sports hernia/ athletic pubalgia

I just got back from Munich about 2 weeks ago. My surgery went really well, but I sneeze real hard on day 5 post op. I guess my sneezes are more powerful than most, but I've been a lot more sore ever since.

Talked to Dr. M and she says I stretched the scar and my nerves aren't happy about it.

Just a warning to others who do this kind of thing. Avoid sneezing. :-)

The original thread is back up and running:

http://www.letsrun.com/forum/flat_read.php?thread=559820

Sorry for having it not updating the last few months.

hey bw

I also just had Muschaweck cut me. Yeah - sneezing or coughing are a BITCH. I find that I need to hold my gut when these approach and then try to suppress as much as I can. Overall how do you feel? My pain level is just now [operated on me on Friday afternoon] allowing me to stand and walk more normally. How about you?

Cheers,

Shriv

The other thread is still down. Such a shame as I have wanted to post there a few times.

Has anyone heard of this guy in the UK

www.lloydrelease.com

He does the laproscopic surgery and says recovery is in days!

that other thread is still not working- you can reply, but the reply doesn't show up right away

recovery in days seems a little optimistic. i had open surgery with sutures for a double SH so that would be harder to recover than laro, but i wasn't recovered in days. i could run a slow, slow mile after 14 days, and now (10 weeks) i'm back training like i was before.

details if you want them (including ugly surgery pix) here...

http://alansmiles.blogspot.com/2008/10/details.html

There was a guy on here who had is groin repaired by Jerry Gilmore, THE MAN!

He was in more pain after the surgery than before and ended up going to this David Lloyd guy in Leicester to get the surgery redone.

This forum has been a great info source but not too much mentioned about surgeons in the UK.

If my insurance were to cover me going to Germany I would be interested. But since they do not I am having this done in the UK.

I have had this AP, Sports Hernia, Gilmore's Groin, Sportsmen groin for over 4 years.

Doctors just do not have a clue what this is. At first I was told it was a groin strain. Sent to physio and offered injections. As there was no guarantee the injections would work, I decided against.

I was then sent to a hernia surgeon. He looked me over. Turn cough all that crap. I said is this a sports hernia, he said "could be and I can do it"

The cheeky git was going to just have a look around and do a normal hernia repair. lol, I said how many of these have you done and he said 12!!!

So I continued with it for another 18 months.

I am going to get it done in the next few days and will keep you updated.

I'm about to drive to Philly in two days to have a bilateral repair with left adductor release with Dr Meyers, I would love to hear from any of his patients who had a good recovery or not from the procedure. Thanks a lot.

chris

Hey Shriv

I am feeling a lot better six weeks post-op, although there is still a little soreness/tightness when I do some minor ab work. I'm having a higher incidence of side stitches than usual, but hopefully that will subside with better fitness and strong abs.

Hill sprints and striders were no problem last week and I haven't had any pain while running (70 miles last week) so I think I'm pretty in the clear.

Hi all.

I just had Bilateral repair of my groin. About 4 hours ago.

I had the Lloyd Release done by David Lloyd. He done it keyhole/laproscopic and it took just over an hour.

It was done under general anesthetic and I have already been up taking little steps.

The tightness in my groin feels like it has gone but I am quite sore and if I cough then the pain is very bad. Of course still early days.

I have 3 small cuts and will be staying in hospital tonight.

I will keep this thread updated as I am still unable to post on the other "big" thread.

If any one is having this kind of surgery in the UK feel free to email me

mred406@yahoo.co.uk

.

The surgeon said it would be 97% successful. May not work but he is positive it will. He said to start stretches tomorrow. He also said that I should start stretches tomorrow and get back to normal in the next 10 days or so.

Fingers crossed.

Must say that I have seen 3 specialists before seeing David Lloyd and he has be very helpful. Responding to any questions via email even responding late at night!

The other surgeons were VERY difficult to get in contact with. Infact I was told by 2 of the surgeons sectary's that the surgeon will not speak to patients directly.

So far so good.

So a couple days after surgery and the pain in groin has gone. I have bruising and swelling and a little pain from surgery but I can walk no problem. Ive even done a few minutes on the bike. But im not going to push it.

If I cough or sneeze its VERY painful.

So far so good!

will now keep an eye on this thread after the other one died, shame really, it would be handy to post once more at the other thread to link back here.

Glad someone who went to David Lloyd is doing well, i have still to understand a) whats wrong with me and b) where to go to get fixed. I am hopefully meeting Dr UM in London to discuss her take on all this.

Two weeks today since surgery.

I feel much better, am back to work and doing some light upper body weights exercises.

Bruising still there and still have pain, especially lower abdomen but I was told it would take up to 6 weeks for swelling and pain to settle.

Staying hopeful, not been taking pain killers during the day but evening its quite sore so take some. At the moment it is worse than pre op.

I feel better than I thought I would!

Hi All,

I've wondered for quite a while if I might have a minor sports hernia. I feel like there is some extra looseness in something in my extreme lower abs on the right side. It does not cause me much pain at all. If I stop and pay attention I can feel a very minor ache radiating from the area.

My chief complaint is that I have lost some fluidity in my stride. In a way that is hard for me to define, my right leg does not line up the right way. I've done ab work and stretching ad infinitum and it doesn't help. It feels as if some crucial structural component is not holding things tightly into place, and no matter how strong the surrounding muscles are, I can't correct for it. In contrast, the left side seems very, very tight. When this problem came on, I started to get slower, and I think it is due to a loss of efficiency in my gait.

A general surgeon ruled out a normal hernia, but my right nut is slightly descended and it didn't used to be. I'm wondering if this is similar to any of your experiences and who you would recommend seeing to rule out or confirm that I have a sports hernia. I live in the Western U.S.

Thanks in advance.

go see dr. brown http://www.sportshernia.com - he's in fremont (near SF) california

I had a similar issue. pain in the lower abs, had to roll to the side to get out of bed, hurt when sneezing and coughing, stride felt awkward and just "off". Aggravated it with a hilly long run in the snow, had to take a month off. It was coupled with a piriformis issue that was probably caused by the same thing. They are both better but the SH is still there-fixing the hip alignment/glute strength is the only way to truely fix it I think. Try this site-everywhere else says surgery is the only way but this site might give some hope, especially for minor cases. it is a shitty injury, requiring surgery most of the time, time off not doing much for it, and in a complicated place to strengthen. good luck.

http://www.strengthcoach.com/public/1606.cfm

Hey ya'll,

Generally, surgery is a poor decision, as the vast majority fit the "exploratory" category and the doctors fail to address the other contributing issues. Recurrence is a huge issue with sports hernia, and without addressing the underlying issues, you'll likely end up out and rehabbing again and again. I just blogged about sports hernia and it's implications for runners today. Take a peek at

http://boddickerperformance.com/?p=60

. Let me know what you think.

--CB

Those 9 rules look to be pretty good. Hills are good for activating the posterior chain though. I think that, in my case, the SH was caused by tight/locked hip flexors and weakened/tight glutes. This tilted the pelvis forward and put more stress on the lower abs...and voila!, sports hernia. Keeping everything in the hips tight and loose in the right places and avoiding muscle imbalances is the way to beat this thing IMO.

The most critical issue in sports hernia is simultaneous hip flexion and adduction. While hills are good at involving posterior chain action (bounding much more so than really running), the combined effect of hip flexion and adduction (in athletes with improper recruitment patterns--aka most), not to mention, many people have the tendency to quad it up the hill by going into an excessive anterior weight bearing posture. Further, hill bounding and running is an integration of several less complex motor actions. If (and most aren't) you aren't recruiting properly in isolation, it absolutely won't happen in integration. I see much better options (initially, at least) to get the posterior chain back, and none of them involve running. It is essential to start from isolation before you start integrating, especially with a sports hernia.

--CB

CB457 wrote:

The most critical issue in sports hernia is simultaneous hip flexion and adduction.

--CB

Could you explain this better? What are the mechanical causes of a SH? What exercises/stretches to fix it?