Athletes are prone to various types of injuries, and one such injury that commonly affects them is a hernia. A hernia occurs when an organ or tissue protrudes through a weak spot or hole in the surrounding muscle or connective tissue.

Athletes’ hernia, also known as athletic pubalgia, is a specific type of hernia that affects the groin area and is commonly seen in sports that involve repetitive twisting motions, sudden changes in direction, or intense physical exertion. While surgery is often the go-to treatment for hernias, there are non-surgical options available that can help athletes recover and get back to their sport quicker.

1. Rest and modified activity

One of the first non-surgical options for athletes with a hernia is rest and modified activity. Giving the injured area time to heal is crucial in the recovery process.

Athletes may need to avoid or modify certain movements or exercises that exacerbate the symptoms. This could include reducing the intensity of their training, avoiding activities that involve excessive twisting or sudden changes in direction, and incorporating low-impact exercises to maintain overall fitness.

2. Physical therapy

Physical therapy plays a significant role in the non-surgical treatment of athletes’ hernia.

A skilled physical therapist can guide athletes through specific exercises and stretches that target the affected area, helping to strengthen the muscles and improve flexibility. Physical therapy can also address any imbalances or weaknesses in neighboring muscle groups, contributing to a more comprehensive recovery.

3. Core strengthening exercises

Strong core muscles are essential for athletes, as they provide stability and support to the spine and pelvis. Weak core muscles can contribute to the development of hernias or exacerbate existing symptoms.

Non-surgical treatment often involves a focus on core strengthening exercises, which may include planks, bridges, and other exercises that engage the abdominals, back, and pelvic muscles.

4. Manual therapy

Manual therapy techniques performed by trained professionals can also be beneficial in the treatment of athletes’ hernia.

Techniques like massage, myofascial release, and joint mobilization can help reduce muscle tension, improve circulation, and increase flexibility. Manual therapy can complement other non-surgical interventions and provide relief from pain and discomfort.

5. Use of supportive equipment

Athletes with a hernia may benefit from using supportive equipment during their recovery phase. Depending on the location and severity of the hernia, a belt or brace may be recommended to provide additional support to the weakened muscles.

This can help athletes continue to participate in their sport while minimizing discomfort and preventing further injury.

6. Cold therapy

Cold therapy, such as ice packs or cold compresses, can help reduce inflammation and ease pain associated with hernias. Applying cold therapy to the affected area for short durations can help alleviate symptoms and provide temporary relief.

It is essential to follow proper guidelines for cold therapy to avoid skin or tissue damage.

7. Non-steroidal anti-inflammatory drugs (NSAIDs)

Non-steroidal anti-inflammatory drugs (NSAIDs) can be used to manage pain and reduce inflammation associated with athletes’ hernia. Over-the-counter options like ibuprofen or naproxen sodium can provide temporary relief.

However, it is important to consult with a healthcare professional before using these medications, as prolonged or excessive use can have adverse effects.

8. Activity modification

Alongside rest and modified activity, athletes may need to make more long-term modifications to their sports or exercise routines to prevent the recurrence of a hernia.

This may involve altering their technique, incorporating more cross-training, or avoiding certain activities altogether. Collaborating with a sports medicine specialist or physical therapist can help athletes develop a modified training plan that reduces the risk of reinjury.

9. Gradual return to sport

Once symptoms have subsided, athletes can gradually return to their sport under the guidance of their healthcare team.

A phased approach, starting with low-intensity activities and gradually increasing the intensity and duration, allows the body to adapt and build strength progressively. This helps to minimize the risk of reaggravating the hernia or developing new injuries due to compensatory movements.

10. Regular monitoring and follow-up

Regular monitoring and follow-up with healthcare professionals are crucial throughout the non-surgical treatment process. Athletes should have periodic check-ups to assess their progress and ensure that their recovery is on track.

Adjustments to the treatment plan or interventions may be made as necessary to optimize results and prevent complications.