Sports Hernia?
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Good short article in newest Climbing mag about the do's/don'ts of climbing injury recovery to typical injuries. An interesting read as 3 of the covered injuries are ones I've had or still suffer from. |
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I was recently diagnosed with a very small abdominal hernia. I went climbing, did some strenuous routes and then two days after, I felt like I had been kicked in the groin repeatedly. I went to a hernia specialist recommended by a friend of mine who is a doc (this guy had done 3000+ hernia surgeries), which was where I got my diagnosis. His recommendation was to give it a rest for a few weeks and then slowly get back into climbing. I followed the recommendation and started climbing, which at first felt a little strenuous, but now (about 2 months later), I am feeling good. My big concern was that I have a Yosemite trip planned for June and wanted to get the surgery done now so I could train in a month or so. I will see how it goes, but no surgery is looking like the best option at the moment. |
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I just had Dr. Meyers core muscle surgical repair in Philadelphia today. I again was ruled out from having a traditional abdominal/inguinal type hernia by MRI and clinical assessment. Unless he happened to fix one during surgery which is very possible that I dont remember now as propofol and versed are wonderful drugs. Follow up appointment and PT starts tomorrow. |
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Way to go Bryan. Glad its been a satisfactory experience so far. Thanks for the updates. |
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My only regret was not getting the MRA arthrogram besides or in addition to the original 3T MRI, as it can be a diagnostic indicator of intraarticular versus extraarticular hip/groin pain since they usually inject lidocaine and cortisone. Just for an added piece of information on decided on whether to proceed with surgery. |
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Meyers confirmed to me on Friday after the surgery that I would not have healed back to normal without the surgery. He thought that the correct physical therapy could potentially get me back into activity but that it would never be the same without the repair. |
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Thanks for the update Bryan. What kind of advice did they give you on sitting, standing etc. I've seen people get stuck in flexed posture after hernia surgeries with mesh. Your repair sounds very extensive, just wondering what are your precautions? |
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This is not a traditional hernia. This doc prefers to not use any mesh and does an open incision. He thinks there are many more complications with mesh versus sutures. In fact, there were a few patients there getting previous surgeries redone at had been done by others with mesh. |
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I too have been having abdominal/groin pain for the last year and a half. I had a core muscle repair with Dr. Meyers in February of 2013. At the time of surgery he said he thought I also had a hip component, but that this core repair is a good place to start. A year later I am still having discomfort. After another visit out to Philly, I am now scheduled for a arthroscopic hip scope and a adductor revision. From what I was told,t the hip a lot of the time is the under lying issue (impingement or labral tear). With hip disfunction your body compensates abdominal muscles/hip flexors to the point of tearing sometimes. My rectus abdominus repair has healed, but now as a continued result of my hip disfunction I have a new tear in my adductor. Here are some links to a couple articles that I have found explaining hip/sport hernia connection: |
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Sorry to hear that David. This indeed is one of the most frustrating types of injuries and the co-morbidity of hip pathology versus adductor/abs makes it even more frustrating. |
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Hey Bryan, I hope your recovery continues to go well. Know you are not alone! I have my own appointment with the Steadman-Hawkings clinic out of denver for a consult on a CAM lesion with most likely FAI and Labram tear. Fun stuff indeed. I keep posted as to my own diagnosis and recovery. |
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Thanks and Good luck, it's a long road sometimes. I've had some friends see Dr. Phillipon and have heard he is amazing. I had another MRI on my right side as well which showed showed another Labral tear on the other side. However, I'm still not convinced the Labral tears are involved with my symptoms. |
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I think you're wise to be wary of the torn labrum diagnosis and especially the FAI diagnosis. There was a quality paper a couple years ago that found radiographic evidence of FAI in 99% of the healthy participants in the study. I'm not aware of a similar study concerning torn labrums but it wouldn't surprise me if the findings would be similar. |
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DavidBurrusDDS wrote:I too have been having abdominal/groin pain for the last year and a half. I had a core muscle repair with Dr. Meyers in February of 2013. At the time of surgery he said he thought I also had a hip component, but that this core repair is a good place to start. A year later I am still having discomfort. After another visit out to Philly, I am now scheduled for a arthroscopic hip scope and a adductor revision. From what I was told,t the hip a lot of the time is the under lying issue (impingement or labral tear). With hip disfunction your body compensates abdominal muscles/hip flexors to the point of tearing sometimes. My rectus abdominus repair has healed, but now as a continued result of my hip disfunction I have a new tear in my adductor. Here are some links to a couple articles that I have found explaining hip/sport hernia connection: hss.edu/newsroom_common-hip… medscape.com/viewarticle/76… orthopedicsmagazine.com/fou… health.usnews.com/health-ne…Have you tried anything like an abdominal binder? I struggled with the pain so I did a little research and people suggested one of these. My parents couldn't find one in stores, so we ended up ordering one from braceability.com. I made me feel very compressed and just solid so I surprisingly enjoyed wearing it. If you're all healed up and everything that's great! But, if you're still struggling i would recommend this. I had my surgery a couple years ago and that really helped me, especially with how old I am. Hope everything is going well for you! |