Sports Hernia | Causes, Symptoms, and Treatments | Pelvic Rehabilitation Medicine

Sports Hernia: Causes, Symptoms, and Treatments. Explained by Dr. Tayyaba Ahmed is a doctor of physical medicine and rehabilitation at Pelvic Rehabilitation Medicine.

Topics discussed include:

Description of a sports hernia

Where a sports hernia is located

How this causes pelvic pain

Symptoms that may be experienced

Where pain can radiate

Causes of a sports hernia

Treatment options and recommendations


Dr. Tayyaba Ahmed completed the BS/DO program at New York Institute of Technology and was trained at the New York College of Osteopathic Medicine, Northwell Health Plainview Hospital and the NYU Langone Medical Center/RUSK Institute for Rehabilitation. A board-certified Physical Medicine and Rehabilitation physician, Dr. Ahmed is also a fellow of the Academy of Physical Medicine and Rehabilitation and a member of the International Pelvic Pain Society. Dr. Ahmed is a contributing author to a textbook which is considered a staple during every Physiatrist’s training. The fourth edition has been published in November of 2018. This full chapter title reference is: Ahmed T, Chan I: “Pelvic Pain”, which is included in, Essentials of Physical Medicine and Rehabilitation, 4th edition by Frontera W, Silver J, Rizzo T; Elsevier, Philadelphia, In Press. After spending the last five years honing her skills in outpatient care, Dr. Ahmed is ready to focus on her passion for treating pelvic pain. Dr. Ahmed has chosen a focused practice, because she believes concentrating on a specific field creates the greatest expertise. Chasing that greatness has been her consistent driving force.

At Pelvic Rehabilitation Medicine, our pelvic pain specialists provide a functional, rehab approach to pelvic pain. When you visit one of our offices, you spend an hour with your doctor reviewing in detail your medical history and symptoms. Then, we perform an internal exam (no speculum) to evaluate your nerves and muscles. Together, we'll discuss an individual treatment plan that gets to the root cause of your pain and helps you to feel better. The best part: you can begin treatment the same day!

At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms.

LEARN MORE: https://www.pelvicrehabilitation.com/

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Very often, we have patients who present with abdominal tenderness which likely is a sports hernia. A sports hernia is a weakness in the soft tissue and muscle area around their pubic symphysis and their lower abdomen. This is important because these muscles are their core muscles, and the core muscles are part of your pelvic floor as well. So if you have a weakness there, you will have a weakness in your pelvic floor and thus causing the pelvic pain. Having a sports hernia can now result into pelvic pain because of their weakness in their abdominal muscles and their core. Then patients may present with pain in their groin, they may present with pain going down their leg, pain in their hip. Pelvic pain does radiate, and it does not just stay in one location, so it can mimic other things like lower back pain.

Patients with sports hernias can attribute this from being very active. Oftentimes, they are athletes or have active lifestyles. We're evaluating their lumbar spine, we're evaluating their hips, we're evaluating their abdomen and checking to see if they could have a potential hernia. When patients have sports hernias, we also have to treat the underlying pelvic floor dysfunction that they may have.

Typically, we do that with pelvic floor physical therapists, possibly some Valium suppositories, maybe a nerve medication for any neurogenic inflammation, if they need, we may do hydrodissection nerve blocks and trigger point injections to their pelvic floor. And at the same time, we're hopefully working with a hernia surgeon to evaluate if there is a need for repair of the sports hernia. When patients present with pelvic pain, we're trying to understand where their pelvic pain is coming from and why they have it. Until we figure out what's causing the issue, the pain won't resolve.