Tuesday, July 3, 2012
Suspected Athletic Pubalgia/Sports Hernia
On June 20, I met with a general surgeon who performs sports hernia repairs at OSU. He did a quick physical exam and did not do any imaging. Based on my symptoms, the exam, and my history with a torn adductor the surgeon is certain that I have AP...in fact, he thinks I have it bi-laterally. Although he was a really nice guy, his approach is not one that I would like to move forward with as he uses the mesh technique. He says he has an 80% success rate. The procedure would use a wire mesh a little larger than an iPhone that would be inserted over the appropriate area and absorbable sutures would be used rather than screws. The actual surgery lasts about 30 minutes and is about a 1 inch scar. The mesh is not able to be removed as scar tissue will adhere to it and hold the torn muscles in place. The surgeon showed me a video of a repair which I thought was cool but I do not want any mesh going in that area!
The conservative approach is to rest for 6 months and slowly add back activity. There is a 40% success rate with this approach. I originally tore my adductor last October while riding the recumbent bike. I felt an intense pull, rip, then pain, then a rolling sensation over my groin/inner thigh. Hours later I had a golf ball sized knot over my pubic bone/inner thigh area. I have had pain and tenderness there ever since. At 3 weeks post op, I re-tore/flared up my adductors while using the recumbent bike. I've decided the recumbant bike and I don't mix well LOL.
The surgeon's opinion was that I will continue to have pain until I seek surgical intervention. I just don't know about this....I just feel like if I wait a little longer maybe my adductors will stop turning on all the time and being so tight. But then again, if I have the surgery maybe it will actually speed up my recovery as my AP has been preventing me from advancing in PT to an extent. I'm about 1 month behind where I should be at. So, now I have to decide if I should give this a little more time or go see Dr. Meyers in Philly and get it repaired, as I am much more on board with his approach.
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