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Sports Hernia – Signs, Recovery, and Prevention

A sports hernia, also known as athletic pubalgia, is a strain or tear of any soft tissue in the lower abdomen or groin area. It’s a common, yet often misdiagnosed, injury among athletes, usually stemming from sports that involve sudden changes of direction or intense twisting movements. Unlike a traditional hernia, a sports hernia does not create a visible bump in the abdominal wall, making it challenging to diagnose. Despite the lack of visual signs, the pain associated with a sports hernia is quite discernible, often sidelining athletes during strenuous activity or even at rest. This blog will delve into the complexities of a sports hernia, shedding light on its causes, symptoms, treatment options, and preventive measures.

Causes and Symptoms 

Symptoms of a sports hernia may initially present as a dull ache or feeling of discomfort in the lower abdomen or groin area, particularly during physical activity. As the condition progresses, the pain may intensify and become sharp, often radiating down the adductor muscle in the thigh. This pain might decrease during periods of rest, but it generally returns and worsens during activities involving twisting movements or sudden changes of direction. Unlike traditional hernias, a sports hernia does not cause a visible bump in the abdomen or groin, thus making it a more elusive diagnosis.

Who is Most at Risk? 

Sports hernias predominantly affect athletes, particularly those involved in sports demanding intense twisting movements, sudden changes of direction, or rapid accelerations and decelerations. This includes activities such as soccer, rugby and ice hockey. Athletes are at a heightened risk due to the repetitive and high-intensity strain these sports place on the lower abdominal and groin muscles. However, the risk isn’t confined to athletes. Non-athletes can also develop a sports hernia as a result of sudden, forceful movements or a direct blow to the lower abdomen or groin area. Certain physical conditions may predispose an individual to sports hernias, for instance, weak abdominal muscles, poor flexibility, or previous injuries in the area. Hence, while athletes form the major risk group, anyone engaging in strenuous or sudden physical activities should be aware of the potential risk of sports hernias.


Physical therapy can be a valuable tool for recovering from a sports hernia. Physical therapy looks to restore full function of the affected musculature. Manual therapy techniques are often used to desensitize the affected tissue. Physical therapy works on addressing mobility and strength deficits that may be contributing to the onset and continuation of symptoms. Athletes may need to adjust their training plan and a cautious return to regular activities under professional supervision is vital to prevent further injury. Those with more severe cases may require surgery to repair the affected tissue. 

Preventive Measures 

Preventive measures play an important role in mitigating the risk of sports hernias. Regularly engaging in exercises that strengthen the core and lower abdominal muscles can help fortify this region against strain. Additionally, maintaining mobility of the hips can help reduce the risk of injury in this area as well. Sports participants, especially those involved in high-intensity activities, should also prioritize adequate warm-up and cool-down routines to prepare the muscles for strenuous activity and aid recovery post-exercise. Lastly, listening to one’s body is crucial. Recognizing signs of muscle fatigue and responding with appropriate rest and recovery can prevent minor strains from escalating into more serious injuries like sports hernias.


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