I’m giving you a case history of what I did so you can give it a shot and see if it helps. I am not a medical doctor and none of this is intended to replace sound medical advice.
What I outlined got me back in the game. Reading some of the other posts does ring true in another way: As a side effect of the injury I slid over to doing lots of single-leg work (step-ups, 8 direction lunges, stiff-legged deads) and have been very happy with doing those. Seems I did stumble on a workable alternative.
Soooo, start with what I did, once that makes it pretty much pain free (or at least much improved, I always found I smarted until I finished a warmup set), start on unilateral leg work. Once you get strong with that, squatting is ok. Problem with heavy squats too early is that you need the adductor to come out of the hole and it is waaay to easy to rip it out before it is healed. BTDT
It took a good 4 months to really heal right. This was almost as miserable as those sprained fingers I got some years back. Damn things heal slowly and are easy to tweak again and again.
[quote]MGerometta wrote:
I do agree that the surgical options are the most overused, and an unnecessary procedure. As an athletic trainer at a high performance rehab facility, I do see this quite often, and it has good rehab potential when you combine manual therapy particularly with ART/Graston Techniques.
Look for Boyle’s: “Understanding Sports Hernia May Mean Understanding Adduction”
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How does ART help with a torn ligament/tendon?[/quote]
I can’t speak for ART as I do not have any specific information, but Graston has done several studies showing that treatment using the Graston tools can improve healing of various soft tissues.
In the JOSPT, July 2009, Volume 39, Number 7, a study titled “Instrument-Assisted Cross-Fiber Massage Accelerates Knee Ligament Healing” was reported in which the conclusion stated that the Graston treatment “may facilitate earlier return of ligament tissue-level biomechanical properties, enabling quicker return to function with less susceptibility to reinjury.” The article did state that more clinical studies and findings should be conducted, but it is a promising result none the less.
Relating specifically to the “sports hernia”, ART/Graston can assist with resolving mobility/tissue quality of the surrounding tissues that caused the “sports hernia” to occur. Also, using the study listed above as a basis, the “sports hernia” is an incomplete tear and the treatment may help facilitate a quicker return to function.
At the beginning of the month I saw a surgeon who specializes in athletic pubalgia surgery. He thinks I have been misdiagnosed and in conjunction with my orthopedist, scheduled for me to have another mri with contrast.
I was told to aggravate my injury, so that when they inject the contrast along with a numbing agent it can be determined if they are in the right spot. One problem, I am having a hell of a time trying to aggravate my injury. Movements that would have crippled me a few months ago are remarkably tolerable.
Still no improvement. No medical treatments have worked. No re-had exercises have helped. The Dr.s still don’t know how to help or exactly what is wrong. Any suggestions? After 18 months of pissing around I would like to start lifting again. How have you worked around groin pain?