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Sports hernia / Osteitis Pubis

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05-03-2011, 10:40 AM
  #1
JRZ DVLS
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Sports hernia / Osteitis Pubis

Has anyone had one, If so a few questions:
1. Were you able to Rehab without Surgery? If so, what did you do, and how long were you out?
2. If you did have surgery, how painful was it? How long was the Rehab?


I am pretty sure i have one, and have been resting, stretching (wife is a PT). I am going to see the doc this week.


Last edited by JRZ DVLS: 06-23-2011 at 10:13 AM.
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05-03-2011, 11:27 AM
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tarheelhockey
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I had a double hernia and was fine without surgery. Basically what the doctor said was that you can be more certain of avoiding complications through surgery, but most people can live and play sports without treatment. If you are only experiencing a bit of tenderness and a small bulge, there is nothing to be seriously concerned about. If it becomes aggravated and requires surgery, you will know by the sudden increase in pain and should go to the hospital IMMEDIATELY.

After a couple weeks the swelling went down and life was back to normal. Definitely take it easy, though, you don't want to make matters any worse by pushing yourself. Hockey in particular tends to cause sports hernias, so you absolutely want to stay off skates until you feel back to normal.

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05-04-2011, 09:46 AM
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I havent really done anything since it was sore. I am wondering if I could have strained a lower Abdominal muscle. I am not in excruciating pain or anything. No bulging.

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05-04-2011, 10:09 AM
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tarheelhockey
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The pain in your lower abdomen suggests a hernia, particularly since you picked it up playing hockey which is notorious for causing them due to the bent-over skating posture. If it was a muscle strain you would probably be able to pinpoint the moment it happened. But please let me know if your doc tells you differently, so I'll know not to give people bad advice

I'm not sure whether the bulge/lump under the skin is a universal symptom. For me it was easily identifiable. I also had some generalized pain and tenderness in my lower abdomen and nether region, which wasn't very sharp except when I picked up something heavy. It all faded with time and rest and hasn't bothered me in a long time despite being even more active now than I was back then.

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05-04-2011, 02:54 PM
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It is weird, i am sore more in the morning than night. I dont have the pain in the nethers much any more, but something like kicking can be painful. that and sudden movements in certain directions. I suppose i am gonna have to suck it up and be lazy for a while. I guess i can ride a stationary bike to somewhat keep in shape.

I was about to start p90x this week too. No way in **** i'm doing that now.. Would like to know for sure. But my guess is that i go to doc, He says rest and go to therapy. Then if im still in pain, get MRI, and ultimately Surgery. I just don't want this to drag out for 3 months. would rather get it done with.

I'd hope he MRI's me to start, but they are not fans of spending that money.

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05-10-2011, 04:56 PM
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Without getting an MRI i don't think they'll know for sure. but he basically called it a Lower ab Tear/Strain and Adductor Tear/Strain.

Going to PT for 4 weeks, if it does not progress, then we will get a MRI. I just wish he'd give the MRI already though. I sat out for a month, and was getting PT from the Wife. But as always, an MRI is costly.

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05-10-2011, 05:24 PM
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Just for clarification, a sports hernia is a specific herniated groin muscle. What you're describing in a lower abdominal or adductor is just a (potential) hernia.

The difference in a hernia and a strain/tear is that hernia is when tissue has moved through a hole or other weakness in the muscle wall while a strain/tear is just the stretching or tearing of the muscle tissue with no other tissue coming through it. Most hernias have a visible or palpable bulge, though not all of them do.

Given that you have nothing bulging, I'd guess you have an abdominal + groin strain, which can be just as nasty in terms of recovery. NHL players are out 4-8 weeks depending on the severity of the strain. The time it takes for recovery depends on the severity of the injury (stretching vs. partial tear vs. full tear, though you would almost certainly know if you have a full tear).

This is a good article on abdominal strains: http://www.sportsmd.com/Articles/id/52.aspx

Good article on the adductors: http://www.proamsportsinjury.co.uk/a...r%20injury.htm


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05-10-2011, 05:41 PM
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Quote:
Originally Posted by Kritter471 View Post
Just for clarification, a sports hernia is a herniated groin muscle. What you're describing in a lower abdominal is just a (potential) hernia.

The difference in a hernia and a strain/tear is that hernia is when tissue has moved through a hole or other weakness in the muscle wall while a strain/tear is just the stretching or tearing of the muscle tissue with no other tissue coming through it. Most hernias have a visible or palpable bulge, though not all of them do.

Given that you have nothing bulging, I'd guess you have an abdominal strain, which can be just as nasty in terms of recovery. NHL players are out 4-8 weeks depending on the severity of the strain. The time it takes for recovery depends on the severity of the injury (stretching vs. partial tear vs. full tear, though you would almost certainly know if you have a full tear).

This is a good article on abdominal strains: http://www.sportsmd.com/Articles/id/52.aspx
Thats what makes it tough to diagnose . We are hoping it is just a tear, but even the DR cant be sure just yet. from the article, symptoms are very similar between Sports Hernia and lower Abdominal tear/strains. As far as the Adductor pain, that could be just from the Abdominal tear to, or that could also have been strained. There was no buldge that i noticed, but with so many tendons and muscles attaching there, any tear can be magnified.

Rehabbing now of course, hoping it will not require surgery, and it doesn't seem like it right now. Most has to do with stretching at the moment, but some slight core strengthening too. We'll see what happens.

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05-10-2011, 05:59 PM
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I had a hernia repaired by arthroscopic surgery. I went in the operating room at 6:30 AM and was back home at 9:20 AM. No stitches. Two little holes and one incision about 1" long that they glued back up. Very little pain. Operated on Tuesday and was driving my car on Saturday.

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06-13-2011, 02:08 PM
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Quote:
Originally Posted by mbhhofr View Post
I had a hernia repaired by arthroscopic surgery. I went in the operating room at 6:30 AM and was back home at 9:20 AM. No stitches. Two little holes and one incision about 1" long that they glued back up. Very little pain. Operated on Tuesday and was driving my car on Saturday.
I heard there are some procedures that are less evasive now like this.

I have basically given myself 2 months off. 1 month Rest, 1 month Therapy, and now i have decided to go to an Abdominal specialist. Have an appt for thursday. I have gotten slightly better, but havent run or skated. Gonna do a quick skate with my beer league team in warmups tonight to see what happens tomorrow morning.

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06-23-2011, 10:11 AM
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Got my MRI Results in, they found a whole crapload of old scar tissue likely from Soccer and hockey when i was younger, but the findings for now are:

Osteitis Pubis. Not a very common injury, but in a nutshell it is the inflammation of where the two pelvic bones meet. It affects all the muscles that attach which usually create pain in the lower Abdominal region, groin, Adductors, and "junkal" region. Yeah, not fun.

http://orthopedics.about.com/od/caus...t/osteitis.htm

No real good rehab stuff either. rest and Ice until inflammation goes down, then PT...Could take a good year. I am pretty pissed.... No hockey for me for a while.

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06-23-2011, 12:06 PM
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Quote:
Originally Posted by JRZ DVLS View Post
Got my MRI Results in, they found a whole crapload of old scar tissue likely from Soccer and hockey when i was younger, but the findings for now are:

Osteitis Pubis. Not a very common injury, but in a nutshell it is the inflammation of where the two pelvic bones meet. It affects all the muscles that attach which usually create pain in the lower Abdominal region, groin, Adductors, and "junkal" region. Yeah, not fun.

http://orthopedics.about.com/od/caus...t/osteitis.htm

No real good rehab stuff either. rest and Ice until inflammation goes down, then PT...Could take a good year. I am pretty pissed.... No hockey for me for a while.
And that is why you go to your doctor rather than relying on info from here. You were smart to see your doctor and now you know and have a plan to heal, good luck with that.

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06-23-2011, 12:30 PM
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Originally Posted by Gino 14 View Post
And that is why you go to your doctor rather than relying on info from here. You were smart to see your doctor and now you know and have a plan to heal, good luck with that.
I went to the Dr a few times. Originally took a month off, went to an ortho dr, then went to PT, then hit up a specialist who told me to just take a ton of Motrin after seeing me for like 2 minutes.
My wife is a PT, So i decided to ask her if her dr.(the one i first saw) can get me an MRI. he did, and now i am here. They would have never known what it was otherwise. This has been a good three months now.


Last edited by JRZ DVLS: 06-23-2011 at 12:37 PM.
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