Genitofemoral neuralgia is a chronic pain condition caused by irritation or injury to the genitofemoral nerve, which arises from the upper lumbar spine and travels through the abdomen to supply sensation to the groin, upper thigh, and genital region.
When this nerve becomes compressed, stretched, or damaged, it can lead to persistent pain or altered sensation in these areas.
Typical symptoms include:
Common causes include post-surgical nerve trauma, scar tissue formation, entrapment of the nerve in abdominal muscles, or occasionally lumbar spine nerve root irritation. Because the pain can mimic ilioinguinal or femoral nerve problems, hernia, or hip pathology, specialist assessment is vital for accurate diagnosis.
At Wessex Pain Clinic, diagnosis begins with a detailed medical history and examination, including mapping of the pain distribution and identifying surgical or traumatic triggers.
Our consultants perform a focused neurological examination, assessing sensation and tenderness along the genitofemoral nerve pathway.
We may use ultrasound or MRI imaging to exclude structural or surgical causes.
Physiotherapy goals include restoring gentle mobility and strength in the lower abdomen, pelvis, and hip, while avoiding strain on the affected nerve. Hydrotherapy offers a supportive environment to aid recovery.
We also partner with pain psychology specialists to help patients manage chronic pain, reduce anxiety, and build resilience through pacing and mindfulness strategies.
Our integrated, consultant-led approach ensures that both physical and psychological aspects of pain are addressed for long-term improvement.
At Wessex Pain Clinic, we work as a team and meet regularly to discuss complex, treatment resistant or unusual cases. As such you will often receive the expertise of several pain consultants. We believe that we are one of very few pain clinics to offer this.
We may prescribe:
Our consultants perform ultrasound-guided genitofemoral nerve blocks, using local anaesthetic and corticosteroid to reduce inflammation and pain.
For chronic or recurrent pain, radiofrequency neuromodulation can provide longer-lasting relief by gently interrupting the overactive nerve signals.
In complex cases involving overlapping pelvic or groin nerves, ilioinguinal or iliohypogastric nerve blocks may also be used.
Whilst usually not required, we work alongside surgeons if it is felt that a surgical opinion is needed.
Our friendly team is on hand to support you every step of the way. Please get in touch at any time.
