Sports Hernia v. Inguinal Hernia
The typical sports hernia occurs when the muscle layer of abdominal wall in one specific area becomes thin relative to the other areas. This may result in a a tear or strain in one of the abdominal muscles or the fascia of the abdominal wall. An inguinal hernia, however, results from a weakening and separation of the muscles such that the internal organs actually push through and create a visible bulge in the lower abdomen or groin.Symptoms of a Sports Hernia
A sports hernia rarely causes any visible bulge in the muscle wall, so it is often overlooked for some time before it is diagnosed. The most common symptom of a sports hernia is a dull, aching pain in the lower abdomen or groin that gradually increases in severity.This pain generally increases with exercise or activities such as running or weight lifting.
Risk Factors for a Sports Hernia
Sports hernias can occur in any athlete, but some sports -- including professional level football, soccer, tennis, and hockey -- may increase the likelihood of developing a sports hernia. Sports hernias are far less common than inguinal hernias and are generally believed to be associated with the high-intensity, forceful, repeated twisting movements required in sports such as those mentioned.Diagnosis of a Sports Hernia
If you suspect a sports hernia, the first step is to see your physician for a history and physical examination. In some cases, your physician can order an MRI to confirm the diagnosis of a sports hernia.Treating a Sports Hernia
A sports hernia is initially treated by reducing activities that aggravate the condition and applying ice to the affected area. Pain relieving anti-inflammatory medications can also help reduce the initial symptoms of a sports hernia.If symptoms continue or return, surgery is generally the next treatment option. Hernia surgery repairs the weakened area of the abdominal wall.
Most athletes heal from surgery within six to eight weeks and can resume their regular sports activity without any complications.
Sources:
Anderson, K, et al. Hip and Groin Injuries in Athletes. Am J of Sports Med, Jul 2001; 29: 521 - 533.
Farber AJ, Wilckens JH. Sports hernia: diagnosis and therapeutic approach. http://www.jaaos.org/cgi/content/full/15/8/507. J Am Acad Orthop Surg. 2007 Aug;15(8):507-14.Click here to read
Mayo Clinic Medical Edge, Sports Hernias Best Treated With Inactivity. www.mayoclinic.org/medical-edge-newspaper-2006/jan-16.html. Jan. 16, 2006.
