Symptoms of Sports Hernia and Athletic Pubalgia

What is a Sports Hernia?

A sports hernia also known as athletic pubalgia, Gilmore's groin, and slap shot gut, is an uncommon, but often missed cause of groin pain in high level athletes. It is poorly understood and poorly defined in the medical community. It is also very difficult to identify based on history and physical exam of an athlete with groin pain. The name sports hernia is a misnomer as well because there is no discernable hernia (or protrusion of abdominal cavity contents) present in this condition.

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What is Bursitis? It's Causes, Symptoms, Treatment, and Prevention

Bursitis involves inflammation or irritation of the bursa of a joint. The word bursitis comes from the word bursa and "itis" which means inflammation.

A bursa is a small, synovial fluid containing sac surrounded by a membrane. These sacs act as cushions for the joints. Located in areas that are subject to friction, as when a muscle or tendon is pulling around a corner or over a bone, their purpose is to cushion and lubricate the tissues.Bibliography item acr not found.,Bibliography item jhwhite not found.

This cushioning lessens the effect of the friction to facilitate the motion between bones and tendons, bones and skin, or tendons and ligaments and thus prevent fraying and stress. When bursae become inflamed, redness and swelling within the sac results. This can cause a dull and aching or sharp and intense pain that seems to be coming from the joint itself. The pain tends to increase with movement and may be at it's worst during the night while you are trying to sleep. The pain is often mistaken for arthritis. Bibliography item frontera1 not found.,Bibliography item jhwhite not found.

There is another type of bursitis which is sometimes called hip bursitis. This involves a bursa located on the inside of the groin called the iliopsoas bursa. Bursitis in this bursa causes groin pain and although it may be referred to as hip bursitis it is not as common as trochanteric bursitis. Bibliography item frontera3 not found.,Bibliography item aaos1 not found.

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Posterior Pelvic Pain In Pregnant Women: Sacroiliac Joint Pain

Treatment and Management

The first-line treatment of pregnancy-related sacroiliac joint dysfunction is physiotherapy and exercises that focuses on core stability of the trunk and pelvic girdle. Sometimes, a sacro-iliac belt is prescribed to complement the core stability exercises and to give quick pain relief. Exercises will form a large part of the treatment and in some cases, mobilisation (a gentler form of manipulation) of your hip, back or pelvis may be used to correct any underlying movement dysfunction. Other manual techniques include muscle energy technique (MET) and myofascial release. It is vital to engage a physiotherapist who is skilled in treating pregnancy-related pain as she is aware of the studies that support the use of specific stabilizing exercises and other treatment techniques, thereby preventing the dysfunction from escalating into a chronic condition.

Other alternative treatments include anesthetic and steroidal injections into the SIJ that can help in pain relief, which lasts from one day or much more long-term. Oral anti-inflammatory medications are often effective in pain relief as well. However, these two treatments may be contra-indicated during pregnancy.

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