Athletic pubalgia is the technical term for the severe groin pain often called a sports hernia—although unlike a true hernia, no abdominal-cavity organs protrude where they should not. Because the cause of the pain is often missed or misidenti fied, an accurate diagnosis of athletic pubalgia is the first step in treating the condition and often comes only after other conditions have been ruled out and nonsurgical treatment has been ine ffective for a long period of time.
Pubalgia most often a ffects high-level male athletes. The pain results from a stretching and weakening of the internal inguinal ring, a triangular anatomical structure in the groin area through which the ilioinguinal nerve and spermatic cord pass. Tears or strains in the lower abdominal muscles, in tendons or ligaments in the groin area, or in the pelvic lining may also contribute to the pain.
The surgery to repair the inguinal canal wall is performed either through a small traditional incision or through several very tiny incisions. Because lower abdominal muscles are shifted during traditional surgery and need to heal first, some time must pass before you can engage in physical therapy.
However, if your physician wants to manage your sports hernia conservatively to avoid surgery, we can design a program that fosters core stability and carefully balances the interactions between the muscles of the hips, thighs and pelvis. Strengthening the inner thigh and abdominal muscles, and balancing the way they are used in sports can minimize the chance of future injury. In addition, we will teach you the best way to heat and/or ice the aff ected area and o er deep-tissue massage if appropriate. Similarly, a postsurgical physical therapy program that focuses on increasing your endurance and strength will enhance your recovery.
Whether or not you undergo surgery for athletic pubalgia, we can design a program of physical therapy to alleviate pain and strengthen the muscles, making you more comfortable and preventing re-injury. By following our program, you will once again be able to participate in the sports you love—pain-free.
Schedule your physical therapy appointment today at any of our 20 locations throughout Northern Virginia and parts of Maryland. The Jackson Clinics physical therapy in Hagerstown, MD opening soon!
