Many athletes with a sports hernia present with significant pain at the medial attachment of the inguinal ligament. The inguinal ligament attaches to the anterior superior iliac spine and then travels down to attach to the pubic bone at the pubic tubercle. Most of the abdominal wall musculature attaches to the inguinal ligament, thus inguinal ligament is subject to many of the same stresses that can cause injury to the oblique muscles and to the adductor tendons.
When examining a patient with a sports hernia it is very important to include careful evaluation of the medial attachment of the inguinal ligament. I check for pain with palpation and for thickening of the ligament. The diagnosis can be confirmed by infiltrating the medial attachment of the inguinal ligament with local anesthetic. If the athlete improves, that confirms the diagnosis.
The injury can also be seen on an MRI and ultrasound. Treatment…
Understanding Bilateral Sports Hernias
In a world of complex medical terminology and an alphabet soup of diagnoses, it can be difficult to understand exactly what your injury means without your own medical degree. For sports hernias, this holds true as well.
A sports hernia injury affects one of the most complex areas in your body: the connection between your trunk and pelvis. The injury can occur when a core muscle is torn, causing pain and restricting a person’s physical ability if left untreated. Sports hernias often result from sharp, sudden twisting actions, and the most common culprits are activities like hockey, volleyball and even running.
One of the most serious types of sports hernias is a bilateral sports hernia. In this case, the injury has happened on not one, but both sides of the groin area. Although they result from the same types of movements that cause simple sports…
Dear Dr. Brown:
It has now been 5 months since the surgery, and I have been pain free from the impacted nerves since day 1. It has been really awesome, and I want to thank you for making this possible.
As I advised you, when we met at the end of December, I had the pain from the impacted nerve since 1999, and from the middle of 2012, the pain became chronic—I was in pain every day. During the two years leading up to meeting you, I met with neurologists and pain management doctors at UCSF, and the best they could do was perform temporary fixes. In fact, by the end of 2014, I had resigned to having to live with the pain.
You changed that! We had a great first visit on December 31, and you quickly confirmed in your mind that I had at least one nerve in…
Maybe You Should Trust a Sports Hernia Specialist, Too
Is that persistent headache a sign of stress, or a sign of serious illness? Perhaps a concussion? Or Rocky Mountain Spotted Fever? If you have a symptom, you can bet that there’s a corresponding diagnosis somewhere on the Web.
With all of the online resources available to us today, it can be tempting to run to the Internet at the first sign of injury. However, it’s crucial that we trust our health to medical professionals that have experience, not to a Web diagnosis. The Internet is full of accurate and helpful guidance, but nothing compares to a real diagnosis. After all, an injury affects your health and even your future. It’s far too important to leave to chance or possible misinformation.
This is especially critical when it comes to sports hernias. These complicated injuries occur when there is a muscle that…
How to Speed Up Recovery from a Sports Hernia
“The road to recovery” is called a road for a reason. Recovery from surgery requires committing to staying the course for as long as it takes to get to the destination. The more focused you are, the quicker you’ll reach a full recovery. Several activities can help to speed up your recovery process and get you back out on the field faster.
First, it’s important to always follow the instructions Dr. Brown provides. Use his years of experience to avoid prolonged recovery – after all, that’s what he’s here for. Physical therapy is the most common post-surgery option, and has been proven to be effective. Make physical therapy a priority. No matter how complicated or ridiculous an exercise may seem: you can be sure that it has been tried and tested to help recovery. Every move is designed to help you…
Recommended Exercises for Sports Hernia Prevention or Recovery
A sports hernia is a lesser-known injury that has the potential to cause chronic, debilitating pain and sideline you from the most basic of life’s activities. It can strike professional athletes and amateurs alike, so it’s important for athletes at all levels to work toward recovering sports hernias, or better yet, preventing one in the first place. There are numerous sports hernia prevention exercises and stretches that can reduce your risk of injury.
A sudden twisting movement often causes a sports hernia injury. Common sports such as hockey, soccer, or dance involve these twisting movements, but they also occur during everyday activities. Before beginning any athletic or strenuous activity, STRETCH!
Specific muscles can become more flexible with repetitive stretching, increasing their flexibility and making them less prone to injury. A standing groin stretch can be particularly effective, since it focuses on the…