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What Causes Sharp Intermittent Pain To The Right Of Vagina?

Posted on Mon, 5 May 2014

Question: I have a nerve pain that is very deep and sharp right of my vaginal area but not exactly in my groin area. My Dr. Has suggested GIVE it time. I had a TKR revision in Dec and have had this intermittent since that surf. Heat does seem to calm it. Is there any exercise I can do helping it?

Answered by Dr. Ashish Verma (5 hours later)

Brief Answer: You need to be evaluated... Detailed Answer: Hi, From your description, knee surgery doesn't seem to be the obvious reason of this pain. I would think of other causes before relating it to knee surgery. Sharp intermittent pain to the right of vagina can be due to a renal stone or rather an upper ureteric stone or one obstructing the uretro-pelvic junction. Kidey stones may get precipitated following a major surgery due to dehydration in the perioperative period. I would order for an ultrasound abdomen and pelvic scan. Since you have this pain intermittently, urologist and gynecologist consult will be important after the ultrasound check up. Are you also having any burning sensation while urination or blood in urine? If yes, then it goes more in favour of stones. Usg will also help rule out any ovarian or tubal or uterine pathology which can give rise to such pain. Hope i have been helpful. Regards Dr. Ashish Verma

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ashish Verma (11 hours later)

I am not having trouble urinating and have had no blood in urine or bowel movements...that has all been checked. This happens most often when I sit at an almost 90 degree angle at hips and if I sleep with my knees bent - both with my right leg rotated out about 30 to 45 degree angle. It is momentary almost like an internal pin prick that radiates towards my groin and slightly like a pulse. Getting up to walk makes it go away. I Don't experience any symptoms walking it happens when stationary.

Answered by Dr. Ashish Verma (46 minutes later)

Brief Answer: looks more like a nerve irritation Detailed Answer: Hi, Your pain looks more like a nerve irritation to me. You can try a course of neurotonics to help repair the nerve like mecobalamine and vitamin B complex. But for the prescription you need to see a local doctor, preferably an orthopedic, who can also do a physical and radiological examination of your hip joint ( if the one who did your tkr has not already examined them). You will need to take them for a few weeks to get some improvement as nerves heal quite slow. Regards Dr. Ashish Verma

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj