I did not have the lump but i had the compensatory issues as well. They have settled down and only get sore when I am strengthening the RA with a new excercise, but it is more muscular now.
I think my therapist got a pretty good eye on my rights and wrong, if you get me.. But I'll difinatly see if and can get a FMS also. The results sounds really interesting, unfortunatly there aren't many of these therapists where i'm from.. But i'll keep looking.
This injury has really been an eye-opener, and i think once i get trough this i'll be in better shape than ever..
thanks for the advices.. That exercise seems good.. and i think i might try L-Lysine aswell, makes sence..
But what is your story btw i don't remember you had any earlier posts?
I don't know if you can heal or not, as JCsportsman pointed out i'm not a doctor or specialist of anykind (@JCsportsman none taken btw)
But i respect that you try to rehab this, but as someone else mentioned, i think you'll need some kind of protocol and plan.
But you may also have to realize that you might not be able to.. And that surgery is your best option then.
Just wanted to give a bit of info on the insurance front...
As I said my company is switching from Cigna to BCBS soon. Cigna has said I cannot travel for the purpose of seeking medical treatment - this seems pretty common among US carriers. BCBS said I can, but this is because my company requested this as part of the plan. Normally BCBS does not allow it. Dr. M is in the BCBS worldwide network as a preferred supplier, so this means I would pay in network costs for her services. Of course I'll have to get everthing in writing first. I imagine they will take some issue with going overseas to have in-patient hernia repair when I can stay local and get out-patient care. So in the meantime I'll continue my dialogue with Meyers (at least he's a network doctor in the US). Hopefully he doesn't decide I also have AP and they don't pay all of their share.
Not sure it helps anyone, but thought I'd throw it out there. One thing - make sure you push your insurance company for a definitive answer with respect to your plan. The person that told me no, just assumed based on BCBS standard policy. If I didn't ask a customer service rep (who told me yes) while calling about a different issue I would've taken the first answer as given. Instead I went back to the person that told me no and asked her to confirm.
Leaving early Tuesday morning for Philly ...getting a 2nd MRI to recheck things since my good side has gone very bad since Feb......1st MRI was NOV 2008............Surgery scheduled for Wed........be back Thursday PM God Willing....My buddy Albert will be picking me up at the Airport..........Thanks Albert see ya Thursday!!!!!!!
u get em sportsman! God bless ya man!! In JC's name!
Can anyone please post the link for the D. Boyles, is it, therapist article on recovery from AP? Cannot fing the page with the link posted by someone. will give it to the therist to inform him more about this surgery, etc.
Here are two:
Understanding Sports Hernia May Mean Understanding Adduction
Understanding Sports Hernia Part 2
just saw Hamilton interviewed at all star game. Heart breaking to see him sitting out. But the great news is he was sitting up, and get this leaning forward!! He was sitting on a gatorade cooler, which we all know how painfull that can be, and I saw him laughin hard! Most importantly he gave total glory to God. Which is awsome! I know this injury has brought me closer to Jesus. That's the best thing about this mess to me.
Because a few people here were recently diagnosed by Dr. UM as having inguinal hernias, I've considered that I may possibly have inguinal hernia, you never know.
Up until now, I had believed that because inguinal hernia surgery is simpler than sports hernia surgery. But I feel I was mistaken.
First, I see articles like this, that say the surgery is relatively routine but the recurrence rate is very substantial:
And then over the weekend I called a friend I grew up with (61 yrs old) who had inguinal hernia surgery first in about 1980's I think (mesh), then later had to get the other side done also.
Today, the original one has come back, and he has to push it in with his hand. He's not planning anymore surgery at the moment, feels he can live with it as it is for now.
From the articles, I see there are "direct" inguinal hernias (do not follow the inguinal canal, i.e., the go around it, directly), and "indirect" inguinal hernias which push right down the canal, coming out inside the scrotum eventually.
Then there is the Shouldice informational questionaire that certainly pays much attention to whether the patient has ever had hernia surgery before.
And I found numerous other places that suggest that there is a substantial recurrence rate in inguinal hernia surgery, and that, unfortunately, if the first one fails, then each successive surgical attempt becomes even more likely to fail, no matter where it's done.
Keep in mind this is for inguinal hernias, not sports hernias.
Not good news. I hope I'm wrong or missing something.
Anyway, it's not so simple. I'm trying to absorb it all.
yes I think some of the guys on here are being affected by inguinal hernias, they can mirror a sports hernia ive read. Theguys that feel that something is wrong but aren't dabilitated like SH can do. And I have also read that recovery time is about two to three weeks, till u feel normal, not be 100 percent. I would say UM is still best bet for this cause it is the Hernia Center and they talk aloe about inguinals on her site.
I thought indirect was when it loops in alittle and direct was when it pushed down.
garrett in denver wrote:
hey everyone! My appt with Dr. M on the 4th went very well. She said I had a "classic case" of a sportmans groin on both sides. They were both about the same size....about 1cm and both compressing right on the nerve that runs to the testicals and the upper thigh. She recommended surgery because of the pain they are causing.
I am still hesitant to fly to Germany for a surgery. Its just hard for me to grasp the concept that I pay for good health insurance and they aren't going to help me with once cent of it. SOMETHING has to be done about that!
I am pretty sure the pain will win out VERY soon and I'll be scheduling a trip to Germany in my near future. I also want to know why the SHs happened in the first place. Was I running too much...not stretching correctly? I don't want to get them fixed only to have it happen again in the future.
Mello----I remember you said you had BCBS and they said they were going to pay?? Any info on that?
I've received my refund for meds, but I've yet to be paid for the surgery itself. I've been told by the BCBS Germany rep that others have had surgery w/ Dr. UM and haven't had a problem being repaid. Its been five weeks since submitting my claim and they said it takes four to six weeks. I'll keep you posted, but I'm optimistic.
The injury isn't preventable from what I've gathered from talking to UM and independent research. I'm sure stretching helps, but your body can only take so much. The stress of twisting, turning, etc.. associated w/ athletics puts stress on your lower abs/groin area and your body may reach a point where this strain is too much causing a tear aka SH.
If you want your life back get the surgery. I'm 7 weeks out of surgery w/ UM and I'm 85% back in business. I still have some pain in my lower abs, groin and lower back on the left side, but rehab w/ a chiropractor and lots of stretching and self massage have me feeling better and better and more optimistic I'll soon again be back at 100 percent fitness. I no longer have to take pain medication in order to run.. I'm able to sprint w/o feeling that dull ache in my testicles.. I still have to stretch ALOT before heading out to play, but the ability to return to athletics has been PRICELESS!
Let me know if you have more questions.. Cheers and good luck.
Wishing you success and a speedy recovery. After 5 long years you are finally getting what needs to be done.
Good luck, JC! I'm sure Dr. Meyers and his staff and everyone at the hospital will take great care of you.
My appointment today is 10 am. Maybe I will see you and/or Tiff there.
good luck!! I hope it goes well.
To all Dr. Meyers Alumni,
Dr. Meyers gave us this 3 week rehab guide...any tips on how to follow it best/what to add/subtract for distance running?
Thanks in advance. Im a HOPEFUL future sub 2:30 marathoner :).
I think that 3 week rehab is very aggressive to be honest. I followed it to a T but I could not return to full activity...(plus i tore my ACL)..
I think there are copies on here of the longer one.
Today is the first day that my AP felt 100% for the whole day. I have sand-walked at the beach the past 2 days and it seems to really be beneficial for gluteal engagement. I have also noticed since I have worked with my therapist (from the FMS) that I am sore in the glutes after workouts and my shorts are getting looser. I take this as my adductors and hip flexors are not being overworked and my glutes are kicking in. I am still having opposite side lumbar soreness that will go to my TFL and hip area. However, when I massage it dissipates.
Today i can really feel huge improvement.
Albert, when was your surgery or how long has it been since? What stage are you at? Kent, gain pliability in the tissue near incision and those tight adductors. When you are sure they are responding well take on a little at a time. Better too slow than too fast after this endeavor. The regret of knowing "if I just would have done this instead of that" is the phrase to guide you. Think ahead. I know I wish I were training again- that's the drug. Go slow and steady.
As I am a week from surgery I am still feeling some mild aggravation in the right adductor area. Anyone believe that the insertion on the pub bone under the incision( tightness of that scar tissue) is the reason for this? Any recent recpients of surgery feel this 6 days post surgery? Also the incision on the right feels a bit 'moundlike'. Any comments would be appreciated...
I am 9 weeks post-op tomorrow. However, at week 4 i tore my opposite side MCL and meniscus and have plantar fasciatis on the right foot.
Also I was injured 4.5 years ago and was severly extreme in the injury and compartment syndrome.
I am about where I expected (minus the knee/foot pain). I can jog a little bit but I am/never was a jogger. I prefer sprints which I am still months away from with regards to my conditioning. I am still walking but have reduced mileage to 3-4 miles per day and doing extra strength excercises with my core.
My adductor still gets tight but is repsonding more and more easily to stretching.
Funny thing is my healthy side...which was starting to compensate before surgery gets tighter than my surgery side. He says this is because it was in a lengthened/weakend position so long and my FMS guy says die to that i hip hiked and that strains QL/flexors. This however gets better weekly.
I can see the light....
Albert, I originally injured myself in 2004 as well. Took a long time to find out what was wrong until I found Dr. Meyers. Had 1st surgery in July 2006. Tried to do too much too soon, felt as if I opened up the tissue again on two distinct occassions, inside an 8week period. I had surgery last wednesday for the second time and feel pretty good so far, aside from some irritations mentioned in the above comment. By the way, I had plantar facitis years ago before the AP injury. Every now and then it reminds me that it is still there if I am not careful. Usually run on grass using the perimeter of fields...
Once again, any recent surgeries expience the mild pulling in adductor, almost that it won't relax completely? and also the slight mound around one of the incisions? In my case the troublecome right side...Thanks from anyone out there.
I just talked to JC and he is scheduled for 1:15 tomorrow. He underwent his 2nd MRI today. His first one was in November 2008 and only showed a left sided RA tear and adductor issues. This new one showed bilateral RA tears and he is having 2 adductor releases and also a belly button hernia repaired.
This is a lesson to all of you to get an early diagnosis. Myself and JC both went through countless docs and 4.5/5 years. He was more active than I but I had a complete tear and alot of compartment syndrome.
I am sure he will do great.
Mello---thanks for the reply. I have BCBS, an HMO plan. Right now they have told me that they wont cover fixing a SH. I find that really hard to believe since it is something that causes me pain every day! Now that I have an official diagnosis, I am going to work with the Sports Medicine Dr. that I have been seeing who is "in network". This Dr. seems like she will be very receptive of Dr. M's diagnosis and will help me fight the case with BCBS.
How did you go about submitting the claim? Any words of advice? I have decided that I will have the surgery no matter what the insurance says about covering it. But I get more and more pissed everyday with the fact that I have good health insurance that says they are not going to help me with something that is causing me pain every single fu$%*#@ day?!?!?! Anyone know a good lawyer who deals with insurance companies? haha