What is a sports hernia (athletic pubalgia)?
Sports hernia, also known as athletic pubalgia, is a soft tissue injury in the groin area, often affecting tendons or muscles in the lower abdominal or pelvic region. Unlike a traditional hernia, there may be no visible bulge, but it can cause significant pain during activity.Causes of sports hernia
Sports hernias are typically caused by repetitive twisting, turning, or high-intensity movements that strain the abdominal and groin muscles. It’s most common in athletes who play sports involving sudden changes of direction.Risk factors for sports hernia
- Participation in sports with quick pivots or cuts (e.g., hockey, soccer, football)
- Poor core strength or flexibility
- Muscle imbalances between the abdominal and hip muscles
- Previous groin or lower abdominal injuries
- Inadequate warm-up or training practices
Symptoms of sports hernia
- Deep, aching pain in the groin or lower abdomen
- Pain that worsens with activity and improves with rest
- Discomfort when coughing, sneezing, or straining
- No visible bulge, unlike traditional hernias
- Limited flexibility or strength in the core or hip
Diagnosing sports hernia
Diagnosis is based on a physical exam, symptom review, and history of athletic activity. MRI or other imaging may be used to rule out other causes and assess soft tissue damage.Treatment of sports hernia
Treatment typically starts with rest, physical therapy, and anti-inflammatory medications. Surgery may be considered if symptoms persist despite conservative treatment, especially in competitive athletes.Find a nearby doctor that can treat your sports hernia
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