I had mesh removed from a hernia. the pain is back but i think i also have sciatica. what should i do?

See your surgeon: I would suggest that you see your surgeon to examine the surgical area. If this examination fails to show a reason for your pain your primary care doctor can work with you to figure out if sciatica is the cause of the pain.

PCP or Ortho eval: If you are concerned about a sciatica, make an appointment with your pcp and/or orthopedic surgeon.

Leg pain: Radiating leg pain can have many causes. One of which can be compression of a nerve by a disc herniation. This can be evaluated with an MRI of the lumbar spine.

Physical exam: See your doctor for an exam. This can help detect hernia recurrence and a brief neuro exam can help detect if sciatica is a possibility. May eventually need MRI of your back.

See your PMD : Your pmd should be able to distinguish hernia pain from sciatica. He/she can also steer you in the right direction with how to proceed. You can also touch base with your hernia surgeon to see if anything else needs to be done for the hernia. Good luck!

Back pain: Back pain from the lumbar spine or the sacroiliac joint can radiate to the inguinal region. An MRI of the lumbar spine and an evaluation with a spine specialist can help identify the source of pain.

Herniated disc: I assume the hernia mesh was from a hernia at the hip or belly and in that case would not be related to sciatica.

Question: Is, is your hernia back. Revisit this with your general surgeon.

Hernia mesh: If you had mesh removed it must have been infected. Also, if the mesh was removed, you may still have a hernia as the mesh is used to repair the hernia. You should see your surgeon.

See Surgeon: first that did the surgery to discuss your options. If your pain is truly sciatic in nature MRI imaging needs to be determine that. You may need an evaluation from a pain/spine specialist.