Anyone ever had a "Sports Hernia" aka: "Sportsman's hernia", "Gilmore's groin", or "
All right johnny the jet, I looked over your holy cow post, as promised. I don\'t know right off hand what sacrum twisted clockwise means? I know anterior or posterior rotatiion and lateral or medial shift, but what do think they were trying to say be \"clockwise twist?\"
When anyone has doc muschaweck operate, who does the follow up here in the states?
Concerning the left side bulge and being able to move things around, and feeling a vienna sausage in the abdomen, the last time I encountered those exact same symptoms I was on ship headed back to Earth after visiting a remote planet off the grid, where we encountered a nasty little alien. On the up side, when that little alien came out he made it big in Hollywood as a co star in Aliens, so you might have that going for you Johnny. Just kidding Jet. If you can move more superficial tissue around, that might mean that the psoas on that side is extremely tight. I would certainly be careful with that stretching Jet. You just had doc musch. tighten and snug all that tissue up, so I wouldn\'t be stretching it all to hell, you know. Concerning your loose tissue comment, someone told me to not think about it as tissue that is loose and hypermobile, but rather associated tissue is extremely tight or to tight and the loose tissue feels wrong or stretched out by comparison only, ya know what I mean? Specifically, the tissue you can touch might seem loose because the deeper broad psoas is extremely tight. I think that would make sense anatomically???? Alright, if your iliopsoas was torn or severely damaged, it would hurt bad to lift your left knee to chest, while standing. Resistance,hand on knee, while bringing knee to chest would also hurt bad, but let me be clear. If this injury is older, say a year or 2 you could have really bad damage and still be able to lift your leg without sharp pain. I know that does not help Ok, your ? on CT or MRI of iliopsoas is interesting. I wonder why you said CT rather than the more popular MRI? Over time, even a clean rip and associated scar tissue fads so that it would no longer be visable AT ALL on a damn MRI. I think MRI\'s suck and are highly over rated. I know some things show up on CT scan that don\'t show up on MRI. Not having an MRI may really NOT have hurt ya jet. I heard once, abdominal tissue shows up better on CT scan.
In my case, if feels like the psoas has been pulled away at the top and dropped down and re-attached, but I have no alien to speak of. See the psoas is so deep and so inter-connected that it\'s hard to even be able to feel exactly what\'s wrong. All I know is it hurts damn bad. In my case, it would make NO DIFFERENCE, because the injury is old enough that it will no longer show up on any scan. I gotta go for now, but lets here some about my earlier ?\'s to posters, so we can all learn here.
lt, you rock.
thanks for the email as well, that really clears things up a bit and makes me feel as if i am on the right track with my healing. i guess i need more time.
last week i was swimming laps with no problems. then i went in my kayak and 3 hours later was in agony. still in good pain but has subsided with attempting to mush out trigger pts since the psoas are prolly tight as hell. i know they are tight as hell or my pelvis would nothave been so twisted.
i will work on not stretching that psoas. what you and a few others said makes good sense. my back is sore as can be after an 11 hour drive three days ago, just after my kayaking bit.
you have been a great help to all of those following this post, lots of solid info coming from your end.
my alien is still there but not as painful as it was pre op. your comment about my vienna alien just provided good releif.
i was wondering about the ct scan i had because i had it only 3 weeks after the initial injury, but the pain gradually increased as it does with a sh, and 2 months later i was screwed! wondered if i tore up more stuff by trying to get by thinking all i did was strain muscles, which never seemed to keep me from doing stupid things before. after my ct scan, a friend who is a chiro told me that the machine that scanned me was totally archaic and that i went to the wrong testing facility. so naturally i was worried that they missed something in the scan. not to mention the large # of docs that diagnosed me as having everything from epididymitis to mercury poisoning to severe food allergies causing the pains. would make anyone a bit anxious about their condition, no?
this thread got me to the point i am at today. seems like with this injury, unless you are a monitored athlete, have knowledge of sports med, or happen to have a really good doc, then you are on your own to solve the puzzle and get fixed up good.
gettin there, just looks like no puck this winter. could be worse.
glad you found lots of releif.
sounds like i have the same symptoms as you.
i am confused about the stretch-not stretch thing.
if i go and exercise (even walking) without stretching first, i am in pain afterwards.
before i go swimming i stretch about 20-30 min and then afterwards. i did not stretch beforehand one time and was all cramped up and in pain about 2 hours afterwards.
my pt has had me stretching the piriformis, glutes, adductors, quads, pelvic floor, quadratus, and psoas for almost a year now. with her trigger point therapy, manual therapy and stretching/strengthening exercises, i got to the point where i could go swimming and hiking 4 days a week before i was even diagnosed with the sh.
so i am wondering if i should be stretching the psoas or not, like you suggest. the pt would no doubt say to stretch as would several other pts. i do agree that if i stretch the psoas even a bit too far, it can react with some soreness but nothing as severe as exercising without stretching beforehand.
i haven't been stretching much for almost a week now and i feel tighter than i did 2 weeks ago.
Johnny sent me an e mail in which he makes a very good point. This thread has been the only source of information for some to help get on the right track to a diagnosis, and solution. It seems that if some of these people in medicine didn't encounter medical text on sports hernia or even soft tissue pelvic damage and resulting rotation, in whatever medical school they went to, then the condition simply does not exist. I read this thread from the beginning, and alot of people CLEARLY had unnecessary text book inguinal hernia repairs for a sports hernia problem. Well, close, is not close enough. Ya, there is some research by Meyers that indicates some got a theraputic effect from the scar tissue that developed from the inguinal repair, but it was simply consequential, or dumb luck. The story that sticks in my mind is the one from someone who posted who lives an hour from Philly, PA, Home of Bill Meyers on the mount. Bill and his sports hernia deal have Rock Star status in Philly, yet the person who posted said he saw a hernia group practice and they were oblivious to the term sports hernia, even though Donavon McNabb was all over the papers with his sports hernia problem and progress. How the hell does anyone or these doctors explain that they didn't know what a sports hernia was, being that they were only an hour from downtown BILLADELPHIA and Bill Meyers?
I have read most of the postings from 2004 to now and haven't found a description of the pain I experience. Any ideas will help. For years I have competed in Senior slowpitch at the national level. In the last 5 or 6 years I have been hobbled by a sharp jolting pain in my lower right groin with every running step I take when the right foot lands. I do not have other radiating pains. It also hurts when doing various other moves, such as getting up from bed. (it feels like tissues tearing). My internist says no hernia, just a groin injury and prescribed 4-5 weeks PT. It didn't help, of course. Does this type of localized pain result from sports hernia, etc??
In my experience (and at this point in my rehab), stretching just makes my psoas and other muscles tighter. Most of what I do involves the acitve rest position where you lie on your back with your knees bent at 45 degrees and feet touching the floor. From there I do various ab and leg exercises.
There was a about a 1 month wait to get an appointment.
plane = $1500 per person
surgery = $5000
Hotel = I stayed in the clinical residence. It is a hotel that connects to the hospital in starnburg. The 1st night is free after the surgery. If you want to stay after that it
is $100 a night.
DO NOT BE AFRAID TO EMAIL [email protected]
YOU CAN ASK MARTINA RESCH ANY QUESTION YOU LIKE.
THEY ARE VERY KIND AND WILL MAKE RESERVATIONS FOR YOU.
( I ASKED JUST ABOUT EVERY QUESTION I COULD AND THEY RETURNED MY EMAILS VERY PROMPTLY)
My email is [email protected]
I can answer questions faster if emailed.
God bless all of you.
i am hoping that all of you that have been through the surgery can post your status with your recovery; how you are feeling and who did your surgery, associated and referred pains and problems, etc..
there are lots of us here who are wondering, and your input is solid insight for all of us.
I had surgery with Dr. Cattey in early June. Prior to the surgery, I couldn't shuffle more than 5-10 minutes at a time, without having pain in the upper part of my groin near the attachment to the pelvis. However, unlike some others, I only had problems while running. I could walk, bike, and do light weights without a problem. I tried physical therapy, but it didn't do any good.
The surgery was in early June. Originally, the doctor said I should be running again in 2 weeks and training full throttle in 4 weeks. That proved to be way optimistic. I needed 4-6 weeks before I could do as much as shuffle every other day, and even then, it nagged me considerably until the end of August. I turned the corner in September, and am probably 90-95% today.
The injury still lingers in the background occasionally (maybe once per week, usually at the end of a long run)-- not enough to take a day off or even cut a workout short, but still enough for me to worry that I might not be "in the clear" just yet. But that could be said for just about any muscular injury. Overall, while I took longer than expected to heal from the surgery, I am satisfied and cautiously optimistic ablut the future.
My one complaint is that Dr. Cattey was not very good at returning phone calls. I think he returned the first two calls, but as my problems persisted beyond the "normal" recovery period, he stopped calling back. It was odd.
Hope this helps.
someone said it before, but this is the *best* info on sports hernia out there. thanks everyone for the input, and let's keep it going.
so, i'm pretty convinced i have this, all the symptoms are there. i went to a regular physician last week who of course didn't know what sports hernia is and just told me to rest. i found a good sports specialist who i will see this week.
one perhaps unique symptom i have is a slight popping in the groin area. actually a bit higher than the groin, but lower than lower abs, if that makes sense. anyway, it's like a very slight popping of a joint, it happens on both sides and is not painful but a strange sensation. i've never had this before, and i can't believe it's just coincidence that it's started at the same time as the groin/lower ab pain.
anyone else have this?
I have the same popping symptoms you describe. I am scheduled for surgery with Dr. Meyers in January. During my physical exam I asked him if other patients had the popping noise. He said it can happen with this type of injury but normally it is painful and results from something rubbing against bone. I told him mine was not painful at all and he told me not to worry about it.
YOu last 2 who posted. I wonder if meyers actually had a clown suite on when he addressed your concern. That meyers is something else, what the hell can you say about a guy like that. I think sports hernia most often involves an imbalance created by injury, but it's suttle, which is why the damage does not show up on mri. Because the abdominals and glutes act contrary to the hip flexor or iliopsoas, it's not a stretch to suggest that alot of sports hernias involve an anterior rotation of the affected side ilium. Now, the iliopsoas or hip flexor runs from an attachment to the femur deep in the center of your leg, and on the upper end attaches to the front of your lumbar spine. The hipflexor by itself, will externally rotate the femur as a result of the way it weaves through the pelvis. IN a simple equation, if the abdominals are pulled away, the hip flexor will tighten and rotate forward. When it does this, the femur head is no longer properly seated, and this results in a pop. I'm guessing it would most likely be observed when you lift your leg or go from seated to standing. OK, on the upper end of psoas, where it attaches to the front of the lumbar spine vertabre, because it is to tight it will tend to rotate the vertebra on the tight side, and this will result in popping from the L5S1 or bottom up to the top of the attachment as the top of the psoas attaches in a few places to the spine. You'll feel this pop as the psoas pulls more on one side, when you go from sitting to standing most likely. To coclude, the tight iliopsoas pulls the femur head and lumbar vertebra out of alignment, directly causing the popping. Tell that boy meyers to explain this to you like he should have already, instead of brushing you off. Let us know what he says.
Actually he wore a really nice Italian suit. And I didn't go down there to hear him spit out a bunch of complicated anatomical terminology that I don't understand. I told him where it hurts and he said he could fix it. Sometimes it's just that simple. I'm going to trust his years of experience.
Here is an email i received from one of his former patients. He is a D1 soccer player and he returned to play every game this season. That gives me more hope than any number of explanations about what a sports hernia might involve.
"He did a bi-lateral adductor release and abdominus rectus re-attachment. I had the surgery in mid May and was not playing until August. My recovery was significantly longer than most of his patients so I don't mean to scare you. But, the rehab is a long and slow process. However, if you stay positive and do everything Meyers says you should be fine. Now I feel I am back to full strength and think the surgery was completely worth it. Dr. Meyers really knows what he's doing."
Hi i just read every post in this topic and i have learned alot about sports hernias. My problem is...my son who is 15 years old has been experiencing something much like what you guys (and girls) have been experiencing.
First, a while ago, he was complaining about this feeling in his lower left abdomen...he says that it wasnt really a "pain" but it felt very tight and just not normal at all.
Second, he has a weird feeling in his groin area. He says that it isnt very painful but its very noticeable and like his stomach...just doesnt feel right. Sometimes he does get a pain in the groin that goes away eventually.
Finally, he does have some sensitivity and a little pain in his left testicle. (is this normal)
So I (we) were wondering what you guys thought about this.
If anyone in the southeast US is searching for a surgeon who operates on sports hernias, go to Dr. Tom Novick in Charlotte, NC. He is the team general surgeon for the Carolina Panthers and has operated on many college and professional athletes with sports hernias with great results.
sounds like sports hernia to me. dull pain in the testicles is a fairly common symptom (i have it too). my advice would be go to see a sports specialist.
Alright, ill make an appointment with Paul's doctor tomorow.
...what should i do if the doctor says that nothing is wrong? Should i see another doctor for a second opinion?
Not much of a stretch to suggest I've got issues with meyers. I know J. Problem is it seems to me that doc meyers has refined his screening process to exclude everyone that doesn't fit the EXACT mold. Why, becuase I think everyone gets about the same exact operation anymore from doc meyers. That may be why you heard about some recent sports celeb's that didn't do well after seeing meyers. It's alot harder to poke around in someone's pelvis looking for trouble than it is to pain stakingly refine the screening process so that your only operating on people you know won't go south on you. I'm being objective here, so their should be no dispute. Thanks Beth. Sports hernia doc's all over the damn place anymore. I would be interested to know who these people paid to show them how to do this new procedure. All roads lead to Billadelphia.
To the guy with the 15 year old son. If I were you, I would first be sure not to fall into the un-necessary inguinal hernia operation trap some docs are performing anytime they hear abdominal / groin pain. They do it becuase it's all they have to offer, but if you read the threads it's wrong. If you are really concerned about your son, after ruling out an inguinal hernia bump, I would probably take him to the inventor of the sports hernia procedure and save yourself and your son 5 or 6 un-necessary operations. Go to the Mecca,.......and say hi to Bill for me. damn bill
I read your post again Paul, and I would be very interested to know what meyers would do with what you described. Anyone who's seen meyers lately,..... is his waiting room still full, and is he still doing the 1:00 shotgun start? I hear everones appt. is 1 and he sees celeb's first. I would be interested to know if the tidal wave of sports hernia customers has finally crashed on shore and business has slowed down? Paul, I got an e - mail here somewhere for meyers, but if I look for it and give it to you....you gotta promise to come back and tell us what he said. I suspect you'll get no more than a, "could be a sports hernia, why don't you contact my assistant for an appointment, so you gotta really sell it to get more, OK Paul?