unfortunately, you may be able to "hide" your pains with compensations from neighboring muscles, but eventually, sooner or later, you will not be able to anymore, and surgery is the way to fix things. ask the 20k + people who have had it done.
Anyone ever had a "Sports Hernia" aka: "Sportsman's hernia", "Gilmore's groin", or "
unfortunately, you may be able to "hide" your pains with compensations from neighboring muscles, but eventually, sooner or later, you will not be able to anymore, and surgery is the way to fix things. ask the 20k + people who have had it done.
That's the problem. It seems impossible to ask any of those 20k + people. Maybe they're all out playing sports today, leading very happy lives. How can we talk to them? It seems to me a Sports Hernia Sufferers Association, or some such, would be a great help to everybody.
Anyone have any experience w/ BCBS and Dr. UM? On the overseas list, she's listed as a provider. I'm 9 years prior military and this is my first year of working as a civilian so my knowledge of commericial healthcare is extremely limited. Any info would be greatly appreciated.
Also, like many of you, 10 months later I've yet to meet a doc who's even brought up the term sports hernia though after doing my own research, my symptoms are typical of this type of injury. What type of tests (MRI, ultrasound, etc..) do I need to have completed in order to properly diagnose the injury?
Any suggestions for docs I could see in the San Diego area would also be greatly appreciated.
Mello - Dr. UM is gonna be seeing patients in Colorado in July. Go see her and get the Ultrasound/Sonogram. I'm glad I did so I know the extent of my injury while trying to rehab. If it doesn't work out, I'll go to the Munich for the repair.
MRI, CT Scan (had them all) will not show the injury (bulge in the posterior wall of the groin canal compressing the nerve). Dr. UM will show you the bulge and measure it during an exam, then you can workout a plan for getting your life back to normal. Please don't see a regular Hernia Doc here in the US and let them take a shot at fixing you up. Go see Dr. UM.
This NFL pick underwent sports hernia surgery and is now at 100%, according to this news article:
I wonder who performed his surgery? How could I find out?
I am trying to rehab myself as are several of you (I'm 42 y.o). I am making some progress. I only do bodybuilding which includes some running but I don't play sports. I was doing sprints on the treadmill, which I suspect is connected. I have cut out all running, including of course the sprints.
I still lift weights but I don't do any movement that hurst. This cuts out a fair amount of movements but leaves many as well. I can go over the details of my routing if anyone likes - I even figured out how to do legs pretty well (obviously everyone's body and injury of different, but still). I also cut out all direct abs.
I have also incorporated exercises from the Boyle website. I like to do those scissor leg lifts and the side to side squats (not going too low). It is true, I agree, that it is best not to fatigue with too many sets, as that aggravates it. My pain is much less, especially the groin pain (up inner thigh burns much less, not at all mostly now).
I still feel injuried, and I may need surgery, who knows. But I feel it is 50/50 now whereas I tought it was 90/10 before. If I can't fix this to my satisfaction than at least I fixed it enough to reduce the pain until surgery.
I will probably see Dr. UM in the U.S. in the summer to get evaluated unless I feel like I am totally cured which I don't feel yet.
I am in the exact same situation, but I have not started with any weights at this point. I am primarily using Boyle's Rehab program and focusing on Core Workouts. I am seeing some success and this morning I had little to no SH pain, other than soreness along the groin canal to the touch where Dr. UM found a cherry sized bulge compressing the nerve. I would love to see the weight programs you are doing. Dr. UM was very clear in telling me the bulge will not go away, but if I work hard enough I can lift my core and raise it off the nerve which would greatly reduce my pain. Not sure if I want this as a long term solution. Like you, if I decide to eventually get the bulge fixed so this never comes back...I will be in a lot less pain before hand with my workouts and rehab. It's a tough call. Please share any workouts you are doing. I'm always looking for new stuff.
Mike in Va.
After contacting my insurance company (BCBS PPO), I've found they will cover 100% of my surgery w/ Dr. UM minus a $200 deductible. The only potential down side is I may have to front the money if the hospital won't bill the insurance company direct. Wish me luck.
is this thread still up?
I don't have a specific workout per se, just a way to keep lifting weights to see if this thing heals or to keep me going until surgical intervention. Basically common sense, nothing that hurts it. But lifting weights is very important to me, the running I can do without, but not the bodybuilding.
I can still do every body part, but I just have to choose the exercises. For example for legs (quads) I can't do some things but I can do this: I start with leg extensions which do not bother my stomach or groin. I can do four of five good sets of those as heavy as I want. Then I do a couple sets of modified squats (the quads are already pre-exhuasted from the extensions so heavy weight is not needed). I take a dumbell in each hand (I use about 40 lbs or so) and do deep knee bends. Just go down a little more each time to see how far you can go. It's all about control - if you go too far down you know. I do a few sets of that and that's it. And you know, that made my legs sore for two days.
So, by adjusting like that I can still lift weights pretty heavy (I have different routines for other body parts if you like to know in another post). I notice if I take any time off that is no good, and if I over-do it that's no good either. As you know, this thing is tricky. Today is not a great day but it is much better than when I was still trying to run/sprint etc.
But it only takes a little bit to flair it up! For example, I can't really sit on my bed in certain positions - like one leg perpendicular to the other or it strethces the groin muscles too much. And a sudden twist will set me back a bit too. It's such a fine line I understand why athletes get surgery quickly.
So it's been a lot of two steps forward and one/two/or three! back. But I am definitely not in pain all the time anymore, just sometimes but my activity is certainly limited. Hopefully if I see Dr. UM for a consult I will know more about what is going on. I would like to know if I am healing or not.
Hi all, I thought I would share my sports hernia story. Perhaps it may be of some use to someone.
It's quite long though so perhaps I should summarize it in a few lines at the beginning here:
- I had a sports hernia for 2 years. Common symptoms being dull pain in right groin.
- It got a lot worse after the first year. Even walking too much would cripple me.
- I saw several GP's and surgeons and spent 6 months just waiting to see people/get tests done.
- I went to see Dr Gilmore and had surgery for a Gilmore's Groin.
- I seem to be better and can run again!
I first noticed the symptoms about two years ago, during a game of football that I played once a week with people from work. I'd just started playing again (I'm 31 by the way) and this was maybe the sixth week or so along. I developed a dull aching kind of pain low down in the right groin, it seemed fairly localized most of the time but would 'radiate' over a bigger area when it got worse.
It did not feel like any kind of sprain or pull I'd ever encountered before and, for a short while, it didn't stop me completely playing football.
I'm sure a few people reading this will be familiar with the symptoms. Any kind of 'sudden' movements, especially breaking into a sprint would increase the pain. It wasn't cripplingly painful or anything, but it did slow me down and got worse throughout the game and would ease off when I stopped moving.
The next day or three I would often feel worse than the day I played and more noticeable getting out of the car or bed and when walking about. However the symptoms would fade away during the week until they were practically gone and then I would go to play again the following week. Almost immediately the symptoms would return and the same process happen again.
I think at the time it first occurred I thought it may have been some sort of strain I'd never had before and I would do more pre-game 'stretching', which obviously didn't help.
After a few weeks it was if anything getting worse so I figured this wasn't something I could 'run off' and stopped playing completely for about 6-8 weeks or so, doing no real exercise of any kind during this period. The symptoms faded away after a week or so, but from what I can remember there was always some kind of subtle 'feeling' or sensation in the affected area, that it wasn't quite right.
After the 8 weeks or so I felt pretty good though and tried to play again and again the symptoms returned immediately and about that time I thought something was pretty wrong here and started doing some searching online looking for anything that matched the symptoms.
I came across some site that described various hernia symptoms which also mentioned sports hernias. From what I could make out I didn't match the descriptions for normal (inguinal?) hernias so much but the sports hernia description was a pretty good match.
It was still probably 7 months or so before I saw my GP and what she basically said was that it was a groin strain and I should see a physiotherapist, she did the cough test and felt for any signs of an inguinal hernia and there was nothing to find. Since I was unfamiliar with the idea of Doctors being completely wrong I just left and went back to my normal routine, I wasn't playing football so I wasn't having any particularly troubling symptoms and I found that I could use some machines in the gym like the cross-trainer, stepper, rowing machine, cycle etc with no real issues.
After about a year though an incident occurred where I was walking home drunk one night and went to kick an old can lying in the street. Anyway, I booted it so hard that the momentum caused my left foot to slip out from under me and landed pretty much on my back. I just got up and went home but the groin area felt a little bit 'odd' after that. The next day or so I was at the gym and started developing some new and somewhat more worrying symptoms. From the affected groin area and right across the centre of the pelvis I suffered from a strange, crippling kind of pain that felt almost like I was 'sick' or, as someone suggested, as if I'd been kicked in the groin but the pain was higher up across my pelvis. I had this feeling for about a week, it was bad enough that I had to take days off work sick and just lie on my back in order to feel any better, walking could be quite difficult.
I now decided to do what the GP had suggested earlier and went to see a physiotherapist, however (after testing my hips) she said it was nothing that she could help with. Anyway I suddenly started to feel somewhat better and after a couple of days could go back to work normally. From now on though I would never feel totally okay and my right groin always felt troubled. If I did any kind of exercise other than walking then I would get a relapse of these symptoms a couple of days later.
I kind of got by like this for a couple of months without any serious incidents occurring again until I came back from a weekend trip away on a stag do and a couple of days later had to take more time off work because the symptoms returned.
I went to the GP again (it was a different one this time for some reason) hernia. He also did the inguinal hernia cough test again and said it wasn't a hernia. I told him I knew that and suggested a sports hernia. He had actually heard of them but didn't know anything about them so he referred me to an orthopaedic physiotherapist. Now I'm in the UK and don't have health insurance so everyone I get referred to is done via the NHS and I'm about to find out that if you have a problem that is hard to diagnose then it's going to take a looooooooooooong time to get anywhere.
I have to wait for a month before I can see the Ortho physio and he tests my hips and actually thinks that I might have a sports hernia. Interesting thing that happened here is that he tried to test for dilation of the superficial inguinal rings but did it wrong. Anyway he now refers me to an orthopaedic hip surgeon, so I have to wait for another month before I can see him.
During this time I'm having to take at least one or two days off work to rest because just walking too much now causes the symptoms to get worse.
I go to see the hip surgeon guy, have an x-ray done and he wants me to have an MRI scan on the area. This ends up with me having to wait for six weeks to get it done and THEN I end up having to wait for another two months just to get the results back (which I got back in February of this year).
The results were basically a letter saying 'can't see any tissue/hernia damage, may have some slight irregularities on hip that may cause minor impingement.' Oh, and he also referred me to another surgeon, although the letter didn't mention what this surgeon specialized in - I figured it was another hip surgeon but it turned out to be a hernia specialist (I think, it's irrelevant anyway).
With all the waiting I was doing I'd had time to do a lot of reading about the problem. I'd come across this thread and the various specialists mentioned here and also I'd come across the website for the 108 Harley Street Gilmore Groin hernia clinic in London (I live in Manchester).
I also read up about FAI after getting that MRI letter back and was a bit worried that may have been a possible cause of the problems I was having (although it turns out in the actual MRI report it was mentioned that it probably wasn't FAI - it just didn't say that in the letter they sent me).
After about two weeks waiting to get an appointment letter to see the next surgeon I just got fed up of waiting and made an appointment at the 108 Clinic to see Mr Gilmore the following week.
I've read a few accounts on this board from people who've seen him and someone mentioned that he had zero empathy and was difficult to talk to. However this wasn't really my experience and he seemed perfectly reasonable to speak with and asked me about my work and if I followed any sports or whatever and he was generally quite helpful. He asked me a lot of questions about the symptoms and when they occurred and looked over the reports from the previous surgeons I'd seen. He did an examination and also tested for dilation of the superficial inguinal rings like the orthopaedic physio had tried to do. He obviously did it correctly though because on the right side it hurt like hell and left side was just uncomfortable. He diagnosed me as having Gilmore's Groin in the right side and said it probably wouldn't get better without surgery, which I booked to have the following week. Including all the consultations the total cost of the surgery was about £3k - I didn't require any work on my adductors either.
Anyway, I had the surgery about six weeks ago and at the time of writing this I really feel quite good. I had hardly any issues after the surgery and didn't need to use any of the painkillers I had. I could walk the day after and walked every day for the first couple of weeks. After two weeks I was back in work and I started going running after three or four weeks. Now I'm trying to run every day for a half hour or so and can sprint again. These activities were impossible for me before I had the surgery and would have left me crippled for days, therefore so far I would say it has been extremely successful.
If anyone is contemplating letting someone operate on them who isn't a specialist in this type of injury (like a regular hernia surgeon perhaps) or hasn't much experience with them, I would seriously suggest they reconsider and see someone like Mr Gilmore or perhaps one of the other names mentioned in this thread.
That's great news. Your post is one of the most informative posts in this entire thread. Very helpful to me and probably many others. Many thanks.
Your description of the follow-on pain that typically came not immediately, but a couple days after sports, is much like mine. How is that follow-on pain now that you've had surgery?
What types of pain now? What type of rehabilitation exercises did you do?
All of the pre-surgery symptoms I described in my post have so far been eradicated including the follow on pain from the days directly after exercise.
The groin area no longer feels 'unstable' like it used to and I've been doing some running pretty much every day or other day with no ill effects.
Sometimes the area that was operated on will sort of ache mildly (not like the previous hernia symptoms though, not as deep either), especially if I sit down for a long period of time and I can get the odd twinge around the op site or in the abdominal areas but stretching/walking helps and a lot of the time I feel perfectly fine,
Standing up it can also sometimes feel kind of 'tight' across the area where the op was, however in all these cases I actually feel better after going for a run or walk.
I think it is likely I'm still recovering from the surgery itself but even if these issues were to remain then I'd still be happy with the result to be honest, as they don't affect my day to day goings on.
I'll see how I'm doing after another month or so and see how it goes doing different types of exercise and will probably make an update post or something here.
For the rehab I had a list of, I guess 'gentle', stretches to do 4 times a day (although I got a bit slack with that number), nearly all of them lying on back with feet on floor and bent knees. I also walked several times a day for 10-20 mins at a time the first two weeks (usually would be a bit sore in the mornings and had to be careful getting up or bending etc.) and worked in short jogging sessions the 3rd week and could go at a fast run after about five weeks.
The stretches lying on back with feet on floor -- could you describe in more detail the best one?
Was your stay in the hospital overnight? What was the length of the incision?
Also, I would sure appreciate it if, as you mentioned, you could update this thread as you progress?
One other thing, Wolfington -- Would you be able to join a forum I set up at http://www.SportsHerniaForum.com? It has advertisements sprinkled all over it, but it does enable one to create new threads and subscibe to threads.
Could you copy/paste your original post there as a new thread? It could be very valuable to many people it seems to me. And it's difficult, as you know, for people to constantly check this great LetsRun.com thread for new posts.
If I can't get my sports hernia to heal, then I'm going to have to consider going to Dr. Gilmore, I think.
Hi Mike, could you please give me more info on exactly when in July Dr. UM will be in Colorado and how to contact her.
Thank you, T
Just got back from Philly and was operated on by Dr. Meyers late Wednesday.
I had a huge rectous abdominous tear he said. A torn pectineus and tendiosous of the longus which he did a release on. He also injected cortisone into the adductors during the surgery. I have a 5.5" incision (larger than most) because my RA was detached.
I was in the hospital 3.5 hours and walked out. Took no pain meds until day 2 when I took some percs to fly home which was no problem. i drove today to my neuromuscular therapist who could not believe how well i was walking and how supple my surrounding postural muscles were. They were usually like bricks compensating for my tears. I just walked once around my lake (1.5 miles) and a little tender.
I can not imagine how strong i will be in 30 days. Psyched i had it done.
Man, that's wonderful news. Hoping you have a speedy recovery.
I also wanted to comment on how professional the whole experience was.
The hospital was great as well as the food. Who would have thunk it? (great philly cheese steak)
I know everyone heals differently but i was disabled from this for 2 years. Until I got the diagnosis 2 months ago i would continuously retear the adductor and RA because i was following a lumbar therapy. This would increase my compartment syndrome which is the leg pressure that would force me to lay down after only an hour or so of being out and about.
It is now exaclty 50 hours post surgery and I am driving. Getting in and out still hurts a wee bit. The incision is still semi-tight. The adductors actually feel good. The opposite side which had become increasingly tight is now very loose and supple. Even my plantar fascitis is not there because sometimes it is caused by an excessively tight soleus and now my legs are very loose.
If anyone has any questions i would be happy to answer them. I was not nervous before the surgery because I knew it was better than the life i had been leading and that #2 pro teams entrust their multi-million dollar investments in this man.
Also Meyers is awesome. He called me the next day and said he was surprised I was out of the hospital and expected me to be there overnight. He wants his afternoon surgeries to usually spend the night but if you can walk and urinate (not together) they release you.
I am ecstatic just to be out of pain that has plaqued me for 4.5 years. I look down and my feet are stright, my hips feel good.
I am going to just do my walking but I am excited to be able to do my boxing regimen in 5 weeks.
IF you are torn like i was no amount of stretching will ever re-attach the tears. The adductors then go into overdrive to support your pelvis causing them to shorten, scar and inflame. In my case the pectineus had a large tear as well. So if you have SH Meyers is worth the call. I had talked to guys who had tried rehab for a year or so and just ended up reinjuring.
Also a PHilly Flyer was in my room and being discharged while i was going in. He was there for 3 days.....
I'm not really sure how you mean by the best stretch - I think to be honest they are generally post-surgery stretches to help get over the damage caused by the incision as much as anything (as that caused me the most problems after the op) and help activate all the muscles in that area and the core, I'm not really sure if they would have been of any use to me pre-surgery at all (pre-surgery I did try doing some core strength exercises using a ball but they didn't help).
They're very similar to stretches recommended to people who've had surgery for inguinal hernias.
The incision is about 3 inches and not particularly noticable and the swelling has gone.
I may sign up to your site although I don't really post in many forums, but if I don't within the next few days then feel free to copy and paste what I've written here.
As a quick update I'm actually feeling better than I was last week, practically normal now.
Albert - I'ts good to hear that you are feeling better. After two years I jumped at taking the surgery as I was pretty much a wreck and barely able to carry out daily activities.
I would not put much credence in the Mayo report since they are not the leading authority on this topic. In fact the MRI technology to determine surgery is still fairly new. Prior to this Meyers only used a clinical exam to determine candidates. He has operated on close to 7000+ people and many are multi-million dollar athletes whose bodies are their living.
I know that no matter how much therapy i went for the RA would never re-attach itself. I also think i semi-healed from this many years ago, but was still susceptible until the final big tear.
I would do this surgery in a heartbeat again. Meyers has so much clinical data and more continues to come out post hoc. Also consider the Dr. M in Germany. These 2 are not inventing this procedure. Insurance companies and many prestigous medical establishments are notorious late adapters when it comes to new therapies. (yet this is not that new).
In fact Meyers has over 120+ combinations he has used to fix this. In fact he was telling me before surgery that he has improved his technique and would not be using 2 incisions (which i assumed...1 for RA and 1 for adductors)....
If I knew about this 4 years ago it would not have cost me agony......150K year job i quit 2.5 yrs ago due to pain....and 88k out of pocket with different modalities....
Plain and simple....Meyers was awesome and I was lucky enough a friend recognized my symptoms and referred me. It took me 4.5 months of denial because all my other docs said NO WAY to even consider it. And Meyers said my case was CLEAR CUT