Re: "Nerve Entrapment"

From: Charlie Chambers (ricechaz@earthlink.net)
Sat Sep 15 14:20:27 2007


Lynn

Can't say that I've heard of nerve entrapment in the clinical scenario that you present. If so, what exactly was done to relieve the "entrapment", and which nerves are thought to be entrapped? Further out, I can certainly see someone having a myofascial pain syndrome but that could be treated with trigger point injections and medical management.

What procedure did they employ?

On Sep 14, 2007, at 5:49 AM, Lynn Montgomery wrote:

> Listers,
>
> Over the past couple of weeks, in our facility, there have been two
> patients who have been taken back to the OR following a cesarean
> section, for “nerve entrapment” in the cesarean incision, causing
> severe pain. Maybe it is because I have only been doing this for
> 19 years, not counting residency, but I have never heard of this.
> As a matter of fact, I think I can say that “nerve entrapment”
> wouldn’t even enter my differential for severe pain following a
> cesarean section.
>
> Can someone enlighten me here – has anybody else heard of this.
> Distant from any surgery, following scar formation, with
> significant, persistent incisional pain, I have considered “nerve
> entrapment”, but not in the first few days following surgery…
>
> Lynn
>
> Lynn D. Montgomery, M.D.
>
> Obstetrics & Gynecology, Maternal-Fetal Medicine
>
> The Birth Center/Rocky Mountain Women's Health
>
> 1211 S. Reserve St.
>
> Missoula, Montana, 59801
>
> 406-549-0978
>
> fax 406-549-0987
>
> e-mail: apgar10@thebirthcentermt.com
>

************************************************************************ * Charlie Chambers Hood River, OR cchamber@alumni.rice.edu

"No matter where you go... there you are." Dr. Buckaroo Banzai ************************************************************************





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