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Sports hernia
I have read here https://www.wpbphysio.co.uk/case-studies/hernia/ that a sports hernia shows up with a hollow in correspondence of the weakened muscles….is it really so?? So then the difference with a real hernia is just the bulge which indicates a fascia deformation?
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2 Replies
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@alephy
A complete history and physical examination are still the most important steps to determine the etiology of an athlete’s groin pain. 90% of the time, a diagnosis can be made with the history and physical examination alone. A rushed or inadequate physical examination is the most common cause of a missed diagnosis.The British Hernia Society stated that an Athlete has a Sports Hernia if at least three out of the five clinical signs below are detectable:
Pinpoint tenderness over the pubic tubercle at the point of insertion of the conjoint tendon;
Palpable tenderness over the deep inguinal ring;
Pain and/or dilation of the external ring with no palpable hernia
Pain at the origin of the adductor longus tendon; and
Dull, diffused pain in the groin, often radiating to the perineum and inner thigh or across the midline.
MRI, CT scan, Ultrasound are used to try to image the tear in the oblique muscles. Unfortunately, the tests can be challenging to interpret, and there is a high false-negative rate. Imaging tests are mainly helpful in identifying other possible etiologies of the groin pain, for example, a hip injury
Regards.
Bill Brown MD -
Here is a good article about Dr. William Meyers of the Vincera Institute, and “sports” hernias. Hoe does not see the conditions as specific, he sees the balance of how the muscles and parts work together. An interesting person, I wish that he would write a book or start teaching. He’s getting old and his knowledge will probably die with him.
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