Sports Hernia (Inguinal Canal Disruption)

**bonefish** · 09-12-2006, 02:31 PM

Anyone had the lovely experience of rehabing one of these beyatches. After a 2 game/Sat-Sun weekend in April this year I started to feel some lower abdominal discomfort that did not get better. Playing in 2 summer leagues which had be going Sun-Mon and doing 2 tournaments was probably not the docter recommended course of treatment. Right now I trying to get some better flexability and core strength. I do not want to go for surgery if at all possible.

**Regs** · 09-12-2006, 05:25 PM

Many moons ago I went through this.

Go see Nico Berg - I think he's working out on the north shore.

**Captain Shamrock** · 09-12-2006, 05:32 PM

Yes, Rick Celebrini gave me stuff to do........****ing painful though......

TS · 09-12-2006, 11:19 PM

First you need to make sure what you have is an actual sports hernia and not just a strain/tendinopathy (new age term for the old tendonitis). Is there a palpable lump? or is it just painful? etc. If you lived in Richmond, I'd tell you to come to my clinic! but since you're in NorthVan, go see someone at the Lynn Valley Sports and Ortho Clinic. As for 'core strengthening' make sure you're doing the right stuff, and actually strengthening true 'inner-unit' core muscles and not just superficial muscles.

Just my two cents. Holla at me if you need any more info!

TS

**bonefish** · 09-12-2006, 11:49 PM

Thanks TS. I am going to get an appointment but just in case there is anyone else out there going thru this. It does not appear to be a true hernia as there is no lump or localized palpable pain source. After warmup, there is no gametime discomfort until the next day and then I have lower low to moderate adbdominal pain doing activities like running but not walking or cycling. The pain subsides over the course of the week or 2 until the day following the next time I do something that involves full out sprints or kicking.

Core training I have been doing includes crunches(front and side) seated raised leg extensions(slow with a abduct leg motion at the extension), Slant board Lower Body Curls and lift to an overhead position. Inward/Outward stomach contract/holds.

I think alot of the problem was a lack of stretching, lack of core and my biking which has created an imbalance. I don't wish this condition on anybody.

Bronco · 09-13-2006, 08:28 AM

Osteitis pubis SP? This can be extremely painful and extremely difficult to rehab!!

TS · 09-15-2006, 12:05 AM

The 'core' training you're doing is working superficial muscles like the rectus abdominus (6-pack) and external obliques, but are not targeting the deep core muscles that are responsible for true core stability. These muscles are the transverse abdominus (TA), multifidus, and pelvic floor muscles. In order to properly recruit these muscles, you need to be shown how to isolate them and how to contract them. Believe me, it's difficult sh!t, and it usually takes our patients a while to get the hang of it. But once you get consistent with contracting these muscles in isolation, you can progress eventually to higher lever ball exercises, and ball/band exercises like you see on those highlights of T.O. or Steve Nash working out. It's crazy stuff. But defo get checked out and mention that you want to strengthen your core and any good physio should point you along this path.

What you have sounds like a common condition for soccer players. And you're right, alot of it has to do with a lack of proper stretching and and underlying muscle imbalance that we keep feeding into. We (soccer playing men) tend to have quite tight hip/glute muscles posteriorly and laterally, so when we swing through and kick a ball our muscles will only let our joints swing so far. As a result, the momenetum has to be taken up somewhere, and it usually does get taken up in the abdominal fascia (connective tissue) causing little micro-tears (strains) and possibly eventual hernias.

Osteitis pubis is a different condition. What happens here is that the joint at the front of the pelivs, where the 2 pelvic bones meet, gets irritated and can separate a bit/get inflamed etc. and it's really painful. The rehab usually involves minimal exercise for the better part of a year. Pray to your god that this isn't what you have going on!

Anyways, hope it helps. If you want to try doing the exercises on your own, I can always fax you the exercise sheets I give ppl. Just holla at me.

TS

09-12-2006, 02:31 PM	#1 (permalink)
bonefish Premium Member A Better Bastard Joined: Jul 2001 Location: NorthVan Posts: 701 TTP Friends: (0)	Sports Hernia (Inguinal Canal Disruption) Anyone had the lovely experience of rehabing one of these beyatches. After a 2 game/Sat-Sun weekend in April this year I started to feel some lower abdominal discomfort that did not get better. Playing in 2 summer leagues which had be going Sun-Mon and doing 2 tournaments was probably not the docter recommended course of treatment. Right now I trying to get some better flexability and core strength. I do not want to go for surgery if at all possible.

09-12-2006, 05:25 PM	#2 (permalink)
Regs Respect & Honour A Total Bastard Joined: Jun 2001 Location: TTP Headquarters Posts: 12,047 Blog Entries: 1 Images: 233 TTP Friends: (12)	Re: Sports Hernia (Inguinal Canal Disruption) Many moons ago I went through this. Go see Nico Berg - I think he's working out on the north shore. __________________ Take the piss (out of someone) vb. British -- to mock, deride, poke fun (at). This vulgarism has been in widespread use since the late 1940s. The original idea evoked by the expression was that of deflating someone, recalling the description of a self-important blusterer as 'all piss and wind.'

09-12-2006, 05:32 PM	#3 (permalink)
Captain Shamrock Premium Member A Better Bastard Joined: Jul 2001 Location: Richmond Posts: 11,538 TTP Friends: (2)	Re: Sports Hernia (Inguinal Canal Disruption) Yes, Rick Celebrini gave me stuff to do........****ing painful though......

09-12-2006, 11:19 PM	#4 (permalink)
TS Premium Member A Better Bastard Joined: Jun 2002 Location: Lower East Side Posts: 304 TTP Friends: (1)	Re: Sports Hernia (Inguinal Canal Disruption) First you need to make sure what you have is an actual sports hernia and not just a strain/tendinopathy (new age term for the old tendonitis). Is there a palpable lump? or is it just painful? etc. If you lived in Richmond, I'd tell you to come to my clinic! but since you're in NorthVan, go see someone at the Lynn Valley Sports and Ortho Clinic. As for 'core strengthening' make sure you're doing the right stuff, and actually strengthening true 'inner-unit' core muscles and not just superficial muscles. Just my two cents. Holla at me if you need any more info! TS __________________ I'M ALL IN.

09-12-2006, 11:49 PM	#5 (permalink)
bonefish Premium Member A Better Bastard Joined: Jul 2001 Location: NorthVan Posts: 701 TTP Friends: (0)	Re: Sports Hernia (Inguinal Canal Disruption) Thanks TS. I am going to get an appointment but just in case there is anyone else out there going thru this. It does not appear to be a true hernia as there is no lump or localized palpable pain source. After warmup, there is no gametime discomfort until the next day and then I have lower low to moderate adbdominal pain doing activities like running but not walking or cycling. The pain subsides over the course of the week or 2 until the day following the next time I do something that involves full out sprints or kicking. Core training I have been doing includes crunches(front and side) seated raised leg extensions(slow with a abduct leg motion at the extension), Slant board Lower Body Curls and lift to an overhead position. Inward/Outward stomach contract/holds. I think alot of the problem was a lack of stretching, lack of core and my biking which has created an imbalance. I don't wish this condition on anybody.

09-13-2006, 08:28 AM	#6 (permalink)
Bronco Member Joined: Oct 2001 Location: On the road to recovery Posts: 1,091 Images: 1 TTP Friends: (0)	Re: Sports Hernia (Inguinal Canal Disruption) Osteitis pubis SP? This can be extremely painful and extremely difficult to rehab!!

09-15-2006, 12:05 AM	#7 (permalink)
TS Premium Member A Better Bastard Joined: Jun 2002 Location: Lower East Side Posts: 304 TTP Friends: (1)	Re: Sports Hernia (Inguinal Canal Disruption) The 'core' training you're doing is working superficial muscles like the rectus abdominus (6-pack) and external obliques, but are not targeting the deep core muscles that are responsible for true core stability. These muscles are the transverse abdominus (TA), multifidus, and pelvic floor muscles. In order to properly recruit these muscles, you need to be shown how to isolate them and how to contract them. Believe me, it's difficult sh!t, and it usually takes our patients a while to get the hang of it. But once you get consistent with contracting these muscles in isolation, you can progress eventually to higher lever ball exercises, and ball/band exercises like you see on those highlights of T.O. or Steve Nash working out. It's crazy stuff. But defo get checked out and mention that you want to strengthen your core and any good physio should point you along this path. What you have sounds like a common condition for soccer players. And you're right, alot of it has to do with a lack of proper stretching and and underlying muscle imbalance that we keep feeding into. We (soccer playing men) tend to have quite tight hip/glute muscles posteriorly and laterally, so when we swing through and kick a ball our muscles will only let our joints swing so far. As a result, the momenetum has to be taken up somewhere, and it usually does get taken up in the abdominal fascia (connective tissue) causing little micro-tears (strains) and possibly eventual hernias. Osteitis pubis is a different condition. What happens here is that the joint at the front of the pelivs, where the 2 pelvic bones meet, gets irritated and can separate a bit/get inflamed etc. and it's really painful. The rehab usually involves minimal exercise for the better part of a year. Pray to your god that this isn't what you have going on! Anyways, hope it helps. If you want to try doing the exercises on your own, I can always fax you the exercise sheets I give ppl. Just holla at me. TS __________________ I'M ALL IN.

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