What is a Sports Hernia
Cause of Sports Hernia
The diagnosis of a sports hernia begins with a thorough history and physical exam. There are no specific blood tests or radiologic imaging studies that pinpoint this entity. MRI of the pelvis can be helpful but is not highly accurate. Thus, a sports hernia is essentially a diagnosis of exclusion, meaning that a number of other diagnostic possibilities must be ruled out before making the diagnosis. While it may be possible for a sports hernia to coexist with an inguinal hernia, it is very uncommon.
Some of the physical findings that can be associated with a sports hernia, include pain in the groin with sit ups, flexion and rotation of the hip and straight leg raising. While hip pathology can mimic the groin pain of a sports hernia, an MRI of the hip usually will identify any hip pathology. Most often this would involve such findings as a labral tear or stress fracture. However, some studies have found up to 60% of patients who have a sports hernia also have a labral tear of the hip.
In most cases, conservative treatment of sports hernias with rest and physical therapy has a very low success rate. The surgical approach predominantly aims to strengthen the groin to counter the excessive forces generated by the strong adductors of the leg. This can be accomplished using the Shouldice technique to perform a repair and reinforcement of the damaged groin structures. While other surgical approaches have been proposed, they lack overall acceptance by the surgical community.
Typical recovery requires three to four weeks of rest followed by a period of progressive physical therapy to reach maximum athletic capacity. Following completion of the physical therapy program, most patients are able to return to full participation in athletic activities.
If you have symptoms suggestive of a sports hernia, contact the Hernia Center of Ohio for an expert consultation.