#8612761 - 04/05/16 04:12 PM
Anyone rehab a groin UPDATE: double hip surgery inbound :(
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norcal skim
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Registered: 11/01/05
Posts: 34046
Loc: Hella NorCal
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A sports hernia is basically a bad groin pull/tear (not a 'traditional' hernia). Happens in sports with quick side to side movements (DB's, soccer, hockey goalies etc).
Been nursing this thing all winter. Figured it would get better during the rainy months as I was less active. Been wearing a brace the past few months to keep it warm.
Alas it has not improved so I went to doc and got referral to PT. If it doesn't respond to rest and PT I get a MRI and possibly surgery. I am super bummed as I can't play any tennis or even do light jogging. It's fucking beautiful out and this is when I ramp up my fitness for spring league and here I sit trying not to get fat. I've had it in the past (not as bad) and it's always gotten better with rest, ice and compression. Now that I'm old it's just not getting better. Fuuuuuck.
Anyone here deal with this? Advice? I'm doing some upper body stuff in the meantime but I can't even do any ab work right now. Yay I guess I can go on walks! (but not too fast!)
On the bright side my PT is a woman so at least I get female hands massaging my groin. This sucks.
UPDATE: Been 10 months since I've played a competitive match (or done anything running-wise really). So I got an MRI a long time ago and diagnosis was osteitis pubis (tissue damage in the groin due to overuse) so I did rest, p/t for months with little improvement. I could tell if I did anything hard I would be back to square one.
So I went to an orthopedic surgeon for a second opinion. After looking at the MRI he says the problem is my hips, not my groin! Due to a (common) birth defect the ball and socket don't fit together quite right, resulting in bone spurs, groin pain, etc. Not sure how the original Dr missed the correct diagnosis when looking at the same thing...but in reality they would have prescribed conservative treatment anyway so other than doing the WRONG TYPE OF P/T I'd pretty much be in the same place.
Got a second MRI last week with dye injected into the left hip joint. It shows cam impingement, frayed labrum (thank god not torn) but no major cartilage damage. So I will be getting arthroscopic surgery to shave the bone spur down, repair labrum and other stuff as needed once he gets a direct look. Doc says I should be pretty much good as new...now for the right hip.
Right hip has worse cam impingement/arthritis which if I don't deal with now will go downhill quick and result in a hip replacement. So after my left hip heals he will MRI the right one and do open surgery in which he will mircofracture (break up) and re-shape the right femoral head ('ball'). This is major surgery with a longer rehab than actual hip replacement but again he said once it heals up I should be good as new (almost).
So realistically I'm looking at a year-ish till I'm back to doing the stuff I love. While it sucks to undergo so much surgery/rehab I am stoked to finally know exactly what is wrong (15 years of on/off groin pain) and a sports oriented ortho who is enthusiastic and knows how to interpret an MRI lol.
It was funny when I first saw the ortho cause I thought he was looking at someone else's MRI when he kept yapping about my hips.
"Uh, I was diagnosed with osteitis pubis, they didn't say anything about my hips"
Doc: "Look at this! Your hips are CAUSING the osteitis pubis! It will never get better till we fix your hips!"
Me:
Edited by norcal skim #tbt (01/17/17 11:24 AM)
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RIP NOHC - you are missed.
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#8615115 - 04/07/16 10:42 AM
Re: Anyone rehab a groin tear/sports hernia?
[Re: norcal skim]
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McCavityCat
Post Master Sr
Registered: 02/23/09
Posts: 9013
Loc: MA
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I have not been diagnosed with one, nor have I gone to the Dr. to address it but I suffer from having a very sore/tight right groin. I found if I warm it up slowly and get a really good stretch on it, I usually don't run into any issues. Also staying hydrated helps tremendously.
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#8617378 - 04/09/16 12:51 AM
Re: Anyone rehab a groin tear/sports hernia?
[Re: Sir Ironpool]
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norcal skim
Post Master Supreme
Registered: 11/01/05
Posts: 34046
Loc: Hella NorCal
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I can ride a bike and have been doing so. As long as I'm not doing something like steep hills (standing and pushing hard). It's tough because I got myself in really good shape since I quit drinking. In fact fitness (and return to competitive tennis) has been my post addiction crutch which makes this situation even worse for me (although I have no worries of relapsing or anything like that).
As you workout junkies know, what is typically considered 'good' exercise (a long walk at good pace; moderate bike riding) for the typical American doesn't seem like anything to me. But I better get used to it because as the PT pointed out, doing the same things I've been doing, just easier, is not working at all. In fact it's been getting worse.
Today was interesting. Got a groin massage, ultrasound and electric stimulation treatment.Each of which had her hands extremely close (and sometimes touching) my junk. I was afraid I might go 'not a charger' (or whatever his s/n is) on her and get wood lol. Seriously though it was nice to get all those treatments (along with that kineseology tape or whatever it's called). The PT knows her stuff and seems happy to have someone so gung ho to do the rehab exercises.
I have not been diagnosed with one, nor have I gone to the Dr. to address it but I suffer from having a very sore/tight right groin. I found if I warm it up slowly and get a really good stretch on it, I usually don't run into any issues You might want to look into strengthening exercises to prevent it from getting worse in the future. Lots of good youtube videos out there, totally worth the time. Wish I had done so years ago.
Oh I also have a pool and when it's warm enough hopefully I can incorporate swim into the rehab.
@ironmom: skimming is the worst thing for it, it is how i originally injured it. Haven't skimmed since late summer and wondering if I ever will again. At this point I'll be happy to get back to 100% on the tennis court.
Edited by norcal skim #tbt (04/09/16 12:54 AM)
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RIP NOHC - you are missed.
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#8618752 - 04/11/16 08:04 AM
Re: Anyone rehab a groin tear/sports hernia?
[Re: norcal skim]
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McCavityCat
Post Master Sr
Registered: 02/23/09
Posts: 9013
Loc: MA
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There is zero% chance I am getting tape on my groin lol. (hairy probs)
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#8914854 - 01/17/17 01:17 PM
Re: Anyone rehab a groin tear/sports hernia?
[Re: norcal skim]
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schtickaz.ai
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Registered: 01/23/12
Posts: 34119
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JFC. you might want to double-check the guy that double-checked your double-check. Surgery is a 1-way street. Good luck ofc.
My ortho's first guess was torn labrum on my hip also, he suggested anything but surgery which would be a last resort. I hope for the best but this sounds like a decision to sit on for a while. A year or two of PT is nothing, imo
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#8915083 - 01/17/17 03:57 PM
Re: Anyone rehab a groin tear/sports hernia?
[Re: schtickaz.ai]
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norcal skim
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Registered: 11/01/05
Posts: 34046
Loc: Hella NorCal
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Agreed, a year or two of PT is nothing. However, 15 years of chronic groin pain and loss of ROM is something that has not gone away. Because PT isn't going to fix a genetic defect - the Dr said I was born with this. In fact he basically described the pattern of my injury over the years before I even told him - he has seen it before.
No one wants surgery but the fact is due to the bad fit of the top of my femurs, my condition will only continue to worsen unless I want to take up stamp collecting instead of sports, which I don't want to do.
The first surgery isn't very risky at all, the second shows a lot of promise for athletes but that hip is headed for replacement if I don't do something proactive now so...
I will get a third opinion before I undergo the knife but right now if given the option of more PT or the knife I choose the knife.
This basically describes the first surgery:
Treatments If the cartilage in the hip is still intact, then surgery can be performed to reshape the top of the femur or the socket so they fit better together, which is called debridement or osteoplasty. The earlier surgery is performed, the greater the likelihood of a complete recovery. Once cartilage has been damaged, surgery may still greatly reduce pain and increase range of motion. Your doctor will tell you if you are a good candidate for hip arthroscopic surgery, a minimally invasive option.
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RIP NOHC - you are missed.
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#8915379 - 01/18/17 05:08 AM
Re: Anyone rehab a groin tear/sports hernia?
[Re: schtickaz.ai]
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Silock
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#8932768 - 02/01/17 02:40 PM
Re: Anyone rehab a groin tear/sports hernia?
[Re: norcal skim]
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schtickaz.ai
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damn good luck buddy!
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#8969561 - 03/09/17 03:18 PM
Re: Anyone rehab a groin tear/sports hernia?
[Re: norcal skim]
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schtickaz.ai
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Registered: 01/23/12
Posts: 34119
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sweet progress! stoked for u
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