hip labrum and fai along with sports hernias

this is in a debate of sorts. there are many people who have both labral tears (either due to femoroacetabluar impingement, or perhaps the fai is a result of labral tear) and sports hernias.
which came first? some say the sh can lead to labral tears, some say the other way around.
either way, many people out there have labral tears and no symptoms. i myself had a labral tear in one out of 2 mris and a ct scan and nuclear bone scan showed nothing wrong with the hip.
the hip specialists as well as other sports docs said to leave it alone.
i had the sh surgery done 1st. as i am still recovering over a year later, i wonder if it is the hip. but then i know that if i undergo more sugery before my muscles are restored in strength and balance, the hip surgery would only screw things up.
anyhow, here is an article on hip fai...
http://www.hipfai.com/
who really knows the connection to sports hernias. there are so many soccer players who have had sprots hernia surgeries, you'd figure that there would be a few dozen labral tears in the mix as well. but they are good to go after surgery. it might be also important to note that these athletes are most often diagnosed very early, thus are in good shape when they go into surgery, perhaps leading to an easier recovery.

muscle imbalances and the si joint

the sports hernia, if left alone, untreated, for a long time, can very easily lead to muscle imbalances in and around the pelvis.
as one of the keys to our cores, the transversalis muscle is injured and can go into spasm as a result. this in itself can cause a domino effect of muslce imblances which can lead to great pain and dysfuntions. without the t.a. muscle to help support your lumbar spine, other muscles must become hypertonic to take over. linked to the t.a. via fascial connections are the pelvic floor muscles, the quadratus lumborum, and the gluteals, not to mention the obliques and rectus in the abdomen.
sometimes this imbalance or imbalances can lead to issues with the sacroiliac joint. si joint dysfunction is common yet, like sports hernias, is often missed when coming to a diagnosis for pain near the joint itself as well as the hip, groin, lower back, buttock, and tailbone.
if the muscle imbalance that occurs locks up compartments such as psoas, the pelvis can rotate which can in turn affect the si joint. si joint dysfunction can be severely painful in itself, and probably cannot be permanently corrected without the treatment of existing sports hernia(s).
it should also be noted that trigger points left untreated can also lead to a viscious cycle where the shortened, tightened muscles can not be stretched or lengthened due to these painful trigger points. once these are addressed, the position of the si joint can be addressed.

here is a link to a brief article that shows the nerves that can be irritated in the sports hernia

its an article on groin pain with some fairly weak graphics for description, yet they are so good since they are very informative. i have mentioned before the entrapment of the ilioinguinal and iliohypogastric nerves, as well as the genital branch of the genitofemoral nerves, and how scar tissue from injuries like the sports hernia can form in the inguinal area and cause nerve pain. these neuromas can form from microtears and can cause chronic pain.
http://www.capitalherniacenter.com/groin_pain.htm

more pics

http://www.sportnetdoc.com/injury/09-02.htm

a great, detailed article on the groin anatomy

this one is very detailed, hard to read, but explains a lot of the terms you read about when researching groin pain and sports hernias.

http://www.medscape.com/viewarticle/420354_2

good article on sports hernia variations

here is a link to an article that explains the variations of sports hernias, ie slapt shot gut, disrutption, and the like.
in the article, tears in obliques, conjoint tendon, transversalis fascia, and more are discussed.

http://64.233.169.104/search?q=cache:OdWYwh4cI3sJ:www.smbs.buffalo.edu/ortho/journal/sportshernia.pdf+mri+to+diagnose+hernia+lipomas&hl=en&ct=clnk&cd=10&gl=us

i'd really like to see some comments and/or posts

i'd like to know that this blog is serving a purpose. it gives me drive to post more often.
as i do this research i am thinking of all the people out there with similar groin pain. i really am doing this in order to help educate people who are in need of solving this pain when the doctors don't know what to do. in my own injury, if i hadn't done all this research i'd still be screwed because there were no doctors that were able to help. some were not even willing to help since they thought that my condition might have been psychsomatic, which we all know is a heap of crap. any doctor who doubts that the sports hernia exists is only fooling themselves and showing us that they need some continuing education.
so, please post some comments or questions or complaints or whatever. it costs nothing to register to be able to post, and takes only a couple of minutes. to those that did post, i thank you for doing so, it makes me feel like this blog is worth my time by being able to lend a hand to those who need it.