(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

Smoking and Inguinal Hernias

Are Smokers More Prone to Inguinal Hernias?

Smokers, listen up. There are numerous reasons why you should quit smoking. You’re aware, so we won’t bother you with the benefits to a healthy heart and lungs. We’ll stick to how smoking affects inguinal hernias – your odds of getting one and your recovery from one. 

Men, not only are you eight times more likely than women to have an inguinal hernia, but if you’re a smoker, your odds increase even more. Nicotine and other toxins found in cigarettes, chewless tobacco and e-cigarettes degrades collagen.  Collagen provides the strength of the abdominal wall.  Thus smokers with their damaged collagen have a much weaker abdominal wall.  Collagen is also a major component of the healing tissue after surgery.  So not only smokers more likely to have a hernia, but are more likely to have the surgery to repair the hernia fail. 

Smokers also…

What Type of Inguinal Hernia do You Have?

How a Doctor Determines What Type of Inguinal Hernia You Have  

Your suspicions have been confirmed and you’ve been diagnosed with an inguinal hernia. Before you and your physician can move forward with repair and recovery, the first step is determining what type of inguinal hernia you have. 

Inguinal hernias aren’t always easy to diagnose with just a physical examination. Sometimes, an ultrasound or MRI is required to make an accurate diagnosis. That test should be given while you’re standing up, not laying down. Or, in medical terms, the ultrasound works best when you’re increasing pressure in the intra-abdominal area with the Valsalva maneuver. 

Once testing is complete, your physician will determine you’re dealing with one or more of three types on inguinal hernias. 

Indirect Inguinal Hernias

Indirect inguinal hernias also are called congenital inguinal hernias. In the womb, the testicle starts out in the pelvis.  Just before a…

What is an Inguinal Hernia?

Dr. Brown Explains What an Inguinal Hernia Is

You notice that you feel pain when you cough, lift objects, sneeze, or do other things that affect the lower abdominal region. And you feel a bulge in the area.  You find that even if you take it easy as soon as you use those muscles, the pain returns. Pain and a bulge are indicators that you may have an inguinal hernia.

“What is an inguinal hernia?” In layman terms, an inguinal hernia is a hole in the abdominal wall. Something from inside the abdomen can pop through this hole and causes the infamous bulge underneath the skin. The small intestines are the most common thing to pop out but the large intestines and pelvic organs can pop out as well. 

How do you get a hole in the abdominal wall? This area is known as your “core.” Muscles in the core…

Sports Hernia: Definition, Evaluation, and Treatment

I am proud to announce that a review article on Sports Hernias was published in in the Journal of Bone and Joint Surgery.

I helped write and edit the article with Dr. Justin Hopkins and Dr Cassandra Lee at Department of Orthopaedic Surgery, University of California Davis. Dr. Hopkins and Dr. Lee are very knowledgeable and experienced surgeons and it was a pleasure to work with them. I hope that you enjoy the article and if there are questions, please to not hesitate to contact me.


I am eternally grateful…

Dr Brown,

It has been a year now since my hernia surgery and I wanted to say thank you for everything.

I feel privileged to have been seen by you.  I am eternally grateful for your compassionate, caring ways before and after the surgery and for the wonderful job you did a putting me back together.  And for having been so patient and hearing out all my concerns. I have never been seen by another doctor in any specialty who made me feel so human.

Your kind, gentle ways are very much appreciated.  Thank you.


It is rare to deal with such honest and kind people…

I wanted to send you an email to give you some good news about my recovery.

As of 2 weeks ago, I have fully resumed all physical activities including playing tennis and running. I do not feel any pain or discomfort anymore. I really want to thank you for your help. Running and exercising in general are a big part of my life and a year of pain really started to affect my well being.

Thanks to you and Belinda, I can now resume the activities that I love. Aside from your obvious skills as a physician, both you and Belinda have been really helpful and you have made this experience manageable. It is rare to deal with such honest and kind people.

Thank you, PJ

1 2 3 33

William Brown, MD
Sports Hernia Specialist

Dr. Brown has been performing sports hernia surgeries and providing specialized rehabilitation programs since 1999.

His clients include the San Jose Sharks, San Jose Sabercats and the San Jose Earthquakes sports teams as well as athletes from the NFL, AFL, NBA, NBL and the United States Soccer League. Athletes from all over the United States as well as from 15 foreign countries have sought out Dr. Brown's expertise.

Locations: (Fremont is the Main Office)

Fremont Office:
39470 Paseo Padre Parkway, Suite 2
Fremont, CA 94538
Phone: (510) 793-2404
Fax: (510) 793-1320

Monterey Office:
1011 Cass Street, Suite 115
Monterey, CA 93940

Palo Alto Office:
151 Forest Avenue
Palo Alto, CA 94301

Subscribe to Our Newsletter

Sign up for our newsletter and join our growing subscriber base.