ultrasound or MRI for sports hernia diagnosis?

[Herniator]

You need both 🙂 http://bjsm.bmj.com/content/early/2013/12/10/bjsports-2013-092872

[Sheraldo]

MRI negative
first US NEGATIVE
sexond positive but surgery I’m not sure what it showed
47 yo female High level triathlete/ runner…. Dr after dr after dr since January.
Pain R femoral triangle and R groin for 18 months.
Pain increased after hard training block. Had to stop biking and running.developed pain left side.
Iliopsoa bursae injection, iliopsoas trigger point injection, hip joint injection, SI joint injection, L3/4,4/5 RFA, prolotherapy to rectus femoris tendon x 2….alll with no results.
FINALLY get into MS radiologist for US: B femoral hernias, R indirect inguinal hernia, conjoint tendinosis, remote R adductor longus tear (players college soccer).
Finally an answer! Went into surgery. Accepted with hours and hours of tears that racing is not an option in 2018 and coaching girls varsity soccer would be tough as would be working a nOccupational Therapist.
No femoral hernia, no Indirect inguinal hernia but had mesh inserted into bilateral inguinal canal due to weakening?Pain is severe and I’m not usually a wimp.
Pain has always been worst at femoral pulses.
Feel like I might have had surgery for no reason.
will I ever get back to racing , Coaching, working as an OT?
Am I expecting too much?
What if I had mesh implanted for no reason ????
i feel like my whole life has changed and I still don’t have a diagnoses.
Many advice/insights? Could it be sports hernia?

[egr287]

I think MRI is supposed to be better. Also, though, you want to make sure a great hernia looks at the images as well because radiologists sometimes don’t see all…. I had a pelvic MRI that said no hernias and then the hernia doctor made me do something called a pubalgia MRI which showed an inguinal hernia but, the specialist, upon looking at the images, actually said there were two inguinals and potentially a femoral.

[SomeGreyBIoke]

quote katiebarns:

Yeah the docs want me to do mri right now so idk!! What did you end up doing for your sports hernia? [USER=”2491″]SomeGreyBIoke[/USER]

My doc doesn’t want to operate yet, he said that sports Hernia can resolve itself if you follow exercise regime. I went to see a physiotherapist, who gave me a list of strengthening exercises to follow daily. I also found a PT, will see her soon. It’s only been 3rd day, but feel a bit better already.

[Chaunce1234]

I believe most athletic pupalgia, osteitis pubis, hip and tendon issues, are usually identified on a 3T MRI with contrast, but I could be wrong about that.

The inguinal disruption type of sports hernia and/or muscle tear of inguinal wall type of sports hernia is I think usually found on an ultrasound instead, more similar to looking for a traditional hernia. Sometimes they find a traditional hernia in that process as well apparently.

Both usually require radiologists that are skilled in identifying these issues, as many are not aware of the injuries.

Dr William Meyers at Vincera uses MRI and physical exam, as Good Intentions points out. You could probably call the Vincera Institute office and ask them details, they’re usually very helpful.

I am not sure what Dr William Brown uses to identify sports hernia, I believe it’s physical exam and possibly imaging. Again I believe his office is very receptive to inquiry.

Dr Ulrike Muschawek in Germany uses Ultrasound and physical exam to identify inguinal disruption / sports hernia, I think with that particular injury they’re basically looking for a bulge or rupture in the muscle wall that pinches against a nerve.

I am not sure what Dr Shirin Towfigh uses to identify sports hernia, but I believe from other posts she uses MRI and ultrasound for finding regular hernias so it could be a similar protocol.

[Good intentions]

Dr. William Meyers of the Vincera Institute uses MRI. They like to look at the hip joints also, a common cause of pain. Athletic pubalgia (the more proper term) is more of a muscle, tendon, bone attachment problem, as I understand it, that also effects the abdominal wall. The sticky at the top of the Forum’s first page is informative. I’m surprised though, that they still call it a “sports hernia” in the thread title. Kind of perpetuates the misnomer.

https://www.herniatalk.com/6882-in-depth-sports-hernia-guide-infographic

[Unknown Member]

Ultra is just as good if done in the right hands. Look up Dr. William Brown, he specializes in sports hernias, his website has a lot of good info.
Also check out Dr. Brian Jacobs website,NYChernia, he has great info also.

[katiebarns]

Yeah the docs want me to do mri right now so idk!! What did you end up doing for your sports hernia? [USER=”2491″]SomeGreyBIoke[/USER]

[SomeGreyBIoke]

Mine came out really well on ultrasound. They could see it moving as well