Sportsmans's groin/hernia

Started by put-it-up, June 06, 2010, 11:06:30 PM

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marym

Think that was the injury Brian Dooher had.JOhn Miskella and Anthony Lynch the same. Dooher  seems to be doing well. Lynch not doing well and jury still out on Miskella

The Claw

Quote from: winsamsoon on June 17, 2010, 11:49:54 AM
I think he would have been able to diagnos the Gilmore there and then for you Claw. The rather unpleasant finger round the bum hole >:( >:( >:( region usually gives him a fair idea. That was my test anyway with Alan Kelly. He was able to feel like a pocket a space (which was were the tear was) Mc Entee should have been able to do the same. I have to say yours sounds like a classic case of it almost identical to mine
As far as I know he did the test for the gilmore's - that's the one where puts his finger on a spot and makes you cough? He didn't seem to think it was gilmore's anyway.

The Claw

From working with my physio, we discovered that my pelvic was tilted when I was running, and this may have been a cause of osteitis pubis. I had previously thought I had good posture when running, arching my back and sticking my arse out, like you would if you were doing a squat. But, I have since learned that this is totally the wrong running position, and that the hips should be forward to keep the glutes and  the core engaged. The tilt was causing excessive stretch and strain on my hip flexors. I now believe that you can do all the exercises  you want but if you are not running with the correct posture, they are not as useful as they can be.

I now run concentrating on keeping my core engaged and my hips forward. Difficult to concentrate on it the whole time but I'm getting used to it. I am now 4 weeks  into training feeling no effects so far.

I found this article discussing the pelvic tilt. What I liked about this article is it described the different stages of OP, the groin stiffness first, moving into the stomach etc. exactly how I felt it.
A pelvic tilt may not cause other people's pelvic tilt, but I firmly believe it caused mine.

http://www.traindaly.com/wp-content/uploads/2010/06/Exercise_Strategies_to_Prevent_the_Development_of.6.pdf

nrico2006

#33
I am having bother the past few months and haven't a clue what is wrong either, went to Doctors to get referred to Phsyio in October as Season was over and I was in no hurry to get problem fixed privately.  Only got my first Physio appointment at the Hospital 3 weeks ago and been once since and your doll hasn't a clue.

My problem is that I have pain in each side of my groin and lower back.  Had the lower back pain for few years but managed it, but pain in the groin is not going away.  My back gets stiff when I sit down for a period and my back and groin are especially sore/stiff in the morning, but are better during the day and when I am up and about.  I also have a wee click in my right hip when I do the stretch on the groin where I am standing and lift the knee up from my side and move it forward.  We train on Sunday mornings and it is torture, but for the night sessions during the week which are 10 times more difficult I am fine.  I told the physio all this and she just looked at me, completely bemused.  She reckons it is something to do with my hip, but is not sure and has only offered me one stretch to do (lay and pull knee to chest), but I was doing that before I saw her.  Going to go private now to get properly sorted, I heard her mention my sacroiliac joint and when I looked up the symptoms for this disorder they really match what I have.  But then again who is to say its not a pelvic imbalance, Giilmores groin etc.  Do all Physions just really lump a guess at what is wrong?  Why is there not more diagnostic scanning machines floating about that can really identify the problem.  I am to go to the doctors again to get anti-inflammatories, then back to the physio.  This is as far as I have got with them so far, but today I booked an appointment with Active Therapy outside Lurgan, anybody know if these ones are any good and who would be the best person around the Lurgan area to see.  Is Paul McCormack the best still?
'To the extreme I rock a mic like a vandal, light up a stage and wax a chump like a candle.'

winsamsoon

Mc Cormack is probably the best around the lurgan area Pat Mc Gibbon isn't bad either. Mc Cormack specialises more with knees though but he will check you over at his home there and if he thinks you need a scan he will get you in fast to the Ulster clinic where he works
I never forget a face but in your case I will make an exception.

nrico2006

Seen McCormack last week and he reckons I have Gilmores groin, but he has me in at the Clinic tomorrow to get an X-Ray to rule out Osteitis Pubis.  The thing is what to do next.  If it is Gilmores Groin, am I right in saying that you have to pay up front to get it operated on and then claim the money back from the GAA?  My local GP is fairly young and is aware of the condition and I am thinking about going back to see him with a letter from my physio stating that I have said condition and hopefully get it fixed for free on the NHS (albeit after a lot of months waiting).  Currently playing games and scoring a good bit but mobility is seriously restricted, frustrating as hell.
'To the extreme I rock a mic like a vandal, light up a stage and wax a chump like a candle.'

put-it-up-again

Well lads, just seen this thread pop up on the main page and I had forgotten about it. Thought I would let you know I eventually got sorted and I feel as good now as I have ever felt. 

I had an appointment with McEntee in September 2010 and he told me there was nothing he could do for me because I was suffering pain in more than one specific point in the groin. He couldn't understand how I was getting pain in my quad aswell.

After that a physio referred to me to a Michael Allen based out in the Hermitage Clinic in Lucan and he felt I did have a sportsman's hernia. I got operated on on Nov 17 and I can't speak highly enough of the treatment I got out there. The surgeon was extremely helpful both pre and post op and what really shocked me was he asked did he pain ever filter down into my quad!

I did about two months solid rehab with a physio by the name of Enda King in the SSC. He too was excellent and had a similar operation himself recently so he knew exactly what was going on and understood niggles that I felt over the weeks of gym work and even when I got back training. If anyone is having groin bother and feels they aren't being fully understood by their physio then I would get to him because I know how frustrating it can be.

Happy to say I've had a reasonably successful few months and back playing with a smile on my face. Still get a few niggles here and there and some back pain but nothing major and hope to correct them in the next period of off season.

Keep the faith!

nrico2006

Quote from: put-it-up-again on May 25, 2011, 12:49:02 PM
Well lads, just seen this thread pop up on the main page and I had forgotten about it. Thought I would let you know I eventually got sorted and I feel as good now as I have ever felt. 

I had an appointment with McEntee in September 2010 and he told me there was nothing he could do for me because I was suffering pain in more than one specific point in the groin. He couldn't understand how I was getting pain in my quad aswell.

After that a physio referred to me to a Michael Allen based out in the Hermitage Clinic in Lucan and he felt I did have a sportsman's hernia. I got operated on on Nov 17 and I can't speak highly enough of the treatment I got out there. The surgeon was extremely helpful both pre and post op and what really shocked me was he asked did he pain ever filter down into my quad!

I did about two months solid rehab with a physio by the name of Enda King in the SSC. He too was excellent and had a similar operation himself recently so he knew exactly what was going on and understood niggles that I felt over the weeks of gym work and even when I got back training. If anyone is having groin bother and feels they aren't being fully understood by their physio then I would get to him because I know how frustrating it can be.

Happy to say I've had a reasonably successful few months and back playing with a smile on my face. Still get a few niggles here and there and some back pain but nothing major and hope to correct them in the next period of off season.

Keep the faith!

South of the border is the Health Service any better than up here, i.e. did you have to go private and pay a fortune or was it through the Health Service?
'To the extreme I rock a mic like a vandal, light up a stage and wax a chump like a candle.'

put-it-up-again

Quote from: nrico2006 on May 25, 2011, 01:41:04 PM
Quote from: put-it-up-again on May 25, 2011, 12:49:02 PM
Well lads, just seen this thread pop up on the main page and I had forgotten about it. Thought I would let you know I eventually got sorted and I feel as good now as I have ever felt. 

I had an appointment with McEntee in September 2010 and he told me there was nothing he could do for me because I was suffering pain in more than one specific point in the groin. He couldn't understand how I was getting pain in my quad aswell.

After that a physio referred to me to a Michael Allen based out in the Hermitage Clinic in Lucan and he felt I did have a sportsman's hernia. I got operated on on Nov 17 and I can't speak highly enough of the treatment I got out there. The surgeon was extremely helpful both pre and post op and what really shocked me was he asked did he pain ever filter down into my quad!

I did about two months solid rehab with a physio by the name of Enda King in the SSC. He too was excellent and had a similar operation himself recently so he knew exactly what was going on and understood niggles that I felt over the weeks of gym work and even when I got back training. If anyone is having groin bother and feels they aren't being fully understood by their physio then I would get to him because I know how frustrating it can be.

Happy to say I've had a reasonably successful few months and back playing with a smile on my face. Still get a few niggles here and there and some back pain but nothing major and hope to correct them in the next period of off season.

Keep the faith!

South of the border is the Health Service any better than up here, i.e. did you have to go private and pay a fortune or was it through the Health Service?

Went private but it was covered through Insurance. Two weeks after my consultancy I was in getting operated on. For anyone that can go that route I'd really advise it. Treatment I got out there was top class.

If you were waiting publicly god only knows how long you would be waiting.

50fiftyball

#39
Read all the posts on here, good to hear feedback from fellow sufferers. I've read article after online physio forum after forum! It seems to be hard to pinpoint it on any one diagnosis, you've the psoas muscle, osteoitis pubis, gilmores groin, sportsmans groin etc.

After I do a training session, or play a game for the club, walking off the pitch my left hip/groin basically the whole upper left leg stiffens so much that I begin to limp. I believe it's the result of excessive twisting turning etc. Sometimes during a club game it might come on after 10 minutes, or 40 minutes, and seriously hampers performance & mobility as it feels like you can' t get past half pace running i.e. can't sprint. The night after a game in bed is agony, and the next morning it's extremely sore to get out of bed and come down the stairs, lasts for a few days until the next training.

My physio originally diagnosed it as hip impingement, as i too get a clicking all the time., several times a day. I've done a few core rehabilitation programmes but nothing seems to have worked. Have now got the results of an ultrasound which say "athletic pubalgia" - which I believe is now a very out-dated term in modern sports injuries. I've been referred on for an MRI but club physio has said it will be useless, as MRI probably won't pick it up, and to go to either Roy Spence - Ulster Indepedent Clinic Belfast, or Gerry McEntee. Have an appointment now for R. Spence at end of the month. Anyone ever been to him? I'm going private by the way, seems to be successful reports on here about Gerry McEntee.

I've been told these are the two best men to see, has anyone any reports of the Sports Surgery Clinic in Santry?

ballinaman

Quote from: 50fiftyball on November 18, 2015, 10:54:58 AM
Read all the posts on here, good to hear feedback from fellow sufferers. I've read article after online physio forum after forum! It seems to be hard to pinpoint it on any one diagnosis, you've the psoas muscle, osteoitis pubis, gilmores groin, sportsmans groin etc.

After I do a training session, or play a game for the club, walking off the pitch my left hip/groin basically the whole upper left leg stiffens so much that I begin to limp. I believe it's the result of excessive twisting turning etc. Sometimes during a club game it might come on after 10 minutes, or 40 minutes, and seriously hampers performance & mobility as it feels like you can' t get past half pace running i.e. can't sprint. The night after a game in bed is agony, and the next morning it's extremely sore to get out of bed and come down the stairs, lasts for a few days until the next training.

My physio originally diagnosed it as hip impingement, as i too get a clicking all the time., several times a day. I've done a few core rehabilitation programmes but nothing seems to have worked. Have now got the results of an ultrasound which say "athletic pubalgia" - which I believe is now a very out-dated term in modern sports injuries. I've been referred on for an MRI but club physio has said it will be useless, as MRI probably won't pick it up, and to go to either Roy Spence - Ulster Indepedent Clinic Belfast, or Gerry McEntee. Have an appointment now for R. Spence at end of the month. Anyone ever been to him? I'm going private by the way, seems to be successful reports on here about Gerry McEntee.

I've been told these are the two best men to see, has anyone any reports of the Sports Surgery Clinic in Santry?
From what your saying, it sounds like you may have a tear in the labrum, which is the cartilage that surrounds the hip joint. A MRI will rule out other differentials and see if there are any other concurrent issues going on but an MRA is gold standard for labrum tears. Depending on those results and level of damage, that will guide management for either surgical or conservative rehab.
Rickie Lambert arrived to Southampton riddled with labral tears and went down the rehab route and has done very well. PM if you want any more info.

blewuporstuffed

Quote from: ballinaman on November 18, 2015, 11:22:09 AM
Quote from: 50fiftyball on November 18, 2015, 10:54:58 AM
Read all the posts on here, good to hear feedback from fellow sufferers. I've read article after online physio forum after forum! It seems to be hard to pinpoint it on any one diagnosis, you've the psoas muscle, osteoitis pubis, gilmores groin, sportsmans groin etc.

After I do a training session, or play a game for the club, walking off the pitch my left hip/groin basically the whole upper left leg stiffens so much that I begin to limp. I believe it's the result of excessive twisting turning etc. Sometimes during a club game it might come on after 10 minutes, or 40 minutes, and seriously hampers performance & mobility as it feels like you can' t get past half pace running i.e. can't sprint. The night after a game in bed is agony, and the next morning it's extremely sore to get out of bed and come down the stairs, lasts for a few days until the next training.

My physio originally diagnosed it as hip impingement, as i too get a clicking all the time., several times a day. I've done a few core rehabilitation programmes but nothing seems to have worked. Have now got the results of an ultrasound which say "athletic pubalgia" - which I believe is now a very out-dated term in modern sports injuries. I've been referred on for an MRI but club physio has said it will be useless, as MRI probably won't pick it up, and to go to either Roy Spence - Ulster Indepedent Clinic Belfast, or Gerry McEntee. Have an appointment now for R. Spence at end of the month. Anyone ever been to him? I'm going private by the way, seems to be successful reports on here about Gerry McEntee.

I've been told these are the two best men to see, has anyone any reports of the Sports Surgery Clinic in Santry?
From what your saying, it sounds like you may have a tear in the labrum, which is the cartilage that surrounds the hip joint. A MRI will rule out other differentials and see if there are any other concurrent issues going on but an MRA is gold standard for labrum tears. Depending on those results and level of damage, that will guide management for either surgical or conservative rehab.
Rickie Lambert arrived to Southampton riddled with labral tears and went down the rehab route and has done very well. PM if you want any more info.

I struggled through the last 4/5 years with laberal tears in both hips. The severity of it ranges from at times just being a bit sore during/after games, to other times struggling to get out of bed the next morning, pain while driving or sitting at my desk.
Ive had a few cortisone injections over that period, which helped a bit, but last one I got was no use whatsoever.
I had pretty much given up on it and resigned myself to retirement about two years ago, when I did started a bit of yoga over the winter.
While it didn't cure the problem completely, the improvement I got in range of movement and reduction of pain in daily life was brilliant and led to me squeezing another couple of seasons out of the career.

The other big thing is to manage your training load, speak to your manager about leaving out specific things in training that cause you difficulty (drills/exercises with a lot of sharp twisting and turning)
I can only please one person per day. Today is not your day. Tomorrow doesn't look good either

redhandofgod

50/50 ball had most of the same symptoms as yourself. Went to Roy Spence in Ulster Independent, got MRI which showed up problem in both my hips. Was referred to Prof. Cullen and I got an MRI arthogram, which is an MRI but with a coloured die injected into the hip. Result was a torn labrum in the hip joint. At 35 I didn't fancy an operation (was being referred to Richard villar in England for the operation) that couldn't guarantee it would fix the problem, so I quit the football and I did an extensive rehab programme which settled the problem. It flares up now and again but I couldn't go back playing football regularly. A lot of hip based exercises are a no no now, ie. squats, thrusters, mountain climbers, burpees etc. God knows what my hip will be like in 5 years time.

Croí na hÉireann

Quote from: 50fiftyball on November 18, 2015, 10:54:58 AM
Read all the posts on here, good to hear feedback from fellow sufferers. I've read article after online physio forum after forum! It seems to be hard to pinpoint it on any one diagnosis, you've the psoas muscle, osteoitis pubis, gilmores groin, sportsmans groin etc.

After I do a training session, or play a game for the club, walking off the pitch my left hip/groin basically the whole upper left leg stiffens so much that I begin to limp. I believe it's the result of excessive twisting turning etc. Sometimes during a club game it might come on after 10 minutes, or 40 minutes, and seriously hampers performance & mobility as it feels like you can' t get past half pace running i.e. can't sprint. The night after a game in bed is agony, and the next morning it's extremely sore to get out of bed and come down the stairs, lasts for a few days until the next training.

My physio originally diagnosed it as hip impingement, as i too get a clicking all the time., several times a day. I've done a few core rehabilitation programmes but nothing seems to have worked. Have now got the results of an ultrasound which say "athletic pubalgia" - which I believe is now a very out-dated term in modern sports injuries. I've been referred on for an MRI but club physio has said it will be useless, as MRI probably won't pick it up, and to go to either Roy Spence - Ulster Indepedent Clinic Belfast, or Gerry McEntee. Have an appointment now for R. Spence at end of the month. Anyone ever been to him? I'm going private by the way, seems to be successful reports on here about Gerry McEntee.

I've been told these are the two best men to see, has anyone any reports of the Sports Surgery Clinic in Santry?

Well you can rule out osteoitis pubis from what you've described. Struck down with it again, a curse to get rid of.
Westmeath - Home of the Christy Ring Cup...

50fiftyball

Going to meet your man Spence at Ulster Independent end of the month. Might get an MRI before that/might not, been told to see him 1st. Hopefully get sorted and an op as soon as. I made contact with McEntee but my insurance won't cover it as he's in the South..

Cheers for the help!