(510) 793-2404
Your Guide to Understanding Sports Hernias and the
 Medical Treatment of
 Sports Hernias
by William Brown, MD
Advanced Medical Treatment for Sports Related Hernias

Neurectomy

There are three nerves that provide sensation to the skin in the region of the pubic hair, scrotum or mons pubis, and the medial thigh. These nerves are the ilioinguinal nerve, the iliohypogastric nerve, and the genital nerve. Some athletes with a sports hernia will have symptoms related to one of these nerves. The commonly involved nerve is the ilioinguinal nerve. The athlete will report that there is an electrical or burning pain that radiates down the medial thigh or towards the scrotum or onto mons pubis. The diagnosis can be confirmed by direct pressure or tapping on the ilioinguinal nerve (Tinel sign). In addition, the athlete will have significant relief with an ilioinguinal nerve block. The nerve can sometimes be imaged with ultrasound or MRI. At the time of surgery, the nerve is examined. If there are adhesions around the nerve then these are lysed. If there has been a significant injury to the nerve, then a neurectomy should be performed. After a neurectomy, there is numbness of the skin. Most of the numbness resolves with time. A neurectomy does not affect sex.

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http://www.ncbi.nlm.nih.gov/pubmed/21615360
http://www.ncbi.nlm.nih.gov/pubmed/15854249
http://www.ncbi.nlm.nih.gov/pubmed/21605884

 

William Brown, MD
Sports Hernia Specialist

Dr. Brown has been performing sports hernia surgeries and providing specialized rehabilitation programs since 1999.

His clients include the San Jose Sharks, San Jose Sabercats and the San Jose Earthquakes sports teams as well as athletes from the NFL, AFL, NBA, NBL and the United States Soccer League. Athletes from all over the United States as well as from 15 foreign countries have sought out Dr. Brown's expertise.

Locations: (Fremont is the Main Office)

Fremont Office:
39470 Paseo Padre Parkway, Suite 2
Fremont, CA 94538
Phone: (510) 793-2404
Fax: (510) 793-1320

Monterey Office:
1011 Cass Street, Suite 115
Monterey, CA 93940

Palo Alto Office:
151 Forest Avenue
Palo Alto, CA 94301

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