What is Sports Hernia , What are its Symptoms?

24/08/2019

Sports Hernia It is called syndrome when the muscles or tendons of the lower abdominal wall weaken. The location of pain is in the groin of the abdominal wall, where the "classic" groin appears in the perineum and in the testes for men.

In the case of the groin there is a significant weakening and loosening of the abdominal wall, allowing the contents, usually the intestine, to flow through normal anatomical portions, the inner and outer groin pores of the groin. In the case of athletes' hernia, the weakness of the abdominal wall is the same, but without the presence of a palpable hernia.

Pathological causes in the perineum and testes should be ruled out and examined by a urologic andrologist. 

Symptoms of Sports Hernia 

In most cases the symptoms begin slowly after repeated fatigue and / or a long period of vigorous physical activity / training or racing. Symptoms may include: 

  • Pain in the lower abdominal muscles 
  • Pain in the groin 
  • Testicular pain 
  • Krampa in the area of ​​the perineum 
  • Feeling of weight in the area of ​​the abdominal muscles but also of the muscle fibers 


Symptoms are exacerbated by activities / sports that involve speeding, turning and bending movements. They may worsen during coughing or sneezing. The syndrome occurs mainly in football, hockey, and less basketball and volleyball athletes. 

How to diagnose the syndrome 

Diagnosis is mainly based on a combination of patient history, clinical examination and specific diagnostic tests. Lastly, the use of magnetic resonance imaging is quite useful mainly to exclude other pathological conditions which will make it difficult to diagnose where the Valsalva test should be performed during the procedure and the incisions should be taken while performing it.  The use of diagnostic ultrasound seems to be able to visualize the area of ​​the lesion quite well and especially the pubic symphysis site where typical encephalitis occurs. Even in cases of relaxation of the external oblique fascia can give us reliable results.

What is the treatment of the syndrome 

Conservative is always the initial treatment. Includes abstinence from any sports activity, anti-inflammatory treatment, ice therapy and then special massa


If you have been diagnosed with abdominal attachment syndrome or have the above symptom, contact us for appropriate treatment and guidance approaches.ge treatment, isometric exercises and stabilization exercises for all muscle groups in the area.

If symptoms persist despite conservative treatment, surgical treatment is a one-way street mainly for high-demand athletes. Initially, mesh placement to reinforce the walls was the choice of most surgeons. Success rates and return to sports ranged from 65-90% with the time of reintegration varying from 4-8 weeks regardless of the open or laparoscopic technique.

If you have been diagnosed with abdominal attachment syndrome or have the above symptom, contact us for appropriate treatment and guidance approaches.

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