An ilioinguinal and iliohypogastric nerve block manages chronic pain in the lower abdomen and groin, often after inguinal hernia repair or nerve entrapment. It involves guiding a needle near the ilioinguinal and iliohypogastric nerves with ultrasound, then injecting a local anesthetic, sometimes with a steroid, to block pain and reduce inflammation. Relief varies from weeks to months, and multiple injections may be necessary for lasting benefits.

This treatment can help with: - Persistent groin or lower abdominal pain after surgery - Chronic pain unresponsive to medications or therapy - Discomfort in daily activities like walking or bending

If the nerve block provides only temporary relief, radiofrequency ablation (RFA) might be used for longer pain control by disrupting nerve signals for six months or more.

Alternatives include: - Transversus abdominis plane (TAP) blocks - Pain-relief medications, such as anti-inflammatory drugs - Physical therapy

If nerve blocks and RFA offer no relief, peripheral nerve stimulation (PNS) using an implanted device might reduce pain. For severe cases, Dorsal Root Ganglion (DRG) or Spinal Cord Stimulation (SCS) might be last-resorts.

This procedure is generally safe, but risks include numbness, soreness, infection, or allergic reactions. Your provider may suggest pausing blood thinners beforehand. You might need to fast for a few hours before the procedure and rest afterward. Follow-up is crucial to assess effectiveness and plan further steps.

If chronic abdominal or groin pain affects your life, discuss these options with your medical team.