Anyone ever had a "Sports Hernia" aka: "Sportsman's hernia", "Gilmore's groin", or "
i am one of the "originals" who went to dr u.m.
this is very important that everyone who didn't fare well post-op, get checked out by a hip femoeroacetabular impingement (hip fai).
there are many people who didn't feel better post op till they got their hips operated on.
i had my first hip operated on 3 months ago and can already feel differences. fai, especially with labral tears, can cause similar pains to sports hernias as the same nerves are irritated. if the boney problem isn't addressed, the same soft tissues are getting tugged into the same strain patterns, only tighter since stretched and torn soft tissues are being stitched back together.
get an fai specialist, not some doc who's done 75 of them. it's nothing to really f*** around with.
I've had a groin pain and an abductor (magnus) pain that goes down my right leg for over 5 years. This started shortly after ACL reconstruction surgery on my left leg and would likely be caused or exacerbated by favoring my right leg. I also like to run for recreation (4 - 5 miles week) and play ice hockey. I have seen numerous doctors who all so far do not know what the issue is. I have tried PT, rest, ice, ibupropherin and recently started ART therapy.
In Nov 2009 I went to see Dr Meyers, where I got a bilateral MRI on my hip region. He immediately had me get an MRI Arthrogram (contrast injected in the hip joint) and was quite breif and dismissive of my problem as not AP. Instead he sent me to a hip doctor in NYC (Struan Coleman) because a labral tear was seen. I was a bit upset with how quickly and breifly he was in and out of the room, perhaps not wanting to waste any time since it did not seem to be his issue to fix. A few minutes of explaining the results and why he thinks it is what it is would have gone miles toward a better bedside manner.
I saw Dr Coleman, who was good and I trusted, but the logistics of getting a surgery in NYC was too costly. I found a closer doctor in NJ (Dr John Salvo) who I had the hip impingement surgery on my right side. This procedure was successful and recovery seems to be at or ahead of schedule. I can feel a difference in my hips between the good and bad ones, which will have to get the other hip done next year.
However, even with the successful hip impingement surgery (labral repair, bone shaving), I STILL have the same pain down my right leg that is separate from the groin that feels better now. I am able to walk/run/stairs/hockey/etc with close to 100% ability it seems, however my leg HURTS, especially when sitting in my car, at work or on the couch.
I still have to give ART therapy a chance to work (a few weeks so far). The pain appears to be in my abductor magnus (maybe other muscles too) and feels like it is always strained 24x7 with no ability to relax it. This goes from the bottom of my butt (near the hip joint) down to the back of my knee. Massaging it and electric-stim therapy makes it hurt worse!
Does this still sound like AP or possibly something else?
Wondering if anyone looking at this thread has seen Dr. Mark Zoland in New York City for a sports hernia?
Thanks for your post. Very helpful.
Regarding Dr. Boyarsky:
I've got an appointment with him in mid September. I'm hoping to move things along quickly, as my injury is quickly deteriorating.
I was curious what imaging he used with you, and if it's something that he orders only after an initial consultation? Does he use a dynamic ultrasound? If there is some way to get this done reliably before my appointment, I would love to do that. I'm in NYC so a trip to New Brunswick is do-able ... but not easy with my job as far as taking multiple days off work.
I had United, and they said they wouldn't pay. Basically they said they gave pre certification for surgery but its not a guarantee of payment. At Dr. Meyers office in Philly they said that means they won't pay and they never do. Meyers was in network for me, but the hospital wasn't. I heard online, from Meyers office, as well as from someone I know who had it done that Horizon BCBS is much better and will probably cover it. I switched to an EPO Plus plan immediately, was protected by HIPAA, and since the Dr I went to here in NJ was in network and the hospital was too, I only have to pay $250 for outpatient.
He may not be as well known as Meyers, but the Doctor I saw is very skilled and has performed on other family members before for very complicated surgeries. Dr. Meyers isn't the only option. You should look at Dr. Andrew Boyarsky in NJ. He is straight-forward, knows exactly how to look for it, and is no BS. He isn't the first surgeon I saw, but he's the one I trust the most, so I just had the surgery done a few days ago, and so far so good. I'd definitely give him a try, and if possible, change your coverage plan with Horizon.
I live in Baltimore, had the surgery (both sides) in Munich in November of 2008, with a follow-up appointment with Dr. Tucker in Baltimore a few weeks after I returned.
I often thought about coming back here and posting my experience because, in general, folks who have positive experiences or are \\\"cured\\\" move on with their lives and don\\\'t bother to come back to the forums. But its a slow day at work and so I went through all my old internet explorer bookmarks and saw this and realized I never managed to get back here and post.
Like I said, surgery was almost exactly two years ago. I\\\'m in great form now. I\\\'m 37, 6\\\'1\\\" and 198 pounds. I play soccer three times a week (in an unlimited leage on Sundays, an Over 30 leage on Thursday and pick-up on Tuesdays). In addition to that I weight train twice a week and try to squeeze at least one five mile run in a week. I have absolutely zero pain now. ANd I have no discomfort.
When I got back from Germany, I rested and did no exercise for two weeks. But exactly three weeks post-op I played the full 90 minutes in a soccer game in the freezing rain. It was so fun and since I was running at about 85% speed just three weeks post-op I almost cried from relief. In the second half, I got nailed with a ball right in the groin, right on the incision (where I was still wearing gauze pads). Scared the hell out of me, but I was fine. Six weeks post-op I was back to playing twice a week and ran the annual Celtic Solstice race here in Baltimore (my wife only beat me by a minute and a half and was jelous I did so well so soon after surgery).
I\\\'d say for the first year after surgery I was riddled with pain/discomfort on and off of various sorts. I had soreness sometimes, sometimes I would think maybe its coming back, sometimes the muscles on the inside of my leg would hurt, sometimes my hip would hurt, sometimes I\\\'d get nervous about sneezing, I\\\'d still have to pull my right leg up with my hand to cross my legs, etc. But I just ingnored all that small stuff. I realized the pain was better and I was able to do everything I wanted to do, so if I had a little pain or I need to grab the cuff of my right trouser leg to cross my leg, so be it.
What I didn\\\'t realize is that after a year, all those niggling pains and concerns were completely gone.
I think Dr. UM\\\'s surgery is extroidinary. I really feel a huge debt to her. I think the trick to recovering from her surgery is to just get back on the horse and power through it for the first year.
Having said all that, I don\\\'t think anything in this world is 100%. Regardless of what Dr. Um or anyone else says, there are going to be times when people do not get relief from her surgery.
Honestly, I went to her for surgery with the idea that there was a 90% chance she was goign to fix me. For roughly $10,000 I was okay with those odds. I wanted to kick back on the pitch and leather the ball as soon as I could. I\\\'m getting old and my days on the pitch are numbered, so it was worth it to me. I\\\'m super thrilled I did it.
I guess, after reading the last ten or so pages of this forum today, the best advice I could give is that if you\\\'ve got the money (I didn\\\'t but the wife and I remortgaged the house) and you want to get back out to your activity ASAP, the odds are definitely worth it. But yes, some of you won\\\'t get the relief you are looking for. The vast majority of you will though. Feel free to email me any questions. My email is aekbaltimore at gmail dot com
p.s. Dr. Tucker, the doctor that did my follow-up appointment, was one of fewer than five doctors in the Baltimore area that had even heard of SPortsmans groin or athletic pubalgia or sports hernia or whatever. He had never seen a patient who went to Dr. UM. He diagnosed me (cortisone shot to rule out something else, x-ray, MRI) and referred me to the guy in Philly. Instead I went to Munich -- but I still went to Tucker for follow-up. I figured it was better to get a follow-up appointment from someone who know somethng rather than someone who know nothign about the condition. He and a medical student were happy to learn abotu Dr. UM, had me do a few things, said I seemed in great shape, expressed an interest in te size of the incisions (wondering why she does the surgery open rather than scopic or whatever) and honestly, I haven\\\'t been back to the Dr. since.
I called Dr. Meyers office 09/2010 and apparently they are changing their practice and will no longer be dealing with insurance companies. I was told that I would have to pay 500 for the office visit and 5-9K for surgery---out of pocket! I am considering going to Germany as Dr. UM is listed on my insurance. I have all the classic symptoms and have been dealing with it for over two years. My symptoms include extreme pain when sneezing/coughing. Very bad adductor pain, especially after a run, inability to do a sit-up... The pain got so bad in June that I decided to see a local surgeon. I am certain I have athletic pubalgia. I asked the doctor about it and he acted like it is still an inguinal hernia. I had no bulge (typical of AP), he ordered CT scan and it showed that I had fat entering into my inguinal canal. I had laparoscopic surgery with mesh in June. 13 weeks later I am still in the same pain. I should have known better and stuck with my gut feeling to see a specialist.
I am back to square one. Can anyone who has seen Dr. UM in Germany or any other American specialist (Cattey, Hoadley, Brown or others) discuss insurance and whether or not it was covered. I really can't afford Meyer's surgery and am frankly upset that someone who is considered the best does not want the business of regular people who have insurance.
I just want this pain to go away so I can get back to high mileage!
I was hoping for some input. I've had a lower abdominal problem/pain since the winter time. Thought it was a pulled/strained muscle at first. Its not a severe pain but more of an ache where I can't pinpoint the exact spot.
I took a couple of months off, received treatment (ART, FSM, laser, ultrasound) and did physio during that time as well. I also had an ultrasound and an MRI which didn't reveal anything.
First run back, it hurt basically the same as before within the first 5 steps.
Its not really debilitating though. I could run 10 miles on it and it wouldn't be too painful. It seems like it isn't nearly as bad as when I first noticed it, but there is definitely still a problem.The main pain I notice is about 2 inches down and 2 inches to the right of the belly button. When running, it sort of radiates a bit down from there as well.
Are these symptoms similar to the ones experienced by anyone else? or do I have something completely different?
I'm extremely frustrated. Thanks in advance for any responses.
I was hoping for some input. I've had a lower abdominal pain/problem since the winter time. I took a couple of months off to rest it and received treatment (ART, FSM, laser, ultrasound) and had physio during the rest. I had an ultrasound and MRI as well, didn't show anything. First run back it hurt basically the same as before within about 5-10 steps.
I can go up the stairs two at a time no problem, the running motion and bringing my knee in tight to my chest are about the only things that cause it.
My pain is about 2 inches down and two inches right of the belly button. Its not a severe pain, I could run 10 miles if I had too, so it doesn't seem to be debilitating. When I run, I can't pinpoint the exact spot it hurts, and it sort of radiates down a little as well. Its not as painful as the first couple weeks when I first noticed it (thought it was a pull/strain), but it definitely doesn't seem to be improving anymore.
Are these symptoms similar to what anyone else has had? or do I have something completely different?
I'm frustrated and going crazy! Any input would be appreciated. Thanks.
no messages here for the past 6 months ?
We updated it. Sorry for the trouble.
> Can you tell me if this thread has been transfered because the last post is
> from 22 February 2010 and it is usualy an active disscussion board thread.
> Thank you
He you guys feel the board hasn't been updated in a while just ask them like I did. This board has very good infos.
If* you guys feel the board hasn't been updated in a while just ask them like I did. This board has very good infos
A little off subject but don't be surprised if this thread locks up again. It has been "down", "locked up" for nearly 8 months!!! It has a history, before I found it, of being ignored for proper maintenance quite regularly by the admins.
I emailed Weldon and his brother repeatedly about the importance of the thread and asked they keep it open for sufferers to have a resource of information. They ignored doing anything about it. (and yes, I have the emails still to prove it)
Best bet...post to this thread that doesn't lock up (or better said, a thread they don't take offline when they feel like it):
has anyone heard of getting a SH from lifting something heavy? do dr meyers or dr U.M. ever do the surgery and find that its not a SH but a regular hernia? i injured my left groin lifting something very heavy. i went to a hernia specialist in connecticut and he diagnosed SH but said 10% of time when they do surgery it turns out to be a regular hernia. do any surgeons do the minimally invasive surgery dr UM does but in the united states?
There is nothing "minimally invasive" about her surgery or Meyers' surgery. You get a 3-4 incision from her and sometimes an even longer incision with Meyers. Minimally invasive surgery usually refers to laparoscopic surgery. Neither do this. There is a Dr. Hanks in VA that is supposed to do her repair technique but he has only done a handful of them, so I wouldn't consider him an expert. I would suggest you go to a dedicated hernia center in the US and be examined by a surgeon that specializes in only hernia surgeries. Check out the NPHI in PA, the Hernia Center of Ohio, Dr. Petersen in Las Vegas and Dr. Brown in California. There are plenty of other sports hernia/hernia surgeons that have gotten notable mention on this forum, you may want to consider them as well. But definitely do NOT go out of the country for this surgery.
Sorry...I forgot the inch mark.
You get a 3"-4" incision from her.
anyone know what happened to this board? are people posting somewhere else? great information for years and then it all dried up.
Thought I pulled my groin playing in a summer hockey league back in the end of July. We played games every Saturday night, so I would just rest it throughout the week. Since then, my very lower left abdominal muscles (below my belt line) have been hurting along with my groin. I had trouble sleeping last night and it hurts like hell just getting out of bed. Since I live in Milwaukee I feel like I need to set up an appointment with Dr. Cattey. Praying that this is not a sports hernia. However, I do work with a guy who had the sports hernia surgery by Dr Cattey and he is good to go and back playing baseball.
I contacted Dr. William Brown in Fremont, CA about a suspected Sports Hernia. He suggested that I get an MRI. My MRI results showed that I had bilateral tearing in my rectus abdonimus-adductor longus aponeurosis. The day I emailed him the results he called me and suggested that I have surgery. It turns out that a Sports Hernia is exactly what I had all of this time just as I suspected. Being that I have had pain for over two years and a surgery that did not help me, I was excited to hear from someone who knew about the injury and said he could fix me up.
I made the 2300 mile journey to California on 10/23. Dr. Brown examined me on 10/24 and surgery was done on 10/25. I returned home on 10/27. I am very pleased with the way I was treated by Dr. Brown and his staff. Beginning with my initial contact email Dr. Brown has been outstanding. He called me personally the first time I emailed him and each follow up I made with him. In fact, he has called me every day since I arrived in California to check up on how I am doing. Today he called to make sure I made it home ok!
My surgery consisted of repairing the oblique muscles that were torn and a bilateral adductor tenotomy. When Dr. Brown opened me up he found that I had two tears on each side of my oblique muscles internally and externally. He said I really messed myself up in there but told me he was confident that he fixed everything up.
For anyone considering seeing a specialist for Sports Hernias/Athletic Pubalgia, be sure to put Dr. Brown on your list. He sees patients from all over the country for Sports Hernias and operates on athletes like us daily. He told me that approximately half of his patients are from other states. His procedure is an open procedure and he does not use mesh. He also recommends the adductor release if necessary. The procedure is billed as a hernia repair so insurance should not be an issue.
I will be happy to answer any questions that you may have about the trip to California, sports hernias, Dr. Brown, etc... If you would rather speak to me personally just PM me and I will respond.
I recently had sports hernia surgery with Dr. Rea Brown in Montreal. Him and his staff were all very nice. Its private though, so insurance won't cover it.
JFQuebec(or anyone else): How long was it before you started walking a few miles and then running? Also, how long before starting physio/ART etc.?
I am almost 2 weeks out from surgery now. Feeling pretty good and able to walk around without much pain. Not sure if I'm on track to start with all the rehab on Monday though. There is still a decent amount of pain doing certain movements.
It seems like there are a lot of varied responses in terms of when you can run again...some people saying 10 days. There is no way I could have done that...is 4 weeks reasonable/normal?
Any input is appreciated. Thanks!