Tuesday, July 3, 2007

a couple of misdiagnoses

some conditions are "diagnosed" when a sports hernia might actually be the culprit:

1) pulled groin/groin strain: so while one may in fact pull/strain the groin or adductor muscles during sports or the overload that a sports hernia is caused by, a patient who see such a chronic groin strain that will not go away should seek out more advice from a more experienced doctor of physical/sports medicine. sure the injury can be chronic, but if you are in doubt of the diagnosis, and the mri doesn't show any tears....

2) inguinal hernia: as we know, ap/sports hernia is NOT an inguinal hernia. if a doctor tells you it is, and he has never heard of AP, then he or she is in left field. if an inguinal hernia was also called AP, you would think that any doctor would have heard of it by now, considering thousands of inguinal hernias are diagnosed every day. i had to tell this to several orthopedic surgeons, even after the surgeries i had for AP. one of them would not budge, so i printed out info on sports hernias and mailed it to him (needless to say, i have no interest in going back to see him)! when i left his office, he told me i have something totally unrelated, which was proven wrong by the next 2 practitioners i saw afterwards.

3) non-bacterial prostatitis (chronic): obviously applies to only males. since the phantom pains are in the groin, your doctor might send you to see a urologist. the ur will natrually assume that the problem is under his speciality range and will do his/her best to diagnose you. when the nerves around the groin are irritated (such as when you get kicked in the groin), the body reacts by tightening up the muscles in that area. with severe, chronic nerve irritation, the tissues will also be chronically tightened. such a scenario can cause the prostate gland to be swollen as well, seeing how the gland is attached to the pelvic floor via connective tissues. the ur won't think of this, and if you suggest a muscular issue (like i did), he might tell you that you are wrong and you have this mysterious swelling in your prostate that might be caused by a bacteria, which they cannot find. hmmm, makes you wonder. this is what happened to me, and i was put on levaquin for 35 days! after 7 months, i had given up on my ur and went my own route. chronic prostatitis has no cure as far as the ur's are concerned, basically because all eitologies are theoretcial. that is another reason why all doctors should have basic knowledge of sports hernias and their prevelence; chronic prostatitis is a much worse diagnosis than a sports hernia.

there are more to come...

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