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Lt Col. Ingus
RE: Anyone ever had a "Sports Hernia" aka: "Sportsman's hernia", "Gilmore's groin", or &
How many of you went to a qualified PT who told you that you had an anterior ilium rotation? Some e mailed me an article called "Feeling the Pinch" on sports hernias. There is a passage in the text that says one of the causes of sports hernias is an anterior rotation. I HAVE NO DOUBT the article is right in that as the ilium is rotated forward by the tight or damaged psoas + iliacus the ilium is being pulled away from the abdominal or all core tissue above the injury. The psoas is a huge muscle and as it continues to tighten it's going to continue to pull the ilium toward the attachment point on the femur. The psoas isn't directly attached to the ilium, but rather the front of the lumbar spine, in the center of your body. Johnny the jet or big buck was right that the iliacus works in conjunction with the psoas and attachs all along the inner surface of the ilium at the top and it attaches to the femur at the bottom in the exact same place as the psoas. A few things. psoas + iliacus = iliopsoas or hip flexor. As the damaged hip flexor thightens all of this deep tissue and bone (ilium) is being pulled toward the attachment on the femur. As it does this it is pulling away from all the core tissue above, including all the abdominal layers and obliques on the affected side. It keeps pulling away or slowly tearing, and seems to have no real limit on where it will stop. This might explain why Sports Hernias don't show up on MRI? The injury is not an accute bleeding rip or tear, but rather a stretching to the point of micro tearing over a short period of time. NOW, this is only one variation of the sports hernia, as Bill Meyers will tell you. I think he identified 13 variations. The iliopsoas alone also does external rotation of the femur, because of how it weaves around the ilium and femur. This might explain the reason for the knee problem one poster mentioned earlier. If the femur is externally rotated your leg and foot are not hitting the ground right.

I gotta go, so we'll start here later. Let me know on what was done during operation on iliacus or psoas and PT saying you had anterior rotation. Back soon.

Lt.

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