A randomized interventional trial. Comparative assessment of pain relief by ultrasound guided tender point blockade vs ilioinguinal nerve block in chronic pain post herniorrhaphy

**Herniorrhaphy postoperative pain prevention includes preoperative and intraoperative local anaesthetic infiltration field blocks paravertebral blocks  tender point blockade and NSAIDs or COX 2 inhibitors preoperative or intraoperative field blocks mainly targeting the ilio-inguinal nerve with or without wound infiltration are more effective than placebo or no treatment for reducing early postoperative pain and reducing the need for additional analgesics.**Tender point blockade with 10 ml 0.25% ropivacaine which involves targeting specific areas of muscle or nerve irritation, can also provide relief by addressing localized pain. It has been found to reduce pain and muscle tenderness previously, particularly in patients with myofascial pain after surgery. The technique can be integrated with other pain management approaches, such as local anaesthetic infiltration and nerve blocks, to enhance overall pain control in the post herniorrhaphy chronic pain of 6  months or more and comparing it with ilioinguinal nerve block with 10 ml 0.25% ropivacaine.