Okay, since I found this easily on public domain I assume to waves2ya will not mind my posting of this:
I'm a 44 yr old athlete (tennis player, surfer, martial artist, gym rat) that has had to work out of a 'sports hernia' (athletic pubalgia), had the surgery (Phila; William Meyer's; yuck) and now knows too much about core rehab thanks to authors like McGill, Twist, Horrigan, Jemmett, Gray Cook and, of course, Mike Boyle.
From this thread:
The surgery is a godsend for many - but quite a trial for a few. Check recent threads on 'hernia' for some of Dr. Meyers patients not doing so well and trading notes...
Based on his other posts (which if you know how to use a search engine you can find in about .3277 seconds) I don't think he's "working for" Dr. Meyers. Seems to me he just wants to share his experience with people, and I as someone suffering from AP appreciate as many opinions as people want to give as I look into surgery.
What do you mean by this:
"I'm in health care, and I have to be careful that this meyers isn't in the same network that I am, although I don't have any problem with him or her."
Okay, since I found this easily on public domain I assume to waves2ya will not mind my posting of this:
My apology. You've convinced me. Sincerest apology to "Waves to ya". I think everyone should see this meyers. It sounds like they're fine people and help alot of people.
Well... That was pretty bizarre.
Anyhow - 'Marcia', I'm doing better thank you. My 200/400 times are improving and tennis game gets stronger each quarter.
I just wasn't on the good doctor's 12 wks and out schedule and, yeah, I've posted because I *know* what it's like to come up against a physical debility and think *it will never end* (there's hope). Other folks post threads (like the professor did) teaching me a thing or two, too.
Plus - I'm hooked on the gonzo site that is "Let's Run".
Anyhow, some pretty good news for 'mesh' group (tho' I still don't like arguments) and I count four AP doc's now with this extract from PubMed (tho' I've never heard of this guy):
Ann Plast Surg. 2005 Oct;55(4):393-6.
Athletic pubalgia: definition and surgical treatment.
Ahumada LA, Ashruf S, Espinosa-de-los-Monteros A, Long JN, de la Torre JI, Garth WP, Vasconez LO.
Department of Surgery, Division of Plastic Surgery, University of Alabama at Birmingham, Birmingham, AL 35294-3411, USA.
INTRODUCTION: Athletic pubalgia, or "sports hernia," affects people actively engaged in sports. Previously described in high-performance athletes, it can occur in recreational athletes. It presents with inguinal pain exacerbated with physical activity. Examination reveals absence of a hernia with pubic point tenderness accentuated by resisted adduction of the hip. Diagnosis is
by history and physical findings. Treatment with an internal oblique flap reinforced with mesh alleviates symptoms. METHODS: A retrospective review from December 1998 to November 2004 for patients with athletic pubalgia who underwent operative repair was performed. Descriptive variables included age, gender, laterality, sport, time to presentation, outcome, anatomy, and length of follow-up. RESULTS: Twelve patients, 1 female, with median age 25
years were evaluated. Activities included running (33%), basketball (25%), soccer (17%), football (17%), and baseball (8%). The majority were recreational athletes (50%). Median time to presentation was 9 months, with
a median 4 months of follow-up. The most common intraoperative findings were nonspecific attenuation of the inguinal floor and cord lipomas. All underwent open inguinal repair, with 9 being reinforced with mesh. Four had adductor tenotomy. Results were 83.3% excellent and 16.7% satisfactory. All returned to sports. CONCLUSION: Diagnosis of athletic pubalgia can be elusive, but is established by history and physical examination. It can be
found in recreational athletes. An open approach using mesh relieves the pain and restores activity.
Finally - you'll note I'm always trying to contribute, Marcia. So...
What have ya got...?
Hey Waves, how do you know so much about this meyers guy?
From what people have been posting, it sounds like you meet with him for 15 or 20 minuts, he does the surgery the same day for out of town people, and your released the next day?
From what alot of people have been posting, they never hear from meyers office again after the op. Sounds like you got this russ meyers guy on speed dial?
I'm about 7 months out from Meyers and I am mostly pain free (only very mild aches and little tightness now)and running 60 miles a week with intervals. I won a half marathon last month and just ran the fastest 5k I have run in 4 years. I'd say Meyers fixed me, as I could do little running at all without pain pre-op and now I am feeling great. I also am doing more ab work than I ever done. I couldn't do a single sit-up without pain before the surgery. So I don't know waves2ya but I can vouch for doc Meyers, too.
Just wondering, what is the typical cost for Meyers? I'm hoping he's in my insurance network otherwise I'd have to pay 10-20%...
hey "meyer's former patient". I had surgery done by meyers on Dec 1. when did you have operation? And, i'm about 8 or 9 weeks post op now, still sore. I haven't been able go to rehab often enough, but I'm a little concerned i'm not feeling a bit better than I am. That very well could be due to my inability to attend rehab often enough, but I'm just looking for some true timetable as to how long the recovery took. You said you're basically 100% better, so i'm looking for some more details, if you'd be so kind.
I want to make sure i'm on the road to recovery.
if you think there are people here promoting Meyer's you're ridiculous. the man has operated on less than half the people he's examined for this condition. The $$ comes from the surgery - and in terms of surgeries, it is not THAT expensive. the hospital bill is the killer, upwards of $30k. Granted, teh consultation costs a few hundred $$, but he wont' operate on you unless he deems it to be necessary. and guess what, if you don't want the operation, YOU DON'T HAVE TO HAVE IT.
he's a genuine man. actually one of the few doctors i trust.
just had the surgery,
how did you damage all these muscles. i think i may have problems with my pelvic floor muscles and some inguinal canal problems in my lower left abdomen. i have had this problem for 3 year and still have good days and so so days.
I'm at week 9 right now, post-op. Anyways, i'm a little concerned because I'm still afraid to skate. I don't have the luxury of having a personal trainer or therapist at my disposal as do the pro athletes that go through this. I've been in the pool the past week, not seeing much improvement. I guess what I'm looking for from anybody who's had meyers do the surgery is - what is a reasonable time for me to expect to be truly better. I don't see how 12 weeks is a realistic time frame for your average working class citizen.
Any advice or stories would be much appreciated. I try to stretch on my own, do some strength trainging on my own, but I am still sooooooo RIDICULOUSLY TIGHT in my lower abdomen and groin area that it's a bit disconcerting. I'm too afraid too cut when i jog or skate, because i really don't want to deal with that excruciating pain again. I may be better in 3 months, but i'd like some more proof of such.
Hey, I am a college freshmen went to play football and basketball at a small division three school, I had been diagnosed with a sports hernia at the beginning of training camp. I went to about 5 different doctors before any one would do anything about it. Along with my sports hernia i had three iguinal hernias, tear in the muscle tissue. I had the surgery in september 05 and just started jogging the other day Feb 06. Today im still sore form running last week they told me 12 weeks too and at 12 weeks i still had pain walking up steps.
HGuy - I hope you are using a slideboard for your rehab. It's a great way to guage lateral tolerance. With it, you'll know when you are ready to skate... Years out now, I still do at least one slideboard workout a week (+ varations like single leg squats, mountain climbing, holding medicine ball, etc) to fortify compartment for cutting.
Otherwise, be patient. 9 wks is nothing. And don't stretch a lot. You just paid the doc/suffered the knife to tighten your pelvic girdle. Don't let rehab geniuses undo any of the good doc's work with their insane pursuit of laxity...
sorry i lost track of this thread becasue it was getting too weird with all the weird accusations, etc.
anyway, i had my surgery 13 months ago. I think that in the short term, missing threapy sessions might set you back a bit, but what you really need is time.
my case was odd because i suffered a totally unrelated knee injury while rehabbing that also required surgery and set me back far worse than the sports hernia surgury did...i have now been hobbled for 17 months and am still only 60-70% the athlete I was before the pelvic injury that meyers repaired. but i would just reassure you that with very little therapy i healed completely. that is spelling it out as clearly as i can.
ps...don't know if has been discussed here, but i saw in the new running times that tim broe had this surgery after suffering for a year-and-a-halfwith it. article did njot mention who his surgeon was, though.
Hey Waves, thanks for the info. I met w/meyers a year ago and he didn't want to help. The problem hasn't gone away and has only gotten worse, but I can't go back after he said he wasn't interested. I thought I heard about others tained in this procedure by meyers in other parts of the US. Any in Chicago, KC, or Denver?
Hey Max, that's a good question. I had the same experience with meyers. I have a really tight hip flexor and my condition was made alot worse by therapists having me do the Thomas test to stretch this out. Doing this Thomas test as a form of therapy only caused further damage to the abdominal muscles, as they were the weakest link in this stretching chain. Now the abdominal muscles are all stretched to hell, just like waves tells you to watch out for, and the iliacus and psoas muscles are even tighter than ever. Meyers passed on the problem, so I'm also looking for someone in the midwest with a different attitude. Waves Help.
I'd try this guy...
David Mulder, the Montreal Canadiens team doctor
From other stories I've found (google 'em) Briere had something like Meyers procedure. Will be a sticky wicket getting in to see him, but I'd bet a lot of money he knows his... you know what. Fact is the Canadians (and Aussies) leaves US in the dust when it comes to understanding this debility. Hockey & rugby, don'cha kno'. Frankly however - from what I can see on the rehab scene - the "next big thing" will be hip girdle debility rehab. All of the sudden everyone is going to be talking about the insertions at hip flexor, rec ab & adductors. Pretty funny, huh?...
Thank Tom Brady (and McNabb) - who, by the way, is having someone work on him in Boston by someone that's taking things *way* too casual...
There's another doc folks can see - but that take was kinda minor league general (if I was a NE Pats fan I'd be worried); popping some mesh in there is only going to lead Brady back to the table one day.
Anyhow - there's like five or six doc's now in these threads (mesh & suture). Plus the German doc (not real expensive; totally do-able but I'm wonder if she's reconstructive enough).
Go through the notes...
Hey Waves, thanks for the response. I didn't see a doctor mentioned in the Brady link, but I gather from what you said he saw a Dr Cottey? It looks like I'm in alot of trouble if meyers is the only one who could possibly address this problem without leaving the country. It seemed like meyers was looking for only a specific problem and anything else was not of interest. That's not to say there wasn't a problem, but it wasn't something that he wouuld care to address. You ever hear of this Canadian doc coming down here to see people?
Kansas City, you need to see Dr. David Joesting in Edina, MN, he did my bilateral sports hernia surgery Dec. 30th and knows what he is doing.
Hey Marathnr, many thanks.