Iliopsoas Muscle Impingement: A New Etiology for Ilioinguinal / Iliohypogastric Neuropathic Pain?
DOI:
https://doi.org/10.25759/spmfr.319Keywords:
Botulinum Toxins, Groin, Nerve Block, NeuralgiaAbstract
Groin pain is a frequent athletic injury with a multitude of etiologies, being ilioinguinal and iliohypogastric nerve pain one of the most frequent causes.
We present a case of a trail running athlete with a groin pain in the ilioinguinal and iliohypogastric nerve territory that was refractory to conventional treatment. Three months after the initial symptoms, he was submitted to incobotulinum toxin injection in the iliopsoas muscle fibers that were adjacent to the nerves, in the inguinal area. The symptoms quickly disappeared, pointing the iliopsoas muscle as a possible cause of ilioinguinal and iliohypogastric nerve impingement and providing new insights into this pathology.
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