The big problem with Sports Hernias is the diagnosis.
MRI can’t be relied on, nor is Ultrasound universally accepted (though IMO it can be be very useful with skilled doctor).
So what do you use?
Patient history, nature of the Pain etc and then tests.
The above is not a test I have ever heard anyone else use - I just found that with people who I had seen who had been diagnosed with Sports Hernia it seemed to corrleate very well and my healthy pateints didn’t seem to complain of the same pain.
Doing resisted curls is often touted as ‘the’ or another method of diagnosis however the movement can create impingements alone IMO. not to mention the use of the abdominals and psoas.
In some cases - a very good surgeon can tell by simply putting his hand along your waist and palpating your inguinal ligament or inguinal crease with his finger tips while you generate IAP without even having to go ‘up and under’.
THis is true. This is exactly what prompted me to go in the first place.
WHen I did TRICEP pulldowns with my back facing the weights. The pain became worse and I never had the pain in the beginning. As a matter of fact I had gotten to moving the entire stack and I only weigh 178.
Well if I did not state it already, I am having the surgery.
another element to this discussion is my surgeon of choice cuts and does not do it the “ortho” way. Everyone that has the cut procedure that I have spoke to were only down less than a week. Why I do not know but it has been a consistent response around the table.
Everything is posible in MicroSoft (is that Bill Gate’s “Big Jim” ) Visio — great thing for such stuff — I do all of my pictures in it… it is great! And simple!
Sorry Sonic - just explain that last bit - do you mean that you are not getting key hole surgery?
And that you will be in hospital for a week?
Do I follow you right?
Ok, I am just returned from the gym and drinked my PWO drink… now the observations!
During Warm-up, I did isometrical push up position with arm lifting in front (shoulder flexion) — I noticed slight pain in my inguinal tunnel. The whole ab wall is contracted in this position, especially obliques externus.
Doing no23 exercise (Standing Arm Straigh Pull down), I noticed slight pain in the same are but with medium weigh. With greater weigh I didn’t noticed any!
I did some easy deep squats, and I felt a dumb pain in my hip (somewhere around TFL and Glute Min), after finishing the set…
I did some heavy bag work, and trying to low kick with right leg I noticed a sligh pain in groin (iliopsoas).
I am confused why the hell I have pain while squating!!! It seems like a slight iliopsoas strain and maybe, as some weird compensatory mechanism a hernia sympoms… I am being supid here or what!?? I am not PT, so I can only guess what is happening here… Can it be both?
I am going to surgeon in monday so I am going to give you a feedback how I go!
Just got back from examination of under “The big Jim and twins” and here is the diagnosis:
“Haernia ingvinalis lat dex incipiens
For now, there is no indications for surgical tratments”
There are no bulges! Doc said, like the last time, that due IAP and stress to that area, area gets imflamated and produce “dumb pain”. Anyway, the pain reduced since last week — I did some iliopsoas strenghtening too. Better now! Hip is better, but not “mine” yet…
Because I am not pro athlete there is no need for surgical treatment, only to unload when I reach a load that produces pain after training for 1-2 weeks and then hit it again…
I think that little strain is also involved… doing some hip work!
I would love to ask, as it is shown to be of great importance of speeding up the recovery afterwards, how would you prepare for the surgery of sport hernia? Any exercises recomendations? Is continual sport practice enough, or there is need for something special?
