Famous physical trainer Michael Boyle seems to disagree with you.
Michael Boyle wrote:
Things to Avoid.
Avoid the surgeon. Surgeons do surgery. It is their business. Doctors work on what I call the 1-2-3 model or the three I's.
Inject- more anti-inflammatories
Incise- we all know what that means.
We want to avoid the 1-2-3 Model. If you keep going back and saying you are not improving, you will get surgery. Surgery should be the last resort. That means if you have not really committed to proper rehab avoid surgery. As we mentioned in part one some therapists theorize that the forced lay-off and attention to rehab post-surgery rather than pre-surgery is what actually helps. If athletes were willing to take time off and listen to the trainers and therapists, innumerable surgeries could be avoided. I have seen at least three professional athletes who were scheduled for surgery avoid it by committing to a proper rehab program of exercises and soft tissue work.
Never let a Doctor go in and "take a look around". That means they are unsure but, want to do surgery anyway. Usually this means they will go in, repair any small tear they see and often "release" the adductors. This in my mind only makes more scar tissue.
My feeling and the feeling of many of many therapist colleagues is that "sports hernia" surgery will be like the lateral release in the patella femoral joint, a surgery that had limited success and thankfully eventually went out of style.
Notice that Boyle doesn't suggest going to the doctor to "get a diagnosis", as your dogma/formula calls for, Albert.