Charlie Horse like pain on my right lower abdomen.

Question

18 mo post TT. If I stretch or sneeze sometimes I can get a excruciating pain on my right side that brings me to my knees. Feels like a Charlie horse. It doesn't last long it will subside but if I make the wrong movement it appears again. The area of pain is extremely hard like a knot. I only have one ovarie and thinking it's that. It's not often but I noticed it comes during exercises or soon after. What can I do or does this have anything to do with muscle repair from the Tummy Tuck?

Bram Kaufman, MD · Answer

It certainly sounds like muscle spasm. I recommend you see your plastic surgeon for an evaluation. There are several muscles in the abdomen and depending on where your muscle plication sutures were placed it may or may not be related. Also, although it does sound like muscle spasm there are other causes of abdominal pain that should be ruled out so a good history, physical examination and maybe even some tests are needed. I hope this helps.

Demetrio J. Aguila III, MD, FACS · Answer

Thank you for your question.It can be challenging to pin down the cause of abdominal pain, and more so after someone has undergone surgery.  While it's possible that you are having pain related to your ovary as you describe, it would be a good idea to look into the other possibilties.  I suspect, based on your description, that you have either a neuroma, which is a benign growth of nerve tissue from an injured nerve ending, or an entrapped / impinged nerve, which is one that is being squeezed by the surrounding tissue or scar tissue.  It is important, however, to make sure that you've addressed any other more serious possibilities - a good general surgeon should be able to help rule out any significant intra-abdominal (inside the abdomen) problems.I suggest that you speak with your plastic surgeon about this to see whether or not he/she has an explanation for your symptoms.  Barring that, you may benefit from seeing a plastic surgeon who has been trained in peripheral nerve surgery after you've been cleared of any intra-abdominal concerns by a general surgeon.  The American Society for Peripheral Nerve is a great resource to help you find plastic surgeons, orthopedic surgeons, and neurosurgeons who have been trained to treat the specific type of pain that it sound like you may have.  You may also want to visit the website for the Dellon Institutes for Peripheral Nerve - he's the world's leading expert on pain syndromes like yours.Best wishes.

Charlie Horse like pain on my right lower abdomen.

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Charlie Horse like pain on my right lower abdomen.

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Everything you need to know about Tummy Tuck

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