What Is a Sports Hernia?
The groin syndrome known as sports hernia, or athletic pubalgia, is actually not a hernia at all, but rather a core muscle injury. Specifically, it's an injury to the soft tissue (muscles, ligaments, or tendons) of your lower belly or groin.
Sports hernia isn't a true hernia because there's often no visible bulge. Rather, it's a strain or tear that causes groin pain.
It's not the most common athletic injury, but it is most common among athletes in twisting sports, particularly young male athletes. Just 3 to 15% of cases are females.
While athletic pubalgia is the official medical term, the more commonly used name among patients is sports hernia.
Sports hernia causes
People usually get a sports hernia because of physical activity.
Twisting and sudden changes of direction are the main causes of this painful core muscle injury. Movements such as planting your feet and twisting sharply can cause a tear in the soft tissue around your groin.
Your oblique muscles, or the muscles on either side of your lower abs, are most vulnerable for a sports hernia.
Sports hernia risk factors and complications
Playing intense contact sports such as ice hockey, soccer, wrestling, and football put athletes at greater risk for sports hernia.
A sports hernia can later lead to a more serious, and more typical, groin hernia.
This happens when the belly pushes against the weak and strained soft tissues. It then forms a visible bulge.
If the pain persists, it's crucial to get sports hernia treatment. This core muscle injury can prevent you from playing the sport you love.
Untreated, athletic pubalgia can also lead to chronic pain. This can make it harder to engage in and enjoy your routine activities.
How to prevent sports hernia
Proper strength training and conditioning can help prevent core muscle injuries and groin syndromes like sports hernia. Core strengthening exercises like planks, crunches, yoga, and even Pilates are especially helpful.
Athletes in contact sports and those that require quick pivoting and twisting should be aware of staying light on their feet during practice and play. Sudden changes in direction without proper form is one of the main causes of sports hernia.
Learn about sports performance, just one of UPMC's preventive services for this injury.
Why choose UPMC Orthopaedic Care for sports hernia?
U.S. News and World Report ranks us as one of the best orthopaedic programs in the nation.
Here are just a few of the reasons why:
- Experts in sports medicine. As experts in preventing and treating sports-related injuries, we know the problems athletes face. We know you want to stay active and keep playing the sport you love. We use the most advanced treatments and therapies to make that happen.
- Interconnected services. We offer one place for all your orthopaedic needs. Our doctors, nurses, and physical therapists provide complete care — from diagnosis through recovery and rehab. We coordinate all of your care, so all you have to focus on is getting better.
- Many ways to rehab. We have more than 70 locations throughout the region where you can go for outpatient rehab.
- Unmatched in research. We are leaders in the western Pa. region for NIH-funded orthopaedic research and clinical trials. We're always seeking better ways to diagnose and treat conditions such as sports hernia.
- Specialty programs. With specialists in each type of orthopaedic injury and condition, we have the experts to cater to your specific needs. The Hip Preservation Program at UPMC Orthopaedic care specializes in hip problems from the mild to the severe, including sports hernia.