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My husband has a groin injury that occurred over five years…

Customer Question
My husband has a...

My husband has a groin injury that occurred over five years ago. It has gotten worse to the point he can barely walk from the pain. Steroid shots work for about a week, then the pain returns. What can be done?

Doctor's Assistant: How long have you had the pain? What seems to make the pain better or worse?

Movement makes it worse. The pain is constant.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

This is my husband’s issue, not mine. He has had a vasovagal response to the pain three times.

Submitted: 7 months ago.Category: Medical
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Answered in 5 minutes by:
11/17/2017
Doctor: Dr. Phil, MD, Medical Doctor replied 7 months ago
Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Medical
Satisfied Customers: 59,434
Experience: Medical Doctor Trained at a Top Academic Institution
Verified

Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

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Doctor: Dr. Phil, MD, Medical Doctor replied 7 months ago

How old are you?

where is the pain coming from ? hip? back?

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Customer reply replied 7 months ago
This is my husband’s issue, not mine. The pain is in his groin.
Customer reply replied 7 months ago
He is 83
Customer reply replied 7 months ago
I do not need a phone call. I don’t mind typing.
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 38,453
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Hello Jackie,

Apologies for any intrusion of those automatic offers for phone calls. These are produced by the website automatically and outside of my control.

Your husband need to get an MRI of the groin to ascertain the cause of pain. That may dictate the treatment. A nerve entrapment or neuropathy may be the possibility of the diagnosis. Following are the measures which helps in the pain due to nerves;

First-line treatments are;

1) tricyclic antidepressants,

2) gabapentin

3 pregabalin, and

4) topical lidocaine 5% patch.

Second line treatment:

Opioids,

tramadol,

capsaicin cream, and

capsaicin 8% patch.

Therapies that have demonstrated effectiveness for other types of neuropathic pain;

serotonin-norepinephrine reuptake inhibitors,

carbamazepine and valproic acid, and

botulinum toxin.

Invasive procedures such as sympathetic blockade, intrathecal steroids, and implantable spinal cord stimulators can also be tried.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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