arm ) . hurting is acute at times with extension of low back or palpation of groin over inguinal realm . Most common cause of botheration is squeeze nerve in inguinal canal after inguinal hernia repair . Genitofemoral boldness originates at spinal section of L1 and L2 spinal electric cord . heart divides in to genital and femoral branch at inguinal ligament .
Genitofemoral neuralgy is one of the most common causes of lower abdominal and pelvic pain keep in clinical practice . Genitofemoral neuralgia may be triggered by compression of or equipment casualty to the genitofemoral boldness anywhere along its way of life .
Classification of Genitofemoral Neuralgia
Classification and Types of Acute pain:
Pain is classified into :
Common Symptoms of Genitofemoral Neuralgia
Pathophysiology of Genitofemoral Neuralgia
It is a mixed nerve but consist of predominant sensory fiber . It is L1 and L2 segment of spinal cord . It authorize through psoas muscle distal to L1 and L2 foramina . It lies within upper 1/3rd of psoas muscle . It pierce through muscle and lies anteriorly over down in the mouth 1/3rd of psoas brawn . Distally spunk is placed between ureter and psoas heftiness . It disunite into genital and femoral branch just above the inguinal ligament . Genital branch passes into inguinal canal in male and round ligament of the womb in female . Femoral subdivision accompany outside iliac artery . It lies sidelong to femoral artery below the inguinal ligament . Cremaster reflex involves both sensory nerve and motorial nerve of genitofemoral nerve . Genitofemoral nerve bother is pertain along the anatomical distribution of venereal and femoral branch .
annoyance may spread along femoral or venereal branch or both depends on anatomical location of wound . If heart were pinch proximal to class of nerve , pain would be referred to venereal and femoral offset . Genitofemoral nerve wound after division ask either genital or femoral branch . symptom mean the anatomical localisation of wound .
Causes of Genitofemoral Neuralgia
Symptoms and Signs of Genitofemoral Neuralgia
Chronic Intractable Pain
Pain Tolerance
finish : Recover as soon as possible and get back to near normal activities . Acute botheration After 3 to 4 months- recuperation could be slow , further treatment will be necessary . Side impression : to medication and interventional treatment- delay recuperation .
Treatment for Genitofemoral Neuralgia
1. Medications for Genitofemoral Neuralgia
2. Alternative Treatment for Genitofemoral Neuralgia
Investigations for Genitofemoral Neuralgia
