As long as we're quoting Mike Boyle, let's remember what he says in the article Understanding Sports Hernia and Understanding Adduction
He is very clear that if you do not deal with soft tissue injuries manually (with or without surgery), you will never truly address the issue. So with that being said, anyone who is rehabbing needs to take that into consideration. If I had known about Active Release Technique when I first was injured, I might have avoided surgery... can't say for sure. My physical therapy went terribly awry, likely because of the scar tissue that had developed over time. I can't dwell on that now. But you have the opportunity to explore it. Mike is saying that you can't expect to heal properly on your own with rehab alone. He is calling specifically for manual therapy.
In my opinion, Mike is speaking in terms of realizing the injury and utilizing soft tissue management before it turns into RA tears, tendon tears, and adductor tears. If you told him that you had any or all of those problems, he probably would say it is too late to avoid surgery. Many of the folks on this website were beyond that stage. http://www.performbetter.com/catalog/matriarch/OnePiecePage.asp_Q_PageID_E_290_A_PageName_E_BoyleSportsHerniapt1