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Sports Hernia FAQ

Yes, a hernia is an opening in the abdominal wall; a Sports Hernia is not an opening; rather a deterioration or tear of the attachments from the pubic structures.
Athletic Pubalgia, Gilmore's Groin, Inguinal Disruption, Adductor Tendinopathy, Adductor Tear, Aponeurotic Plate Disruption.
The public and the media have named the injuries at the pubis "sports hernias" even though they are not truly hernias.
No, anyone regardless of age or gender, can have the injury.
No, close to 50% of people heal with rest and physical therapy.
The word "hernia" merely means opening. Inguinal, umbilical,epigastric, ventral are all terms to describe where the opening exists in the abdominal wall.
General Surgeons, which has become the name for surgeons who work mostly around the abdominal cavity, repair hernias.
No. Only surgeons who have taken a particular interest in this area perform the repair. Many surgeons do not wish to treat this population as the injury is difficult to treat in many cases.
Physical exam by a knowledgeable professional in the injury is the initial test. An ultrasound, and sometimes a specialized MRI are often needed to confirm the diagnosis.
If the correct protocol is used by the radiologist/technician, the MRI can be done on most machines. The protocol, known as a Pubalgia Protocol MRI, can be found in the literature.
Although there is some inconsistency, most sports hernia surgeons agree that the surgery is done with an incision in the groin as the area can only be approached in this fashion.
Usually the surgery takes 1 to 2 hours.
In almost all cases, the surgery is outpatient, done either in a hospital or an ambulatory surgery center.
Depending on a multitude of factors such as age, one vs. two sides, degree of injury, additional injury such as hip or back, the recovery is usually 2-6 months.
Unless there is a hip component of the surgery, crutches are not needed.
Based upon the small amount of literature which exists, results range from 80-97%
Unfortunately, few surgeons have dedicated their practice to this injury. The literature and the internet are most helpful in finding a competent surgeon in the field of groin injury.