Chronic Pubalgia in a Young Adult Managed by Iliohypogastric and Ilioinguinal Nerve Blocks

Abstract

Chronic pubic pain is a commonly occurring problem in young males who are engaged in high-intensity physical activities such as sportsmen and army recruits among others. We would like to discuss a similar case of pubalgia which occurred in a 20-year-old male who is an avid athlete. The patient had reported multiple times to the hospital and was admitted and evaluated thoroughly. He was kept on nonsteroidal anti-inflammatory drugs and pregabalin for about a month. Despite this aggressive pain management, the patient continued to have continuous pain in his left groin. Due to his pain and inability to perform physically, the patient went into depression. After a thorough clinical evaluation, we offered the patient an ultrasound-guided iliohypogastric and ilioinguinal nerve block which resulted in the complete disappearance of his symptoms within a week, and he was able to return back to his regular training.