Ilioinguinal Nerve
The ilioinguinal nerve is composed of L1-L2 nerve roots and passes though the psoas muscle while innervating abdominal musculature, the groin, medial thigh, and out to the iliac crest.
Signs & Symptoms
- Pain in the groin radiating to genitals and upper medial thigh
- Paresthesia in the groin area
- Tenderness on palpation 2-3 cm medial and below the anterior superior iliac spine
- Pain or tingling with percussion over course of nerve (Tinel Sign)
- Pain elicited with hyperextension of hip which further compresses the nerve
- Weakness is not usually noted with impingement unless it is secondary due to discomfort.
Contributing Factors
- Surgical incisions
- Entrapment in abdominal muscle layers
- Retroperitoneal tumors
- Herniorrhaphy
- Endometriosis
- Lipoma
- After childbirth
Treatment
- Rest
- Ice
- Ultrasound
- Anti-inflammatory medication
- Local corticosteroid injections
- Abdominal stretching
- Conservative treatments should be attempted before surgical neurectomy is performed.