Articles by Dr. Brown

Sports Hernia Rehabilitation – Six Weeks to Recovery

Six-Week Rehabilitation Program for a Remarkable Sports Hernia Surgery Recovery (Part 1)

rehab_sm_1Having diagnosed and surgically repaired sports hernias for patients from around the country, as well as hockey players for the San Jose Sharks, no one understands your urge to get back to life as usual like my staff and I do. However, surgically repairing an inguinal disruption (sports hernia) is in fact a surgery, and recovery needs to be taken seriously. Not doing so can prolong your healing time, or worse, cause re-injury that requires additional surgery.

Before you begin your post sports hernia recovery program, keep in mind three very important points over the six-week program:

  1. Remember, every body heals at a different pace. You will heal. Be patient.
  2. Listen to your body. If you experience pain or weakness, do not think twice about delaying your rehabilitation by a few days or even a week or two.…

Sports Hernia Specialist – Is there such a thing as traveling too far to see one?

A visit to California to see Dr. Brown, sports hernia specialist, could be a worthy journey.

dr-brown-californiaUnfortunately, many general practitioners and sports medicine experts are unfamiliar with sports hernias.  Athletes are told to treat it like a pulled groin and hope for the best. A sports hernia will often respond to a period of rest, yet pain returns as soon as normal sport activity resumes. In fact, sports hernia specialists agree that chronic pain that comes on with sports and subsides with rest is one of the key indicators of a sports hernia.

The condition is notoriously difficult to diagnose, and many patients endure several misdiagnoses before seeing a sports hernia specialist. This delays appropriate treatment and can exacerbate the problem. Often times it’s recommendations from other athletes and Internet research that finally lead many patients to a sports hernia specialist. But these specialists are far and few between.…

Surgical Pearls

The objective of surgery is to help the patient.  The surgeon wants to repair the injury but at the same time To Do No Harm. To help me achieve these goals I follow the following rules during hernia surgery.

  • Handle the tissues delicately and with care.
  • Minimize  the use of the cautery. The heat and current can damage remote tissues.
  • Minimize the dissection of the spermatic cord.
  • Use absorbable sutures as much as possible.
  • Do not place sutures in the region of the pubic tubercle or near the medial
    attachment of the inguinal ligament.
  • When repairing the inguinal floor, avoid placing sutures in the internal oblique
    muscle. The iliohypogastric nerve sometimes courses through this muscle. Use
    the transversalis for the repair.
  • Handle  the nerves little as possible.
  • Know  where the nerves are.
  • If  neurectomy is required, excise the nerve distally and bury the nerve…

Mesh Not Always a Good Option

View the image below to see why I do not use mesh unless necessary.

This athelete’s vas deferens was scarred to the mesh. It was difficult to remove the mesh without damage to the testicle.

The second image shows the mesh after it has been removed. The mesh is stiff and fibrotic.

 

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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