WHAT IS IT? HERNIA

  • Hernia is a protruding bulge which results from an area of weakness in the abdominal wall.

  •  Depending on the location the hernia may be classified as an inguinal hernia or femoral hernia

 

Signs and symptoms

  • Groin pain which gradually worsens

  • Pain may refer to the testicles or adductors

  • Pain on coughing, sneezing, or straining

  • Pain with the Valsalva manoeuvre which increases intra-abdominal pressure

  • Possible bulge

  • Aggravated with kicking

  • Common in sports involving kicking

  • Often bilateral

  • Tender pubic tubercle

WHAT CAUSES IT?

  • Weakness of the abdominal wall

  • Increased intra-abdominal pressure = increased strain

HOW TO SELF MANAGE
  • Seek assessment by a physiotherapist or hernia specialist

PROGNOSIS
  • Conservative management should be trialled first.  If not successful then surgery may be required.

  • 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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