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WHAT IS IT? HERNIA
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Hernia is a protruding bulge which results from an area of weakness in the abdominal wall.
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Depending on the location the hernia may be classified as an inguinal hernia or femoral hernia
Signs and symptoms
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Groin pain which gradually worsens
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Pain may refer to the testicles or adductors
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Pain on coughing, sneezing, or straining
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Pain with the Valsalva manoeuvre which increases intra-abdominal pressure
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Possible bulge
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Aggravated with kicking
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Common in sports involving kicking
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Often bilateral
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Tender pubic tubercle
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WHAT CAUSES IT?​
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Weakness of the abdominal wall
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Increased intra-abdominal pressure = increased strain
HOW TO SELF MANAGE
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Seek assessment by a physiotherapist or hernia specialist
PROGNOSIS
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Conservative management should be trialled first. If not successful then surgery may be required.
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Surgery for a hernia is relatively common, especially in sports such as football. Return to sport may be possible after 3-4 months post-surgery. It must be noted that surgery can be successful, however recurrence is possible post-surgery.
HOW PHYSIO HELPS?
- Confirm the presence of a hernia
- Assess lumbopelvic stability
- Correct tendency to increase intra-abdominal pressure
- Prescribe a conservative management program involving strengthening of transverse abdominals, obliques, adductors, and hip flexors
- Refer to a hernia specialist if necessary
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