Sports Hernia Resources

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…

Sports Hernia Rehabilitation

The Sport Hernia Rehab program for the Montreal Canadians is very similar to the one I advise, though more aggressive at the start:

Days 1 & 2:

  • Rest

Days 2-7:

  • Isometric exercises
  • Abdominal crunches
  • Straight leg raises
  • Stationary bike

Sports Hernia Prevention

Sports Hernia Prevention & Adductor Tendon Injury Prevention

Of the injuries suffered by professional hockey players, injuries to the adductor tendons represent about 10% of the total. Hockey players with weak adductors have a much higher incidence of adductor muscle injuries. If an athlete is placed on a program that focuses on strengthening the adductor muscle group, the incidence of adductor injures falls by a factor of 5.

Warm up:

  • Biking
  • Adductor Stretches
  • Side Lunges
  • Pelvic tilts
  • Strengthening
  • Ball squeezes
  • Concentric adduction
  • Seated adduction
  • Balance board

Source: Nicholas, Stephen J;Tyler, Timothy F. Adductor muscle strains in sport. Sports Med (2002) 32: 339-44.

A Healing Diet for Sports Hernia Surgery

Jerry Deutsch has kindly put together the following nutrition information:

A Healing Diet for Sports Hernia Surgery

High biological value proteins that are easy to digest:

  • White fish: tilapia, cod, dover sole
  • White meat chicken, and turkey
  • Micronized whey or whey isolate powder for smoothie preparation

Complex carbohydrates: White basmati rice, quinoa, thick rolled oats (which confer excellent soluble fiber) yams and sweet potatoes, winter squashes such as acorn, butternut and delicata varieties. Ezekiel bread (fully sprouted).

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.

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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