Effect of Iliopsoas and Diaphragm Myofascial Release on Post-Herniorrhaphy Chronic Groin Pain and Functional Performance; a Randomized Controlled Trial

Authors

  • Bassem M. Fouda Lecturer of physical therapy, Department of Physical Therapy for Burn and Surgery, Faculty of Physical Therapy, Modern University for Technology and Information, Egypt
  • Mohamed Nabil Fiaad Lecturer of physical therapy, Department of Basic Science, Faculty of Physical Therapy, Modern University for Technology and Information, Egypt
  • Gamila Saleh Tammam Abbas Professor assistant of orthopaedic physical therapy, physiotherapy department, faculty of allied medical sciences, Middle East University, Amman, Jordan
  • Dina Saeed Mohammed Badie Lecturer of Physical Therapy, Department of physical therapy for woman health, Heliopolis University
  • Hanan Abdallah Hasaan Lecturer of physical therapy, Department of Physical Therapy for Internal Medicine and Geriatrics, Faculty of Physical Therapy, Egyptian Chinese University
  • Alaa Anwar Ahmed Lecturer of Physical Therapy, Department of physical therapy for integumentary, Egyptian Chinese University

Keywords:

Diaphragm Myofascial, Chronic Groin Pain, Post-Herniorrhaphy, Effect of Iliopsoas, Neuropathic Pain

Abstract

Chronic postoperative inguinal pain (CPIP), defined as persistent pain lasting at least three months that is at least moderate in intensity and impacts daily activities, represents a significant complication following groin hernia repair. With an incidence rate of 10-12%, CPIP affects a substantial patient population, translating to an estimated two million individuals worldwide suffering from sustained pain annually, thereby posing a considerable global health burden. While groin hernia repair (herniorrhaphy) is a common surgical procedure, a subset of patients, particularly young adult males, are at a higher risk of developing this debilitating chronic pain. The etiology of CPIP is multi factorial and complex, often classified as neuropathic or non-neuropathic in origin. Neuropathic pain typically arises from intra-operative damage to the inguinal nerves and usually develops in the sensory distribution of the injured nerve. Non-neuropathic pain, conversely, is frequently associated with mesh-related complications or postoperative fibrosis, leading to an entrapment of neural structures within scar tissue.

Downloads

Published

2025-12-16

Issue

Vol. 61 No. 2 (2025)

Section

Article