A sportsman’s groin (former name: “sports hernia”) is a special form of a typical groin injury, that occurs especially among athletes, resulting of an extreme strain in the groin region, for example sudden movements such as kicking, tackle kicking, etc. The sportsmen`s groin itself is not an inguinal hernia yet, which means, that there is no hernia sack, containing intestine.

What is a sportsman’s groin?

A sportsman’s groin is a circumscribed protrusion (bulge) of the transverse fascia in the area of the posterior wall of the groin canal. It results out of a weakness of the transverse fascia. During the tightening of the abdominal wall (while coughing, sneezing, etc.), the “bulge” is compressing the genital branch of the genito-femoral nerve. The phenomenon occurs predominantly among top athletes, who suffer from a lesion in the abdominal region caused by overstrain.

This leads to sudden, sometimes even gradually beginning, party heavy pain.

The pain, caused by an irritation of the nerves, is a typical compression pain and provokes pulling and stinging pains, radiating into the thighs, the external side of the scrotum and partly even towards the iliac spine. At the same time, the pain can spread to the pubic bone. The cause for this is, that the rectus abdominis muscle is laterally distorted and therefore an increased tension effects the pubic bone. This symptom is also known as „Osteitis pubis“.

Weiche Leiste - Dr. Muschaweck

The yellow line is the nerve which provokes the pain (genital branch).
The protrusion is the so-called bulge.

Weiche Leiste - Dr. Muschaweck

The black arrow shows the distorted rectus abdominis (Rectus abdominis muscle), Cause of the osteitis pubis.

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How is a sportsman’s groin diagnosed?

A clear diagnosis is only possible in means of a comprehensive examination by an experienced physician, in case of minor defects sometimes only a specialist can find them. The final diagnosis can be made through a static and dynamic ultrasound examination. An MRI examination is not necessary, in particular because this examination is made while the patient is lying down and therefore minor defects will not be seen.

Especially for top athletes a quick diagnosis is mandatory as well as a quickest possible treatment, so as not to lose time.

If the diagnosis is clear and only mild pain occurs, the operation can be postponed up to six weeks and a physiotherapeutic treatment is tried. However, the risk of chronic groin pain remains and then an operation is mandatory.

Physical stress is allowed after the operation, after 2 days jogging, after 5 or 6 days sprinting and after 8 or 10 days football training is allowed. Lifting loads is also not a problem after the surgery.

Minimal-Repair-Technik - Real Madrid

How is the sportsman’s groin treated?

A sportsman’s groin is not an inguinal hernia, therefore an individual treatment is needed. Unfortunately, the sportsman’s groin is treated worldwide like a normal inguinal hernia.

In 2002, Dr. Muschaweck developed a special technique for the treatment of a sportsman’s groin, which is now accepted worldwide. The principle of this procedure is to avoid the enlargement of the defect of the groin canal. Instead of that, the defect in the fascia transversalis is repaired with a special surgical suturing technique. A mesh never is needed, which is of great importance for top athletes. Additionally, intact, healthy fascias will not be opened and this diminishes the pain after the surgery. Also, the strain on the rectus abdominis muscle at the pubic bone is reduced.

The special surgery technique is called “Minimal-Repair-technique” or “Muschaweck-Repair “and was presented during the 100th anniversary of Real Madrid in Madrid.

This procedure is conducted under local anesthesia in combination with sedation. Two days after the surgery, the patient can start with physical workout. After 14 days, normal physical stress is possible.

Dr. Muschaweck gives lectures on this topic worldwide, for example in the Camp Nou in Barcelona as well as in the football stadium of Bilbao. In June 2018, a congress with an audience of 3.500 people took place in Camp Nou.

Memberships

American College of Svrgeons
European Hernia Society
Deutsche Hernien Gesellschaft
Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie.
American Hernia Society

Reviews of Dr. Ulrike Muschaweck, specialist for the treatment of hernias

Absolutely competent and very empathetic and committed doctor.

I was glad that Doctor Ulrike Muschaweck was able to give me an appointment for surgery so quickly in my predicament, despite her very busy schedule.

Testimonials from 22.07.2020 on Jameda

Umbilical hernia operated on perfectly, quickly and highly professionally

Here, a patient is always also a human being. An operation is never nice, but if a hernia operation, then only with Dr. Muschaweck and her team. Fast appointment, quick examination and a perfect operation with a loving aftercare. Thank you very much.

Testimonials from 08.07.2020 on Jameda

You can find more testimonials on jameda.de.

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