Doctor insights on:
Pelvis: The obturator foramen is the round space between the ischium and pubis bones in the pelvis; it is mostly covered by a membrane called the obturator membrane; the obturator nerve/artery/vein exit the pelvis via the obturator groove+canal; 2 muscles: obturator internus + externus originate along the bones, a few other structures in the area are named "obturator ___" to signify their location. ...Read more
Yes: The obturator membrane is the strong fibrous membrane that spans across the obturator foramen. It is perforated superiorly by the obturator canal, which transmits the obturator vessels and nerves into the medial compartment of the thigh. It also provides attachment surface for the internal and external obturator muscles. ...Read more
Of course...: But why? What are we looking for? A good electrodiagnostician will happily put a needle in there. ...Read more
Rest: What it really would need if it is torn is rest and time to let it heal, avoiding activities that could potentially aggravate it. Exercises in and of themselves would not be helpful. ...Read more
Variable: If the nerve is cut and repaired at the original surgery, the prognosis is usually good, but recovery can take about one year. This is because the nerve regenerates only about one inch per month. Alternatively, if the extent of damage is uncertain after the original surgery, physical therapy is prescribed for three months. ...Read more
Many things!: Many things can cause this: weak hip abductors, tight adductor muscles, limb length discrepancy, tight hamstring muscles, pronation of the foot when walking, running on canted surfaces, running down hill quickly. You might want to see a physical therapist to learn stretches to improve this, then work on strengthening! ...Read more
Not pelvic pain: The obturator nerve serves the yellow area in the picture, Compression/injury symptoms include "medial [inner] thigh or groin pain, weakness with leg adduction [pushing legs together], and sensory loss in the medial thigh". see: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2682412/ Aside from masses or scarring, can even get symptoms just from exercise according to the article above. ...Read more
Have bilateral small inguinal & obturator hernias.Most pain on left side & little sometimes on right. Should I only repair the ones on the left side?
Herniae: If you trust a surgeon to operate on you and I would leave it up to him as to whether both sides should be done ...Read more
Not common: This is not a common injury. Knowing the cause would help. Most nerve injuries will heal with time. This nerve provides both muscular control and sensation. If there is no weakness of the muscles that close your legs then that is a good sign. Pain should improve with time and meds to control neuropathic pain. This pain may ultimately turn to numbness in the same area. ...Read moreSee 1 more doctor answer
Hip exercises: You want to make sure the tear has improved before proceeding with muscle strengthening exercises. Hip abduction and hip adduction as well as hip flexion and hip extension exercises keep the muscles strengthened around the hips. Also do not neglect stretching as well. ...Read more
Do you think my PGAD symptoms could be coming from my obturator and inguinal hernias I have? Yes I know rare hard to tell. Just yes or no
No: This is very unlikely.Get a more detailed answer ›
I have EMG-confirmed obturator entrapment. Surgeon wants to try cortisone injection first. Will this actually solve problem if truly entrapped?
Conservative first: Conservative approaches are routinely attempted prior to surgical intervenion. If the cortisone injection or massage or stretching/PT resolves your symptoms, then you've received the same benefit of surgery with lower risk. For athletes, surgical intervention might be attempted earlier on. Discuss further with a neurologist. http://emedicine.medscape.com/article/1234809-overview#aw2aab6b3 ...Read more