Abstract
If the definition of sports hernia and its etiopathogenesis and consequently its treatment are already not unambiguous, we have even less indications on rehabilitation program. In fact, if we analyze the bibliography (PubMed, PEDro, Science Direct), items on post hernioplasty rehabilitation are almost absent, compared with publications for the management of inguinal pain after surgery. This is because there is still a need for guidelines and methods of assessments in order to produce scientific papers of value. However, a distinction arises in literature between the conservative approach, recommended for the first 4–6 weeks of the onset of pain, and the surgical approach, recommended for those suffering from chronic groin pain for wall weakness (pain present for at least 6 months). Another distinction is placed according to the interventions the surgeons used for the athlete, i.e., minimal repair technique (see Muschaweck and Berger), mini open mesh approach (LM Brunt), and laparoscopic approach with increasing degrees of complexity and therefore of functional recovery.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Verral GM, Slavotinek JP, Fon GT, Barnes PG. Outcome of conservative management of athletic chronic injury diagnosed as pubic bone stress injury. Am J Sports Med. 2007;35:467–74.
Weir A, Jansen JACG, Van de Port IGL, Van de Sande HBA, Tol JL, Backx FJG. Manual or exercise therapy for long-standing adductor related groin pain: a randomised controlled clinical trial. Man Ther. 2011;16:148–54.
Weir A, Veger SA, Van de Sande HBA, Bakker EW, de Longe S, Tol JL. A manual therapy technique for chronic adductor-related groin pain in athletes: a case series. Scand J Med Sci Sports. 2009;19:616–20.
Muschaweck U, Berger L. Minimal repair technique of sportsman’s groin: an innovative open-suture repair to treat chronic inguinal pain. Hernia. 2010a;14:27–33.
Muschaweck U, Berger L. Sportsmen’s groin—diagnostic approach and treatment with the minimal repair technique: a single center uncontrolled clinical review. Sports Health. 2010b;2:216–21.
Minnich JM, Hanks JB, Muschaweck U, Brunt LM, Diduch DR. Sports hernia. Diagnosis and treatment highlighting a minimal repair surgical Technique. Am J Sports Med. 2011;39(6):1341–9.
Brunt M. and Barile R. My approach to Athletic Pubalgia. On JWT Byrd. In: Operative hip arthroscopy. New York: Springer; 2013. p. 55–65.
Paajanen H, et al. Laparoscopic surgery for chronic groin pain in athletes is more effective than non operative treatment: a randomized clinical trial with magnetic resonance imaging of 60 patients with sportsman’s hernia (athletic pubalgia). Surgery. 2011;150(1):99–107.
Citfi F, et al. Early-stage quantitative analysis of the effect of laparoscopic versus conventional inguinal hernia repair on physical activity. Chirurgia (bucur). 2015;110(5):451–6.
McIntosh A, et al. Evidence-based management of groin hernia in primary care—a systematic review. Fam Pract. 2000;17(5):442–7.
Van Veen RN, et al. Successful endoscopic treatment of groin pain athletes. Surg Endosc. 2007;21:189–93.
Ellsworth AA, et al. Athletic pubalgia and associated rehabilitation. Int J Sports Phys Ther. 2014;9(6):774–84.
Caudill PH, et al. Sports hernias: a systematic literature review. Br J Sports Med. 2008;42:954–64.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Cerulli, S. (2017). Postsurgical Rehabilitation: Hernioplasty. In: Zini, R., Volpi, P., Bisciotti, G. (eds) Groin Pain Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-319-41624-3_20
Download citation
DOI: https://doi.org/10.1007/978-3-319-41624-3_20
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-41623-6
Online ISBN: 978-3-319-41624-3
eBook Packages: MedicineMedicine (R0)