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RE: Anyone ever had a "Sports Hernia" aka: "Sportsman's hernia", "Gilmore's groin
My PT regimen was simply that of a pelvic and abdominal rehab. Pelvic tilts, Swiss ball work, adductor, abductor, hip flexors, stretches etc. I have probably 25 pages of exercises ive been doing. Also the clinic i go to mobilizes my back and uses a technique called ASTYM. you can look that one up it is a miracle worker. Very painful but i believe it is a huge reason i recovered as well as i did. It combats scar tissue buildup and helps the muscle to heal correctly (this was important to me because after my injury i did not follow proper injury procedures). I would like to know myself though what a Sport hernia specific therapy protocol includes. Players like Jamal Mashburn has our injury and chose therapy and were successful. He went to a special doc for it and i know they exist mostly up north where hockey is prevalent. Id like to get my hands on that info and put together a therapy regimen for AP. My brother is a general surgeon and though his knowledge of the injury is very limited he has made some valid points about SH surgery that are interesting.
1 - it seems like there is no definitive procedure for repair. many doctors apply many different approaches they call their own.
2 - also there are so many different variants of AP that it seems like there would be a different approach used for each one. not just one approach for all by each doc. also, to label someone with AP (utilizing the 15 or so variants) you could pretty much do so, so long as the patient has groin or abdominal pain that is muscular in nature and is taking a while to heal.
3 - with all the different treatments of the different injuries by different doctors it would seem success would be low as is understanding by many (rightfully so). however the docs say they have a high success rate. What is in common with most repairs is the incision and the cutting or removal and reattachment of muscles. When you do this he said you can sever nerves and cause numbness in that area. which could be a reason why they are considered successful. He finds it hard to believe a soft tissue injury would simply not heal, but finds it totally believable that nerve damage done from a soft tissue injury could cause everlasting pain that could be remedied by severing the nerve or removing it (which some docs do during their surgery).
If this is true wed be better off with PT and chryo therapy as surgery only introduces more scar tissue. He said as a surgeon the saying is "if you operate for pain, that is what you will get". This is unless of course you have a definitive, pinpointed injury that is shown either on imagery or in exploratory surgery. He found it crazy that a doctor would perform surgery on someone without definitive findings, and based only on patient history and physical examination. It does seem a bit half hazard to me. Although you cannot deny that people have been helped and gotten better by the surgery. dont get me wrong it is a viable option, but i think we should be giving PT a shot with patience in mind. and i think the medical community should be looking into this deeper. there are folks with multiple surgeries and still pain. that should be unacceptable. (sorry long winded) as i said b4 though if anyone has any info on a doc or PT who has an AP specific rehab regimen i would love to see it!
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