To every Pain Management specialist considering a stimulator for abdominal wall or groin pain 👇

⚠️ Please seek a surgical consultation first.

A hernia specialist may find a treatable cause that changes everything. 🙏

Want to learn more? My Master Course: Groin ...& Pelvic

To every PATIENT being offered a nerve stimulator with abdominal wall, groin, or post-hernia pain 👇

⚠️ See a hernia specialist FIRST.

Before committing to a lifelong implant — make sure every surgical option has been explored.

If you’d like our advice 🔗

Here’s why it happens 👇

A stimulator is offered when ALL less invasive options have failed.

But what if they failed because the patient has a surgical problem?

A balled-up mesh 🔴
A neuroma after neurectomy 🔴
A simple hernia recurrence 🔴

All ...diagnosable. All surgically

Now. The thing that concerns me most. 👇

The spinal or peripheral nerve stimulator. 🧠

In my practice — well under 1% of patients with post-hernia chronic pain should ever reach that conversation. Yet I see it recommended far, far more often than that. 😱

Pain Management specialists 👇

When you’re dealing with difficult-to-treat abdominal wall or groin pain after hernia repair — reach out to the surgeon or a hernia specialist. We can offer surgical insights that may completely change the picture. 🙋🏻‍♀️

...Collaboration wins every

Surgeons 👇

Don’t refer to Pain Management and disappear.
Stay in the loop.
Follow up.

Your patient still needs you. 💙

Pain Management can treat the pain.

But only a surgeon can determine whether there is an underlying surgical problem driving that pain.

That distinction matters enormously. 💡

Pain Management specialists are not surgeons. 🩺

They likely don’t know:
❓ What operation was performed
❓ What technique was used
❓ Whether and how mesh was placed
❓ Whether there’s a hernia recurrence
❓ Whether there’s a neuroma after a neurectomy
... ❓ Where tacks or sutures