(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

Articles by Dr. Brown

Mesh and Autoimmune Disease

Sports Hernia Patients and Classic Hernia Patients and Hernia Mesh Removal

Autoimmune diseases occur when the body’s defense system mistakenly attacks the normal cells of the body. This can result in chronic fatigue, myalgias, joint pain, irritable bowel, rashes, and more. It has been suggested that the inflammation caused by the implantation of mesh causes the body’s white body cells and foreign body cells to become overly active and thereby causing autoimmune disease. There are several studies that followed patients after mesh hernia repair. These surgical patients did not develop autoimmune disease at a rate any higher than the general population. This would suggest that mesh is not a cause of autoimmune disease. But the studies did report that if a patient has multiple allergies before surgery they are at increased risk to suffer autoimmune disease after mesh hernia repair. If you already have an autoimmune disease, then you should…

Complications from Implanted Mesh in Hernia Patients and Sports Hernia Patients

Last month I removed some interesting pieces of mesh

In Photo 1, the patient had had a laparoscopic hernia repair about 12 years ago. Lightweight prolene mesh was used. He started to have pain 8 months after the operation. He tolerated the pain until he fell with a twisting motion late last year and then the pain became debilitating. Rest, Steroid injections, and analgesics were not helpful. As you can see from the photo then flat mesh had scarred into a complicated three-dimensional mess. No wonder he was having so much trouble with that lump of mesh. So far he is doing well.

In Photo 2, the patient had a laparoscopic hernia repair 4 years ago. Six months after the operation he noticed a bulge and pain. Physical examination and ultrasound documented a recurrent inguinal hernia. At the time of surgery, the mesh did not completely cover the inguinal floor.…

Testosterone in Sports Hernia Athletes and in Patients with Classic Hernias.

To T or not to T?  That is a great question.

I care for many athletes with sports hernias and classic hernias. Athletes always want to take advantage of ways to improve their recovery and strength. So I often get questions about testosterone. Testosterone is a key hormone that helps maintain a healthy body in both men and women. We will only deal with the male half of the discussion today. Once a man hits 40 years old the production of testosterone slowly decreases. This can result in loss of muscle mass, weaker bones, less energy, loss of libido, erectile dysfunction, memory loss, depression, and more. Testosterone replacement can be a great help, and older men with symptoms should consider testosterone replacement therapy.

Before you start therapy you need to be evaluated by your doctor. He or she will perform a careful history and physical examination and blood tests. This…

Ecuador Humanitarian Mission

Young Girl after appendectomy with her bunny “Luna”

I feel blessed and have long wanted to give back to those in need. My daughter had been on 4 other humanitarian missions in Haiti, Uganda, Honduras and India. She finally talked me into joining her. In July, my daughter (an ER nurse at Stanford University Hospital) and I went to Chone, Ecuador to serve on a humanitarian mission at The General Hospital. In 2016, the original hospital collapsed during a devastating earthquake and now the people of Chone are served in tents and mobile buildings. Patients often wait 6 months to see a surgeon and another 6 months to have their operation. When we arrived, patients were already waiting under a tarp outside to see us. My office was a tent, luckily with air conditioning! The operating room was better than I expected and was located in one of the portable…

Does Marijuana Help Surgery Recovery?

Marijuana is now legal in many states and it is important to understand the effects on the human body. Marijuana has two active molecules: Cannabidiol (CBD) and Tetrahydrocannabinol (THC). CBD the non-psychoactive component and CBD is legal in the USA. THC is the psychoactive component (it produces a “High” for the user) and will affect cognition. THC is not legal in many states.

CBD decreases inflammation, reduces nausea, helps alleviate pain, and is an anxiolytic.  THC also helps relieve pain and nausea and it also improves appetite and decreases muscle spasms. The “High” associated with TCH and its effect on cognition is not tolerated by some patients.

But most patients find that combining CBD and THC yields the best result.

Forms of Marijuana

Some Marijuana products are CBD dominant (the product contains more CBD than THC), and some Marijuana products are THC dominant (the product contains more THC than CBD).…

Can You Shower After Surgery?

You had your hernia repaired and you are on your way home from the surgery center. You are hot and sweaty from the car ride. Your skin is itchy from the betadine skin prep, and you are starting to smell. You have a box of baby wet wipes, but you really want a shower. Is it safe to get naked and jump in the shower?

After your surgery, the body immediately starts the healing process. After 12 hours, the skin is healed enough to prevent bacteria from entering through the incision. So 12 hours after your hernia repair feel free to take off the gauze and the tape and take a shower. Soap will not hurt the incision.

Afterward, you can leave the incision open to the air. If there is some drainage, put a fresh bandage on overnight.

Only one person in the shower with you until you feel…

William Brown, MD
Hernia Specialist

Dr. Brown has been repairing inguinal hernias for over 30 years, taking care of Athletes with Sports Hernia injuries since 1999.  Dr. Brown has been taking care of patients with complications from mesh for so long that his hair is gray. Luckily he still has some hair.

His patients include players from the San Jose Sharks and the San Jose Earthquakes as well as athletes from the NFL, AFL, NBA, and the local college teams. As well as Athletes from 15 foreign countries.

Location:
Fremont Office
William H. Brown, M.D.
39470 Paseo Padre Pkwy
Fremont, CA 94538
(510) 793-2404
Fax: (510) 793-1320

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