there have been lots of studies on chronic pain and how it comes to be. of course the AP injury can be the cause or such a nerve dysfunction. the groin contains many sensitive nerve endings.
we know that the genital branch of the genitofemoral nerve is affected in the sports hernia.
the ilioinguinal and iliohypogastric nerves can also be involved, especially if osteitis pubis sets in. as the rectus retreats from the pubic bone, those two nerves would tend to get irritated by the fascial changes.
another thing to consider is scar tissue, especially for those cases where the tear is severe enought to cause pain and is left untreated, while the condition worsens such as with an sports hernia-> osteitis pubis setup. as the microtears continue to happen, there will be more scar tissue growth. that scar tissue alone can irritate nerves, especially if it grows around the nerve, causing nerve ending entrapment.
with chronic pain, this long-term irritation has worked its way into the nerve ganglions up into the roots (found along spine). this basically means that the nervous system has reset its default settings and may be firing pain signals all the time, even after the injury has healed. with AP being an elusive diagnosis, one can see how this condition of chronic nerve irritation can happen.
more later.
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Hello my name is Matt. How are you? I was wondering what you thought was the best test to have done to find the sports hernia? I had a xray and an ultrasound done so far. They just found my groin was inflamed and that I strained my muscle. I am thinking about getting the MRI done next. If I do get the MRI do I need the MRI to be done with the dye injection too or just a plain MRI? I greatly appreciate your advice, thanks for your time. Bye
am mri won't show the sports hernia. it is showed by digital exam combined with ultrasound. a very experienced doctor can find this. the only ones i know of are dr muschaweck and dr meyers, as well as cattey in wisconsin. there are others who can diagnose it but they tend to be high caliber physio docs for pro sports teams. good luck!
I am a 50-year-old male, married, with five (5) children. At the present I am in the Appeals Process with SSA Disability. I am not able to be gainfully employed due to chronic genital, knee and back pain.
In May 2000 I suffered severe trauma to the groin. The trauma that I sustained caused epididymitis (infection of the epididymis), which enlarged my scrotum to something the size of a large grapefruit or a small cantaloupe. The first treating doctor gave me a mild anti-biotic and I had to lay flat for several (8-10) weeks. Once the swelling went away I never really felt right. I would describe the way I was feeling as "germ sick" with symptoms such as: lack of energy, inability to exercise, not really wanting to go anywhere, constant pain and so on.
The infection either was dormant or returned about a year later and to make a long story short and before the Urologist would consider surgery I had to try Pain Management injections to the back. I underwent the procedure three different times. Needless to say, that didn't work.
I then had three (3) invasive surgeries, which removed the epididymis, then the testicle and repair of a hernia and then an incision and drain due from blood clots and infection.
The consensus of all my doctors (Primary Care Physician, Medical Doctor with Certification in Acupuncture, six (6) Urologists, two (2) Pain Management Medical Doctors and a Psychologist) was that I was under treated in the beginning. The anti-biotic that was first prescribed was in the family of penicillin (ampicillin sp). Within a few days I went to Levaquin 500mg twice a day and daily 1 gm injections of Rochephan (sp).
The present diagnosis is neuralgia in the distribution of ilioinguinal nerve (entrapment) and chronic pain in the genital area.
Re: whoever said an MRI can't find a Sports Hernia... that's wrong. Do some Google research and you'll find that there are a number of research articles, papers, studies indicating that there are a numerous similar characteristics unique to Athletic Pubalgia a.k.a. a Sports Hernia found via MRI.
However, I do recognize not all doctors may be educated accordingly.
MRI to determine a Sports Hernia is becoming more and more popular because of the fact that research is finally starting to mount there.
The doctors you mentioned are probably some of the more renowned doctors (for surgery), but, in general, knowledge of the issue seems to be catching on.
I just had an MRI, which apparently was a quick positive ID for Athletic Pubalgia (via the Radiologists opinion). Apparently, the Radiologist was excited to see the results as they don't have many of these cases come in. I think the injury is catching on more and more, because my Orthopaedic Doc diagnosed it, prescribed the MRI, and now the Radiologist confirmed it. My next step is back to the Orthopaedic Doc, and then I'm sure we'll discuss surgery vs. non-surgery. However, from my research, it doesn't seem this injury heals itself without surgical intervention.
In short, get yourself an MRI, and get yourself in touch with a good Sports Medicine Doc / Orthopaedist. Read about others experiences and general Sports Hernia information online and arm yourself with the right facts to back up your theory. If you get properly diagnosed (which is what this is all about), I assume your insurance company will take care of you and you'll get your surgery soon enough.
Good luck.
Great Post and excellent comments. I would like to say that once I too suffered a lot with the low back pain. It was like hell. Then I found a solution with the Hypnotherapy Treatment and learnt how to manage the pain.
Bayangkan saja dari gejalanya tentu anda bagi penderita penyakit hernia ingin sembuh, yu kita bahas tentang pengobatan penyakit hernia dengan Ace Maxs yang mampu mencegah dan mengobati dengan cepat, aman, dan tidak mengandung efek samping.
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Obat Penyakit Hernia
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