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Sports Hernia?
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By Bryan Feinstein
From Jackson, WY
Jan 12, 2014
Black Ice Couloir

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.

Pain 24 hours out isn't too bad, but make the wrong move or cough a little too much, and that changes quickly and instantly. Sometimes I wish I had just broken my leg...

The good doc responds quickly on a personal cell phone to any and all questions or concerns that his patients have, which is so refreshing after some recent experiences that were on the other end of the spectrum.

Rehab facility so far is impressive with highly knowledgable staff. I think I was one of the few people in there not making millions of dollars a year to kick, throw, shoot some type of ball.


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By Peter D.
Jan 12, 2014

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?

Good luck with every thing, glad you found a good doc.


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By Bryan Feinstein
From Jackson, WY
Jan 12, 2014
Black Ice Couloir

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.

1 day post we walked about a mile and started easy isometric contractions of core muscles to prevent atrophy and derecruitment

He said he repair was very strong and it would be hard to ruin it. I was instructed to make sure to move throughout the day in order to keep things from tightening up more and resulting in a longer rehab. I'm day 3 post-op and although I have had enough scares due to stabbing pain from twisting or moving in the wrong way, I'm feeling pretty good about things and off any pain medication.

Pretty much the same exercises every day for week one and then we progress to muscle massage and some more advanced exercises.


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By DavidBurrusDDS
Feb 4, 2014

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:

www.hss.edu/newsroom_common-hip-disorder-sports-hernia.asp

www.medscape.com/viewarticle/767740

www.orthopedicsmagazine.com/foundation/documents/Arthroscopy>>>

health.usnews.com/health-news/news/articles/2012/07/13/commo>>>


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By Bryan Feinstein
From Jackson, WY
Feb 4, 2014
Black Ice Couloir

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.

If you have to be treated for these things, Vincera is the place to go.

I am aware that my potential labral tear may need to be addressed at a later time.

However my mechanism felt like it was strain of the adductor tendon, I had done it the year before in the same place. Meyers confirmed in the open procedure that my adductor longus tendon showed almost a complete chronic rupture.

I'm hoping it heals, and the hip is a non issue. I still think it's the right thing to do the core repair first unless someone can tell you that your hip is 100% the problem, since it is a much more invasive procedure and has a much more significant recovery period.

I'm currently 4 weeks out and doing rehab out here. I hope this is the only procedure but I realize it might not be...

Did you get back to activity following the repair? What were your symptoms and limitations before?


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By Stephen Burns
From Coloardo
Feb 13, 2014

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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By Bryan Feinstein
From Jackson, WY
Feb 14, 2014
Black Ice Couloir

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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By jeff lebowski
Feb 14, 2014

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.

www.ncbi.nlm.nih.gov/pubmed/21613440


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