Athletic Pubalgia or Sports Hernia

[Guest guest]

I am currently suffering from this condition. I am

seeking any non-surgical means for treating this, but

the outlook is bleak. Any info provided is greatly

appreciated.

Thanks

Hardison

Brookneal VA

[Guest guest]

---

Hi !

Have the surgery. Current proceedures are minimally invasive and the

recovery is rapid.

Best wishes!

Dan Wathen, Youngstown (OH) State University

In Supertraining , JEREMY HARDISON <bigperm2069@y...>

wrote:

>

> I am currently suffering from this condition. I am

> seeking any non-surgical means for treating this, but

> the outlook is bleak. Any info provided is greatly

> appreciated.

>

> Thanks

>

> Hardison

> Brookneal VA

[Guest guest]

Hey. Loved that other reply about the surgery being a piece of cake -

guess it depends on which procedure you have; more later...

AP/Sports hernia is *very difficult* to diagnose. The complaint

presentation is similar to classic hernia, labral hip tear,

intradiscular (lower lumbar) pathology, osteitis pubis. Many top

PT's (Gray Cook, etc.) are beginning to see deficiency in the

lumbar/sacral/pelvic/hip compartment as " hip girdle deficiencies " ,

and I believe correctly so. See if you recognize yourself in these

works...

http://www.physsportsmed.com/issues/1998/01jan/batt.htm

http://www.stms.nl/june2001/artikel8.htm

http://www.physsportsmed.com/issues/1998/04apr/ruane.htm

http://www.emedicine.com/sports/topic90.htm

So - have all the tests to rule out the other stuff (MRI's lower

lumbar, pelvis/hips), 3 phase bone density tests (OP) - get wrangled

by a good PT (Gray is in your area; you should make the drive...)

http://www.functionalmovement.com/SITE/about_us/index.html

AP is marked by avulsion tears of the rectus abdominus off the

pubis. Classically, you should not be able to do crunches/sit

ups/any ab work with out burning pain. Running, cutting - etc.

difficult to, in some cases, impossible. Can't lift stuff off

floor. Back pain is pretty common (and often part of the

compartmental pain triggering).

In each of these articles the authors will freely discuss issues, so

see if you can track 'em down. Folks have worked around it. This

fellow (soccer: Mike Ribar) has a great primer on avoiding surgery

(for those that don't have this yet) but - also worked around it.

http://www.froedtert.com/medical/sports_med/library/sportsmans_hernia

..

html

OP/AP was so epidemic at one time in the U of Nebraska football

curriculum that Gray and another PT Giannone setup what I

believe to be the best core foundation for working around AP.

http://home.neb.rr.com/tdufres/pubdoc.html

But the sad fact of the matter is that seldom does anything work

(studies are usually pre Ms. Giannone's protocol, however...)

http://www.athleticadvisor.com/Injuries/General_Inj/athletic_hernias.

h

tm

Now - the surgery. Real work concerning this suite of maladies is

coming out of Australia (ruby/soccer) and Great Britain (soccer);

AP/OP type complaints are epidemic in those communities - and under

diagnosed here because folks don't recognize the condition. The

repairs are as simple as your typical hernia repair (laparoscopic &

mesh)...

http://www.medicalmoment.org/_content/signs/nov03/181557.asp

.... to - the real deal. Probably the athletic worlds leading

athletic expert on the issue is Dr. Meyers, in Philadelphia,

PA...

http://www.topdocsonline.com/practices/PracticeInfo.asp?

ID=283 & PracID=33

Dig around on the inet and turn up his seminal paper on the repair

(this is the one most pro's have) pioneered when he was at U of

Mass. He reattaches your rec ab to the pubis. I, too, thought this

would be a 'high tech lapro' recovery; that was until a nurse friend

of mine read through the procedure and said it would be " 40 x's

worse

than a caesarian " . It was like throwing a rock a hip replacement

surgery. It is rugged, and a big deal. Exhaust all other modalities

before seriously considering. Know that it takes forever (I'm in my

3rd yr) to recover, is slow - and doesn't always work, no matter

what

the good doc tells you. You got to want it. And re: the other AP

fix's...? spends most of his time fixing guys who have mesh

in weird places or who've had other strange procedures.

Yeah - you can write me, too.

Btw, this post is a thank you to Dr. Siff's spirit, and all the

Supertraining gang that have helped me over the years put two and

two

together. It is very tough to sift the athletic wheat from the chaff

alone.

~waves2ya

aka

Ken

Glen Ridge, NJ

> I am currently suffering from this condition. I am

> seeking any non-surgical means for treating this, but

> the outlook is bleak. Any info provided is greatly

> appreciated.

>

> Thanks

>

> Hardison

> Brookneal VA