PT Snacks Podcast: Physical Therapy with Dr. Kasey Hankins

156. What Is a Sport's Hernia? Understanding Athletic Pubalgia


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In this episode of PT Snacks podcast, we delve into the topic of sports hernia, also known as athletic pubalgia. Listeners will learn about what a sports hernia is, how it occurs, and the anatomy involved, including key muscles and structures. The episode covers how to assess and treat this condition based on current research and offers insights into clinical challenges and differential diagnoses. We also discusse conservative treatments, exercise progression, and when surgical intervention might be necessary, providing a comprehensive overview for physical therapists and students.

00:00 Introduction to PT Snacks Podcast
00:43 Understanding Sports Hernia
03:55 Anatomy and Causes of Sports Hernia
05:03 Clinical Presentation and Diagnosis
06:42 Treatment Approaches
10:29 Surgical Options and Post-Op Rehab
12:02 Key Takeaways and Conclusion
12:58 Additional Resources and Offers

Ross JR, Stone RM, Larson CM. Core muscle injury/sports hernia/athletic pubalgia, and femoroacetabular impingement. Sports Med Arthrosc Rev. 2015;23(4):213‑220.
Europe PMC

Drager J, Rasio J, Newhouse A. Athletic pubalgia (sports hernia): presentation and treatment. Arthroscopy. 2020;36(12):2952‑2963.

Forlizzi JM, Ward MB, Whalen J, Wuerz TH, Gill TJ 4th. Core muscle injury: evaluation and treatment in the athlete. Am J Sports Med. 2023;51(4):1087‑1095. doi:10.1177/03635465211063890.
PubMed

Kraeutler MJ, Mei‑Dan O, Belk JW, Larson CM, Talishinskiy T, Scillia AJ. A systematic review shows high variation in terminology, surgical techniques, preoperative diagnostic measures, and geographic differences in the treatment of athletic pubalgia/sports hernia/core muscle injury/inguinal disruption. Arthroscopy. 2021;37(7):2377‑2390.e2. doi:10.1016

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PT Snacks Podcast: Physical Therapy with Dr. Kasey HankinsBy Kasey Hankins, PT, DPT, OCS

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