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Old 10-18-2009, 05:11 AM   #1
Elliot Royce
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Athletic Pubalgia (Sports Hernia)

Hey guys, it's been a while....

I wanted to get input from anyone with experience of athletic pubalgia, popularly known as sports hernia. By way of background, I'm a 47 year recreational hockey player with very limited flexibility but strong. I seem to have triggered athletic pubalgia (with some pubic osteitis) over the years and have scheduled surgery at the end of November with Dr. William Meyers in Philly. The advice I'm getting from my PT, my local ortho and the internet is that, while you can rest this condition and feel better, it rarely goes away on its own. It's only painful when I stride out or cut sharplly, but of course you can't play hockey without striding or cutting.

It's been 9 weeks since the injury and while the immediate pain is gone, I'm still feeling it.

Any thoughts?

Thanks in advance.

Elliot
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Old 10-18-2009, 11:22 AM   #2
Frank E Morel
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Re: Athletic Pubalgia (Sports Hernia)

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Originally Posted by Elliot Royce View Post
Hey guys, it's been a while....

I wanted to get input from anyone with experience of athletic pubalgia, popularly known as sports hernia. By way of background, I'm a 47 year recreational hockey player with very limited flexibility but strong. I seem to have triggered athletic pubalgia (with some pubic osteitis) over the years and have scheduled surgery at the end of November with Dr. William Meyers in Philly. The advice I'm getting from my PT, my local ortho and the internet is that, while you can rest this condition and feel better, it rarely goes away on its own. It's only painful when I stride out or cut sharplly, but of course you can't play hockey without striding or cutting.

It's been 9 weeks since the injury and while the immediate pain is gone, I'm still feeling it.

Any thoughts?

Thanks in advance.

Elliot
sorry elliot... but whats the question? You have basically told us that you have an injury that requires surgical correction in order to correct it.
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Old 10-18-2009, 05:15 PM   #3
Elliot Royce
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Re: Athletic Pubalgia (Sports Hernia)

Fair point, Frank. Sports Hernia is not a common diagnosis and there are those who either feel it is not a separate condition or should not be operated on. In addition, there is a debate as to whether a conservative approach is preferable (lasting for months) or whether surgery is preferable.

I am looking for anyone who has had the condition, what their experience was in trying treatments, whether they opted for the surgery, what the experience of surgery was, and how their recovery was.

Hope this clarifies but let me know if not.

Thanks again,

Elliot
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Old 04-28-2010, 09:43 PM   #4
Jim Colby
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Re: Athletic Pubalgia (Sports Hernia)

How did everything turn out? I may have the same issue and am going to see Dr. Meyers in about 3 weeks.
Thanks.
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Old 04-29-2010, 06:39 PM   #5
Steven Low
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Re: Athletic Pubalgia (Sports Hernia)

If you plan to do anything serious with sports or weightlifting you should get the surgery.

IOf you want to know other people's experiences use the search button. There are multiple threads on this.
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Old 05-03-2010, 06:12 AM   #6
Elliot Royce
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Re: Athletic Pubalgia (Sports Hernia)

It's turned out very well. I'm about 5 months out from the surgery and apart from some adductor weakness and a little soreness around the scar, am pretty much back to normal. There is no lingering pain in the groin area after exercise.

For me, there was no way to avoid the surgery. The rectus abdominis muscle had pulled off the public bone and had to be reattached. And the right adductor was severely torn. There was really no immediate trauma that caused it: just wear and tear from hockey exacerbated by my stiffness. Yet another lesson that flexibility is key, particularly for aging athletes!

Dr Meyers is great: he'll guide you well.

Keep me posted and feel free to email directly.
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Old 05-10-2010, 08:34 PM   #7
Jim Colby
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Re: Athletic Pubalgia (Sports Hernia)

I would take any advice you get here with a grain of salt, particularly a response like you got from Steven. This is a guy who is telling you to go under the knife without knowing the first thing about your situation or having any first-hand knowledge upon which to base such a statement.

I would go with the advice you get from Dr. Meyers, your local PT and your ortho. At least they know your personal situation and likely have some good facts upon which to base their decision. Like most things in life, you get what you pay for, and that includes medical advice.
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Old 05-12-2010, 03:54 PM   #8
Steven Low
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Re: Athletic Pubalgia (Sports Hernia)

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I would take any advice you get here with a grain of salt, particularly a response like you got from Steven. This is a guy who is telling you to go under the knife without knowing the first thing about your situation or having any first-hand knowledge upon which to base such a statement.

I would go with the advice you get from Dr. Meyers, your local PT and your ortho. At least they know your personal situation and likely have some good facts upon which to base their decision. Like most things in life, you get what you pay for, and that includes medical advice.
Definitely agreed.

I'm usually the last to suggest surgery though.. but in general if you're getting back to heavy lifting or high level sports with a hernia you will tend to need the surgery because core stabilization is extremely important.
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Old 08-12-2012, 06:24 PM   #9
Sean Jukich
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Re: Athletic Pubalgia (Sports Hernia)

Just curious if anyone else has had this surgery and how you are doing after it. I was diagnosed with a sports hernia and was told to see Dr. Meyers but there is also a specialist here in CA named Dr. Brown that does them and is supposed to be good. What was the time line to get back to normal activities? Open surgery or Mesh? Did insurance cover it?
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Old 09-28-2012, 03:14 PM   #10
Brian Hicks CPA
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Re: Athletic Pubalgia (Sports Hernia)

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Originally Posted by Sean Jukich View Post
Just curious if anyone else has had this surgery and how you are doing after it. I was diagnosed with a sports hernia and was told to see Dr. Meyers but there is also a specialist here in CA named Dr. Brown that does them and is supposed to be good. What was the time line to get back to normal activities? Open surgery or Mesh? Did insurance cover it?
Take a look at the Runners World Forums at the following link...there's two years of great info on injury/diagnosis/technique/recovery, including at least 3-4 people who had Surgery with Dr. Brown. I tore by Rectus Abdominis on 7/26 doing CrossFit, specifically doing a Broadjump. Dr. Brown is doing my Surgery in mid-November. My Doc here in Memphis referrred me to Meyers in Philly, but he DOES NOT accept Insurance. Dr. Brown is in my Aetna Network, as is the Surgery Center he uses. I believe he codes the Surgery as a "normal" Heria Repair, as Insurance Companies don't like the "Sports Hernia" diagnosis. I'm seeing Dr. Brown because he does it Open and without Mesh...same as Meyers.

http://www.runnersworld.com/communit...ports-hernia-3
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