Hip, Buttock & Groin Injuries/Conditions - PT alternative for sports hernia?

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PT alternative for sports hernia?

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Category: Patient Forum
Forum Name: Hip, Buttock & Groin Injuries/Conditions
Forum Description: Patients can post questions and experiences about hip, buttock & groin injuries/conditions.
URL: http://www.cyberpt.com/ptforum/forum_posts.asp?TID=540
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Topic: PT alternative for sports hernia?

Posted By: steel03
Subject: PT alternative for sports hernia?
Date Posted: Dec 27 2009 at 1:17pm

I'm an old wrestler-turned new rugby player... I have not been to Doctor. I have some injury about once a week, and I prefer to heal and do some targeted PT. But I'm hearing that if its a sports hernia, its unlikely to get better without surgery and long recovery.

I came off a practice field about 8 weeks ago, with what felt like a groin strain. By the end of the week, pain/soreness spanned from groin, up and around and above my crotch. No noticeable bulge.

I can't quickly lift my knees to run due to pain and weakness. I also have found it difficult to do some exercises, e.g. planks, and crunches, and situps... I broke some toes in last game anyway. So total rest for last 5 weeks. Recovery has been slow, but I (think) I have some improvement in last 10 days, and have started some relatively easy leg-lifts/crunches.

Is there a PT solution you would recommend?

Replies:

Posted By: Ask a PT
Date Posted: Jan 08 2010 at 9:53am

Core strengthening is usually recommended with patients that have mild incidences of this injury. Great care should be taken not to over stress the affected region! Isometric exercises are usually initiated in the beginning of rehab and progressed to light strengthening. Exercise progression can include pelvic tilts/bridging -> partial curls/crunches, physioball exercises -> functional based strengthening (ie. lunges with partial rotation, etc.)

Performing full situps or exercises involving leg lifts are generally not recommended until there is significant improvement with the condition as these exercises could increase stress to the affected region.

If your condition doesn't improve any further, it may be a good idea to seek out medical attention. Best of luck with your recovery.