Surgical Treatments for
The most common type of surgery for athletic pubalgia is a herniorrhaphy which can involve repairing a tear by suturing (reattaching) the lower abdominal (often the oblique muscles) and connective tissue (like conjoined tendon and inguinal ligament) to the bone. A synthetic, mesh screen is used to strengthen and reinforce the repair, and the inguinal ring is left intact (sometimes you will have mesh repair of the posterior wall of your inguinal canal). A herniorrhaphy can be performed via laparoscopy or open surgery. This procedure tends to be used more frequently in Europe than in North America.
Laparoscopic surgery involves minimally invasive day surgery that requires anesthesia. A small incision (1/4 inch) is made below the belly button and a small, fiber-optic camera (laparoscope) is inserted to look for and repair the sports hernia (tear). You will generally have a brief recovery period that involves following the conservative treatments, and will resume your normal activities within 4 - 6 weeks.
Open surgery is more invasive and therefore not used as frequently. It involves making a larger incision (5 inches) in your abdomen, so the surgeon has direct access to all the structures and organs involved at one time. It requires a longer initial recovery period that involves following the conservative treatments, although you should still be able to resume normal activities within 4 - 6 weeks.
An Adductor Tenotomy may also be performed which involves releasing or loosening the adductor muscles or hip muscles, and/or releasing any entrapped nerve endings (see adductor strains for more details).
There are always some risks involved with surgery, which include but are not limited to blood in the abdominal cavity via puncturing a blood vessel or organ, hemorrhaging, inflammation of the abdominal cavity lining, abscess, problems related to general anesthesia. However, modern techniques have significantly minimized the occurrence of these problems. This surgery is not recommended if you have a heart or lung condition or intestinal disorder. Surgery is often successful at repairing athletic pubalgia; however it does not mean you are completely healed. Tenderness, pain, stiffness, scar tissue development and weakness are common after surgery. That is why a strong commitment to rehabilitation utilizing the conservative treatments mentioned below is essential.
Your surgeon will provide a treatment plan to help you regain normal use as soon as possible. This will permit you to be back to light exercise within 2- 3 weeks, and your normal routine within 4 - 8 weeks. Keep in mind the longer you have your symptoms prior to treatment, the longer it will take to recuperate. If you return to your activities too soon, you could cause permanent damage. You want to ensure the strength, flexibility and stability of your pelvic muscles, before taking on too much. A general guideline to follow is when you can bend at the waist to touch your toes and straighten back up without pain and/or do a sit-up or abdominal crunch without pain you are ready to return to your regular activities.
Groin Injury Treatments
If you have a muscle pull or strain in your groin, resting it is recommended. Avoid activities that cause pain or may have caused the injury and begin cold compression treatments as soon as possible.
There are healing tools that can help treat your groin strain and speed up the healing process so you can reduce your pain and get back to daily life. Blood Flow Stimulation Therapy™ (BFST®) will promote blood flow to heal your injury faster and more completely than any other methods available.
Freezie Wrap® Cold Compression Therapy
To decrease inflammation of your muscle pull when the strain first occurs doctor's recommend cold compression therapy. For an acute strain, cold compression therapy within the first 48 - 72 hours and after any restrain is important to limit the amount of damage done to your tissue. Cold compression therapy will relieve pain and swelling as needed and will reduce, or even eliminate, the need for NSAIDs and pain medications.
The Leg/Arm Freezie Wrap® is the cold compression tool you need to treat your groin pain in an effective and convenient way. It is so versatile it can be worn anywhere on your body, wherever you need treatment.
Cold Compression Therapy works by interrupting and slowing nerve and cell function in the injured area and reducing swelling that can block blood vessels. This is important because once blood vessels are blocked or damaged, they can no longer carry oxygenated blood through your muscle and tissue cells begin to break-down. Without cold compression therapy cellular break-down and tissue damage continues as the cells do not get the oxygen they need to survive. By limiting the amount of damage done to your tissue, you also limit the amount of healing that needs to occur. This is a very important step to heal your muscle strain faster and with less pain!
The deep cooling effect provided by the Freezie Wrap® slows cell metabolism thereby reducing cellular break-down and tissue damage. Furthermore, because the cold wraps gently numb the nerves, the wraps also reduce pain!
The Freezie Wrap® uses a supercharged cooling gel pack, that chills in the fridge, not in the freezer like ice or other freezer packs, giving you deep cold therapy without the risk of 'cold burns' or cryoburn.
Once the inflammation of your groin injury has been reduced, nourishing and strengthening the muscle tissue and surrounding area is recommended. Using Blood Flow Stimulation Therapy™ will speed your recovery and heal your muscle fibers more completely preparing them for strengthening exercises. Talk to your doctor or physical therapist to find out which exercises are appropriate for your situation.
Inferno Wrap® Blood Flow Stimulation Therapy™
After severe inflammation and swelling is reduced you can begin to treat your groin with Blood Flow Stimulation Therapy™ (BFST®). BFST® increases the amount of blood that flows naturally to your muscle fibers to nourish your soft tissue which speeds healing.
When you rest your leg and stop moving around because it hurts, the natural blood flow to your muscles is reduced, limiting your body's ability to heal itself.
By treating your groin with BFST® you can increase your body's blood supply to the muscle fibers and increase your body's natural healing power.
The Inferno Wrap® is the tool you need to treat your sore groin because not only does it speed healing, it relaxes all your muscles. With BFST®, tissues are safely and gently stimulated. Your body responds with a rapid increase in blood flow to the area, increasing the supply of oxygen and nutrients to injured tissue cells to promote healing and loosen the tissue. Our Leg/Arm Inferno Wrap® provides effective, non-invasive, non-addictive pain relief and healing with no side effects.
In addition, the improved blood flow whisks away dead cells and toxins that have built up from your groin pull, further reducing tightness and pain. When you stop moving your leg due to pain, your muscles and other tissue can become weaker and dead cells and toxins in the area can cause further tissue deterioration - this can lead to atrophy (muscle weakness and/or deterioration). By clearing the area of toxins and increasing the amount of oxygen and nutrients to your muscle and other tissue, the risk of atrophy is greatly reduced. Keeping your leg muscle tissue as healthy as possible throughout the healing process will allow you to improve leg and hip strength again once your pain has gone and your strain has healed.
With these easy-to-use, home therapies, cold compression and BFST®, you will notice significantly reduced pain and an incredible improvement in your groin pain.
During your recovery, you may have to modify and/or eliminate any activities that cause pain or discomfort in your groin and leg until your pain and inflammation settle. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!