Based on my conversations with both doctors, you are absolutely correct JCSportsman. Dr UM focuses on the inguinal hernia, often indirect with no bulge, or abdominal wall "weakness" and reattaches any detachments that are there. Where they differ, however, is that she does not feel that it is necessary to do the pelvic floor repair or address the adductors. She indicated to me that adductor pain is most often nerve pressure radiation. I'm not completely convinced but the pain I have is primarily abdominal (low) so I believe she's right for me, although my MRI report may indicate otherwise. Here are my findings:
There is an 8 mm detachment of the lateral right rectus abdominis/adductor aponeurosis with grade 1 adductor
lungus tendnosis. There is a 15 mm detachment at the lateral edge of the caudal left rectus abdominis with interstitial tearing or grade 2 tendinopathy extending into Ihe left adductor longus tendon origin. Midline structures are intact. No distal rectus abdominis muscle atrophy is present. No inguinal hernia is identified by MRI.