Core Muscle Injury. Sports Hernia. Athletic Pubalgia.
What is this type of injury and how is it treated?
You may have heard these terms before, especially in the world of professional sports. Some common reasons why this injury might occur include repetitive stress to the muscles in the area, explosive types of movements especially involving trunk rotation, or hip pathology that impacts hip biomechanics.
Anatomy – The rectus abdominal muscles—commonly known as your “6-pack” muscles —attach to the top of the pubic bone. The adductor muscles of the inner thigh attach to the bottom pubic bone. The pubic bone acts like the fulcrum of a lever to stabilize the pelvis during activity. From repetitive stress or acute trauma, the rectus abdominus muscles or adductor muscles can be injured. Microtearing of the muscle, avulsion of the muscle (where a small part of bone is torn away with the muscle from the original bone), or inflammation around the pubic bone can occur with the above activities and cause pain in the groin/abdomen area. There is no actual hernia in this injury, where the intestines are protruding through the abdominal wall; therefore, the term sports hernia is a bit of a misnomer.
Symptoms – Common symptoms you may experience with this type of injury include:
Diagnosis – A core muscle injury can be diagnosed through a clinical exam with your doctor where certain movements are performed to see if symptoms are provoked. MRI can also be used to determine the severity of the injury. Diagnostic steroid/lidocaine injections performed by a physician can also be used to determine if it improves your symptoms.
Treatment – The level of treatment depends on the level of severity of the injury, pain, and its impact on your everyday function. Below are some examples of treatment interventions:
We can help! If you have any of these symptoms or suspect that you have this injury, please call us for an evaluation. We have extensive experience working with patients with this injury.
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