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Old 09-06-2011, 08:22 PM   #1
Joseph Mathews
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Unhappy Lower Ab Strain or Inguinal Hernia?

I understand that only a doc can tell for sure, but I thought those who have dealt with inguinal hernias may be able to chime in.

Pain is in this area (hopefully my intestine is not falling out quite yet as in the pic):
http://images.ddccdn.com/cg/images/en2500387.jpg

Symptoms:
- minor pain when exerting abs (2 or 3 on a scale to 10)
- lower left side pain when contracting (sitting up from lying position, twisting side-to-side at the waist, etc.)
- especially stressed by kipping pullups when I lean away from the bar and try to pull more horizontally rather than dead hang vertical pulling
- no visible protrusion or any significant bump I can feel
- pain in left side of groin, but I am pretty sure this is from a separate incident--getting too low w/ wide knees on a squat...I felt a groin tweak at the bottom

I had been doing lower ab-intensive twisting exercises up until about 2 weeks ago--turkish getups and hanging windshield wipers, specifically. Since then I have not done any ab work specifically, though I have done some compound lifts where abs are accessory.

I plan to rest/ice abs for another week and if the pain comes back when I return to exercise, see a doc. Hopefully I am being paranoid here. Any thoughts?
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Old 09-06-2011, 08:51 PM   #2
Rob Samuels
 
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Re: Lower Ab Strain or Inguinal Hernia?

I am no doctor but I think if you have a hernia its not so much of a hmmm I wonder if I have a hernia as it is a oh $hit! something is not right I need to go to the doctor!

If it doesn;t feel better in a day or two I would just go see a doctor.
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Old 09-06-2011, 09:25 PM   #3
Joseph Mathews
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Re: Lower Ab Strain or Inguinal Hernia?

Thanks Rob, I hope you're right.

I should add to "symptoms" that there is pain when I sneeze. But I guess that is also consistent with pain when contracting abs generally.

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Originally Posted by Rob Samuels View Post
I am no doctor but I think if you have a hernia its not so much of a hmmm I wonder if I have a hernia as it is a oh $hit! something is not right I need to go to the doctor!

If it doesn;t feel better in a day or two I would just go see a doctor.
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Old 09-06-2011, 09:43 PM   #4
Rob Samuels
 
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Re: Lower Ab Strain or Inguinal Hernia?

I know it can be a little scarey I have been in a similar situation but it went away by the following day and I chalk it up to a strain.
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Old 09-07-2011, 08:23 PM   #5
Brian Strump
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Re: Lower Ab Strain or Inguinal Hernia?

I've had inguinal hernia surgery, and it's not always something that just pops up/out on you; both literally and figuratively.

Really posting something like that is a guessing game. Go to the doctor. Start reading about gangrenous intestines if you have a hernia and you just hope its a ab strain for too long. If that won't get you to pony up a few bucks for a trip to the doctor, I'm not sure what would.

The symptoms of both can be similar in severity, location, and what causes increased in your pain. Do NOT try to check yourself. Your regular GP should be able to diagnosis this easily.
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Old 09-25-2011, 05:52 PM   #6
Joseph Mathews
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Re: Lower Ab Strain or Inguinal Hernia?

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Originally Posted by Brian Strump View Post
I've had inguinal hernia surgery, and it's not always something that just pops up/out on you; both literally and figuratively.

Really posting something like that is a guessing game. Go to the doctor. Start reading about gangrenous intestines if you have a hernia and you just hope its a ab strain for too long. If that won't get you to pony up a few bucks for a trip to the doctor, I'm not sure what would.

The symptoms of both can be similar in severity, location, and what causes increased in your pain. Do NOT try to check yourself. Your regular GP should be able to diagnosis this easily.
So after a week of full rest, I played a soccer game and the pain was back. I took Brian's advice and went to my doctor. He referred me to a surgeon for evaluation, thinking I "might" have a hernia (no visible protrusion). No workouts for me until I see the surgeon on Tuesday.

Still hoping it is pain associated with a groin pull and I just need to rest for a few weeks and rehab it properly.
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Old 10-26-2011, 09:41 PM   #7
Joseph Mathews
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Thumbs down Re: Lower Ab Strain or Inguinal Hernia?

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Originally Posted by Joseph Mathews View Post
Still hoping it is pain associated with a groin pull and I just need to rest for a few weeks and rehab it properly.
Wish I had better news to report. Surgeon confirmed an inguinal hernia, but said no restrictions--I can exercise as tolerated. I'm still not sure how this happened. Was it gradual? Did it happen when I had the groin pull feeling at the bottom of the squat? Turkish getups?

I've been taking it easy and have not done a hard workout or played soccer for about 5 weeks. I finally played a short game earlier tonight (wearing compression shorts) to see how it felt. Had some pain, but nothing major. There is some lingering soreness afterward. I think it will be worth getting the surgery so I can get back to my normal routine. Next week I'm meeting with another surgeon to be SURE it is a hernia and discuss options.

Anyone who has been through the surgery have tips? The doc told me I only have a hernia on one side, so bilateral repair does not appear to be an option (though I'm now concerned about the other side giving out in the future). I'm leaning toward the open surgery mesh repair; it just seems stronger and has less recurrence than the laparascopic from what I hear.
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Old 10-27-2011, 11:09 AM   #8
Brian Strump
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Re: Lower Ab Strain or Inguinal Hernia?

I had mine about 9 years ago. So not sure if much has changed. Mesh is much stronger, and almost certain to not have it re-occur. The benefit to the laproscopic is shorter recovery time. IMO, I'd take alittle longer recovery and not have to be concerned with the problem again.
Doctors sometimes suggest to get both done since you're already in there, I'm from the camp that any surgery is a risk, and there's no F'in way I'm giving the surgeon another chance to make a mistake.

It's a simple surgery, just a few minutes, and one of the most commonly done in the world.



Quote:
Originally Posted by Joseph Mathews View Post
Wish I had better news to report. Surgeon confirmed an inguinal hernia, but said no restrictions--I can exercise as tolerated. I'm still not sure how this happened. Was it gradual? Did it happen when I had the groin pull feeling at the bottom of the squat? Turkish getups?

I've been taking it easy and have not done a hard workout or played soccer for about 5 weeks. I finally played a short game earlier tonight (wearing compression shorts) to see how it felt. Had some pain, but nothing major. There is some lingering soreness afterward. I think it will be worth getting the surgery so I can get back to my normal routine. Next week I'm meeting with another surgeon to be SURE it is a hernia and discuss options.

Anyone who has been through the surgery have tips? The doc told me I only have a hernia on one side, so bilateral repair does not appear to be an option (though I'm now concerned about the other side giving out in the future). I'm leaning toward the open surgery mesh repair; it just seems stronger and has less recurrence than the laparascopic from what I hear.
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Old 11-29-2011, 03:52 PM   #9
Joseph Mathews
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Re: Lower Ab Strain or Inguinal Hernia?

So I got a second opinion after the first surgeon's diagnosis of a small inguinal hernia, and the second surgeon found nothing. Did a CT scan to be sure, and the test was perfectly normal. No sign of major musculo-skeletal injury, and therefore almost definitely not an inguinal hernia. The second surgeon referred me to an orthopedic specialist.

Orthopedic doc (with focus in sports medicine) diagnosed athletic pubalgia aka sportsman's hernia or gilmore's groin. Now I am 2 weeks into a 6 week stint of physical therapy involving stertching, soft tissue work (massage, active release therapy, etc.) and core and adductor/abductor strengthening exercises. The doc said he was fairly confident we could resolve the issue with physical therapy because the AP had not gotten to a severe stage yet (I could still jog and play soccer without major pain). Hopefully he is right.

I'm actually surprised there are not more cases of athletic pubalgia appearing on this board. Maybe my injury has more to do with the soccer than the crossfit-type lifting. In any case, I'm glad to be able to avoid surgery, for now.

Quote:
Originally Posted by Joseph Mathews View Post
Wish I had better news to report. Surgeon confirmed an inguinal hernia, but said no restrictions--I can exercise as tolerated. I'm still not sure how this happened. Was it gradual? Did it happen when I had the groin pull feeling at the bottom of the squat? Turkish getups?

I've been taking it easy and have not done a hard workout or played soccer for about 5 weeks. I finally played a short game earlier tonight (wearing compression shorts) to see how it felt. Had some pain, but nothing major. There is some lingering soreness afterward. I think it will be worth getting the surgery so I can get back to my normal routine. Next week I'm meeting with another surgeon to be SURE it is a hernia and discuss options.

Anyone who has been through the surgery have tips? The doc told me I only have a hernia on one side, so bilateral repair does not appear to be an option (though I'm now concerned about the other side giving out in the future). I'm leaning toward the open surgery mesh repair; it just seems stronger and has less recurrence than the laparascopic from what I hear.
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Old 12-02-2011, 03:31 PM   #10
Pat Lerro
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Re: Lower Ab Strain or Inguinal Hernia?

I'm currently a few days away from meeting with a doctor. I went for a physical at work two months ago and the doctor pointed out that I had a hernia. At the time I felt no pain and he said it was benign( until this day there is nothing popping out just an awkward feeling to the right of my bellybutton down to my waist). I scaled back for a week with crossfit and felt like everything was fine but over the course of the next month and a half I started to get a pain similar to yours but I don't feel it doing abs only when doing moves like squats or deadlifts. I have been scaling back workouts until I see my doctor next week and go from there because I have been feeling discomfort doing moves like manmakers and burpees.
I'm just concerned with how long I will have to go without working out I'm sure I am going to lose some strength during this downtime.


Quote:
Originally Posted by Joseph Mathews View Post
Wish I had better news to report. Surgeon confirmed an inguinal hernia, but said no restrictions--I can exercise as tolerated. I'm still not sure how this happened. Was it gradual? Did it happen when I had the groin pull feeling at the bottom of the squat? Turkish getups?

I've been taking it easy and have not done a hard workout or played soccer for about 5 weeks. I finally played a short game earlier tonight (wearing compression shorts) to see how it felt. Had some pain, but nothing major. There is some lingering soreness afterward. I think it will be worth getting the surgery so I can get back to my normal routine. Next week I'm meeting with another surgeon to be SURE it is a hernia and discuss options.

Anyone who has been through the surgery have tips? The doc told me I only have a hernia on one side, so bilateral repair does not appear to be an option (though I'm now concerned about the other side giving out in the future). I'm leaning toward the open surgery mesh repair; it just seems stronger and has less recurrence than the laparascopic from what I hear.
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