About Procedure

The ultrasound-guided ilioinguinal nerve block is a procedure that is non-surgical in nature and is done to help patients experience pain relief in the hips and the lower abdominal area. This requires the injection of a steroid that is anti-inflammatory, along the ilioinguinal nerve with great accuracy.

In preparation for this procedure, the abdomen is first swabbed and sterilized using antiseptic solution. Local anesthetic is then applied to the abdomen, numbing it. A handheld ultrasound probe is then used to aid in the visualization of the nerves anatomy and the tissues surrounding it. This helps to ensure that the medication is accurately injected into the desired location.


Once the area where the needle is to be inserted is determined, a needle is carefully guided into the abdomen to the ilioinguinal nerve that is causing the problem and the medication is slowly applied. Once that is done, the needle is carefully withdrawn.

The medication (a mixture of anesthetic and steroid) will help calm the nerve and reduce pre-existing pain and inflammation. Depending on the patient’s response to the treatment, the procedure may be performed more than once if the situation calls for it.

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    What Hurts?

    Frequently Asked Questions (FAQ's)

    A combination of local anesthetics (to numb pain) and opioids (to provide stronger pain control) is commonly used. The mix is tailored according to each patient’s condition and level of pain.

    Doctors may recommend an epidural when oral or intravenous pain medicines are no longer providing adequate relief, or when side effects from systemic medications become difficult to manage.

    Most patients feel only mild pressure or discomfort during the procedure. Risks are minimal when performed by a trained pain specialist, though possible complications include infection, bleeding, or temporary numbness.

    In some cases, patients can manage a portable epidural pump at home under close supervision by a healthcare team. Regular follow-ups ensure proper functioning and safety.

      What Hurts?

      Ultrasound-Guided Ilioinguinal Nerve Block