(510) 793-2404
Your Guide to Understanding Sports Hernias and the
 Medical Treatment of
 Sports Hernias
by William Brown, MD
Advanced Medical Treatment for Sports Related Hernias

How Are Your Testicles?

Many athletes with sports hernias often report a component of their pain involves the testicle. The pain is usually characterized by an ache and swelling of the testicle after aggressive physical activity or sex.  Pain usually gets better with rest. Shorts that provide scrotal support and ice bags are also often helpful.  Many athletes have seen a urologist, who report that the genital examination is normal.  Ultrasound of the scrotum and testicle is normal.

In my experience, many of these athletes have scarring between the posterior aspect of the spermatic cord and the pubic tubercle. This can be easily identified on physical examination by gentle traction on the testicle, and noticing that the spermatic cord no longer slides over the pubic tubercle. In these athletes, it is important at the time of surgery to examine the spermatic cord at the pubic tubercle. …

The Entire Operation a Memorable, Surprisingly Pleasant Experience

Dear Dr. Brown,

It’s now precisely 7 days since I arrived at your clinic – at 09:30 last Thu September 10. You began the hernia repair surgery shortly after 10 am.

I am not your regular young athlete patient; I am a retired Swiss businessman, soon 69 years of age. I did lots of research and was convinced before we met that the open surgery repair without mesh was the best solution for me; I already have difficulties tolerating polyester on the outside of my skin! In Switzerland – and also in Canada’s famous Shouldice hospital – they would have kept me hospitalized for 3 to 4 nights. In your case, I was on my way to our San Francisco home in less than 5 hours after I arrived to your clinic!

The entire experience included a number of positive surprises: First, the local anesthesia. I expected to be…

How to Diagnose a Sports Hernia

Using Imaging to Better Diagnose Sports Hernias

mri-sports-herniaA sports hernia diagnosis is vague at best for most. The traditional method of diagnosing a sports hernia involves several tests, each designed to rule out a specific cause. This can be a tiring process, and ultimately it is possible to end up with the wrong diagnosis or treatment error. The hidden nature of sports hernias makes them incredibly difficult to pinpoint using traditional methods.

Fortunately, recent advances in medical technology are making sports hernia diagnosis more accurate and precise than ever. One method of medical imaging in particular is changing the way that sports hernias are revealed and treated. Magnetic resonance imaging (MRI) is a technique that uses a strong magnetic field to create a picture of body structures.

MRI is especially useful in creating detailed images of joints, tendons, and ligaments. This gives it an advantage over other imaging techniques like…

Signs You Have a Sports Hernia – Part Two

The Classic Signs and Symptoms of a Sports Hernia

If you missed Part One on this Topic, you can read it here. 

chronic-pain-sports-herniaAnother sports hernia sign is a tender feeling with palpitation of the pubic tubercle, a structure within the groin area. Several of the ligaments attach at this point making the pubic tubercle susceptible to injury.  If the pain does note resolve with rest, sometimes sports hernia surgery is required.

Pain with particular movements or exercises can help pinpoint the injury. One such movement is a resisted hip adduction, in which the leg is extended and brought back to the center of the body while pulling against a resisting force. This can help to isolate pain to the groin area. Another exercise is a resisted sit-up test, where extra tension is added across the chest to make the exercise more difficult. The resisted sit-up is especially efficient…

Delightful, Positive and Adorable

Dear Dr. Brown

First and foremost I want to thank you for accepting my insurance! It is sad that some of the New York and Philly Doctors do not. 

On another note, I found you both to be delightful, positive, and adorable.  I instantly felt comfortable in your office and surprisingly relaxed before surgery.  I thank you from the bottom of my heart for solving a 3.5 year injury.

Hugs from NY.


Signs You Have a Sports Hernia – Part One

The Classic Signs and Symptoms of a Sports Hernia

chronic-pain-sports-herniaIf we’ve said it once, we’ve said it hundreds of times. Sports hernia injuries are difficult to pinpoint and diagnose. An athlete can visit many physicians before successfully diagnosing the true cause of his or her pain.

However, there are some key signs and symptoms that are characteristic of sports hernias in particular. Sometimes, these signs are the only ones that will be able to point you and your doctor toward the correct diagnosis, and then treatment can begin.

The first, and seemingly most obvious, classic sports hernia symptom, is pain in the lower abdominal and groin areas. A sports hernia injury occurs when there is a tear in the muscle of the abdominal wall, causing tension and instability throughout the affected area. Throughout the groin and lower abdominal area, pain can occur as an all-over aching sensation, or it…

1 2 3 18