Did insurance cover the Prolo therapy?
Did insurance cover the Prolo therapy?
I am in Park City, Utah at the moment. I have had intense groin and abdominal pains for the past 5 1/2 weeks. So far I have had an ultrasound of the scrotum and CT scan with contrast of the abdomen and groin. Everything has come up negative, according to my doctor. They keep mentioning the term sports hernia, but haven't diagnosed me with anything. I feel a little better with rest, but not great. My jobs are very active and this pain will keep me from my work. I am a snowboard instructor i the winter and a rafting and mountain biking guide in the summer. So this is something that definitely needs to be addressed. My doctor has been looking for specialists in the area, but has not come up with anything.
My urologist said I had an inflamed epididymis, but couldn't tell me why and prescribed some steroids to deal with the inflammation. It really didn't help. A few days later, I went to a sports med doc in salt lake city that specializes in using ultrasound to identify injuries. Nothing really showed up as far as any type of tear on the ultrasound, but he decided to numb the area and inject a steroid in to see if the pain went away. While numb, I felt great. After it wore off, not so much. He concluded that my adductors are injured and now wants to do PRP injections to heal the injury. What are your thoughts on this, and have you heard of this working for this kind of injury? The doctor said these injections have a 90% success rate when it comes to healing tendons. I saw someone posted that they used these injections. Have you recovered fully from this? I know everyone is different. I am still skeptical and wondering if I should be going to a specialist that performs surgery on this kind of injury. However none are in the area. I thought about giving doctor Meyers office in Philly a call to see what they had to say and if they new any surgeons in the area. Any insight is truly appreciated.
Thanks for your time,
Josh
rugby guy - that's great prolotherapy is working for, but if someone has a larger tear or the rectus is detached, that could easily worsen someone situation. Best thing to do, get it diagnosed and I dont mean on here, go see a professional and have a MRI or ultra sound. Be sure to see the few doctors mentioned on here for quick answers.
First time visiting this site in a while because it was down for a bit and I wasn't sure when it would come back up. Anyway, I'm seven months post op from surgery with Dr. UM and its honestly like I was never injured. I can run and jump pain free and have been able to do so since September.
As for my recovery, I walked three miles the night of my surgery. I was running within a week and playing soccer again within two. There were definitely some growing pains on the road back to full fitness, but the surgery was a God send.
As for rehab, I didn't really do any. My advice is take it slow (slower than I did!), do core and lower back work and STRETCH! If you were in decent shape before the surgery, then I don't think the PT is necessary.. my non-medical opinion. As for taking it slow, I mean give your body the time it needs to heal. With that said, I firmly believe you need to be active during your recovery period if you plan on returning to serious athletics. Again, I'm far from a Dr. but I've had enough bumps and bruises during my years to know that if you let an injury heal without loosening it up a bit during the process, it will be stiff.
Good luck to all of you w/ scheduled surgeries. For those that are injured w/o professional diagnosis from a Doc familiar w/ SH, you need to go see one or at least correspond w/ them online or by phone. I waited almost a year before consulting w/ a Dr. (mostly because I didn't know what was wrong w/ me) and I'm sure I made a bad situation worse by continuing to be active while injured. For those that think they can cure SH with rehab, I just don't think so. Torn muscles don't reconnect on their own.
Thanks for reading. M.
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Hi, I am hoping some folks will come back to post here. I am a 37 year old female distance runner (noncompetitive; in truth, a total schlub) who sustained a sports hernia injury during a very steep, badly cambered downhill section of a recent half marathon. I was lucky enough to get an athletic pubalgia protocol MRI just three-four weeks out from the injury which was positive for "a small midline detachment of the restus abdominous/adductor aponeurotic plate extending into the left adductor aponeurosis. Tendinosis of the left adductor origins without tear."
I was fairly shocked when the sports orthos cancelled my appointment and told me to see a general surgeon. Later, I got a recommendation to see Myers, whose office is two blocks from my own.
Anyway, I'm not sure if insurance will cover the surgery, although we are self-insured at work which makes it more likely. If not, I will look into Dr. M. I am fluent in German, although I would be worried about traveling immediately post-op. I've gotten nowhere with trying to get nonsurgical treatment/PT here in Philly. My primary was very cute - she had only heard of the injury in reference to benched Eagles players.
Any advice? I meet with Myers at the beginning of February. I feel lucky to have discovered it so early and to have a positive MRI and to be two blocks from one of the big guns. But I am nervous that so few surgeries are performed on women.
I am a former D1 cross and track runner so I have always been familiar with this particular thread.
I have not been a competetive athlete for five years now but I am experiencing somewhat mild groin pain on my lower right side only.
No lump
It only bothers me while sitting or laying down.
Two different urologists told me to turn my head and cough, then sent me packing.
My general doctor ordered an ultrasound that didn't reveal anything but I don't believe the tech was looking for anything other than a giant lump.
Any advice?
What kind of doctor should I see?
I am in Illinois.
Thanks!
Hi, I am hoping some folks will come back to post here. I am a 37 year old female distance runner (noncompetitive; in truth, a total schlub) who sustained a sports hernia injury during a very steep, badly cambered downhill section of a recent half marathon. I was lucky enough to get an athletic pubalgia protocol MRI just three-four weeks out from the injury which was positive for "a small midline detachment of the restus abdominous/adductor aponeurotic plate extending into the left adductor aponeurosis. Tendinosis of the left adductor origins without tear."
I was fairly shocked when the sports orthos cancelled my appointment and told me to see a general surgeon. Later, I got a recommendation to see Myers, whose office is two blocks from my own.
Anyway, I'm not sure if insurance will cover the surgery, although we are self-insured at work which makes it more likely. If not, I will look into Dr. M. I am fluent in German, although I would be worried about traveling immediately post-op. I've gotten nowhere with trying to get nonsurgical treatment/PT here in Philly. My primary was very cute - she had only heard of the injury in reference to benched Eagles players.
Any advice? I meet with Myers at the beginning of February. I feel lucky to have discovered it so early and to have a positive MRI and to be two blocks from one of the big guns. But I am nervous that so few surgeries are performed on women.
Groin Pain,
I have been to alot of Dr's through out the state of Illinois (17 in fact). The closest would be Dr Cattey in Milwakee Wisconsin.
@ Groin Pain:
Yes, you were on the right track with the ultrasound, BUT...it must be a dynamic ultrasound or a color doppler ultrasound. With either one, you have to be able to either do a Valsalva maneuver or move the body part that is causing the groin disruption. The other test is an MRI using the latest athletic pubalgia protocols.
Here is a website that is EXTREMELY detailed on the athletic pubalgia version of a sports hernia. It was written by Dr. Adam Zoga, who is the chief MRI radiology that Dr. Bill Meyers of Philly sends all of his patients to for imaging.
http://www.bone.tju.edu/download/pubalgia.pdf
This next website talks about the sports hernia and actually shows you a live dynamic ultrasound and as to what it should look like if you have a deficiency or weakness on your posterior inguinal wall - the "other" type of sports hernia.
http://www.sportsmedicineimaging.com/Sports_hernia.html
And finally, the best guide that I have found that talks about, shows and compares the major differences between "athletic pubalgia" sports hernia and "posterior inguinal wall deficiency" sports hernia. This one source, in my opinion, IS the road map on how to get to the bottom of things. Various flow charts teach the laymen on what tests should be done and at what stages.
http://www.msdlatinamerica.com/ebooks/PracticalOrthopaedicSportsMedicineArthrocopy/sid426875.html
I hope you find these all useful.
One last piece of advice, if this is not rehabable (is that even a word?), do mentally prepare yourself with the idea that you may have to travel to see a true specialist. Don't let distance cause you to make a bad choice on surgeons or doctors.
Best of luck and here is to a better tomorrow.
Are there any Dr. Muschaweck patients out there that are having trouble with their surgeries from her? I would like to hear from you, if at all possible.
You can reach me here:
Thanks...
Jschwab,
There was another female who was posting here a while back. She was a dancer and had surgery with Myers. I think it turned out well, but she hasn't posted in a while.
And for anyone who is interested, I'm still doing well following sports hernia surgery last May with Dr. Jeff Hoadley in Atlanta. After finishing up a fall soccer season in December, I took a few weeks off and I'm back to training again. Spring season starts at the end of February. I have no pain or limitations right now. I still have tightness, mostly in the hip flexors and some in the adductor. But I don't experience inflammation or pain. I jogged and worked out today with no problems.
The ladies name was Tiff and she was a college dance professor and she had a severe tear and adductor release. She e-mailed me about 8 weeks ago and said she tried to get on here, but assured me she was doing great.
I am 8 months post op and doing great also. At the 6 month mark i had another MRI because I thought I may be having symptoms on the other side but it came back clean...however, i had a little adductor scar tissue inflammation (which i was unaware of because i felt nothing). Meyers called it a grade 1 strain and is nothing to worry about. My rehab was much longer than most because of how long i was hurt for and how many compensations were made by my body. My therapist said i have a very adaptive CNS and that when i tore i was so heavily muscled that it developed compensations on my other side that were dramatic.
In fact i had a bunch of pics taken by my rolfer and you can see how long and tilted my left side was pre-surgery and now how shortened (too much it was 6 months post-op)...this shortness and pain i was having was my overworked psoas on the opposite side that just could not take it any longer.
These compensations were a huge reason for my post-op
#1) Plantar Fasciatis
#2) Torn MCL
So if you do get surgery make sure you have a good rehab program tailored for your needs. I followed the general one and my body was not prepared and tore itself again. I am a former fighter and for some stupid reason ignored pain......and kept fighting through. Never again.
I know walk everyday for 4 miles and do plenty of stretching (Ming Method) and lots of Yoga.
I prefer to feel good.
similar symptoms for me too. (I also have some back pain too- anyone else have that experience?) Went to an Ortho and MRI says Sports Hernia. Any surgeon recommendations near Louisville, KY?
Given your location:
Dr. L. Brunt - St. Louis, Missouri
Dr. Hoadley - Atlanta, Georgia
I believe both use mesh as part of their repair procedure.
Both are sports hernia specialists. Brunt has spoken at many hernia conventions on the subject of sports hernia/athletic pubalgia. Hoadley has his own website, check it out:
http://www.sportsherniasouth.com/
I can't speak to their efficacy or success rates, but I have seen their names mentioned previously on this thread.
Best of luck and feel better soon.
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