Hernia’s – Gilmores Groin
At Total Physiotherapy we treat a number of patients who suffer from hernias, whether this is conservatively (without surgery), or after they have had surgery. There are a number of different kinds of hernias however, the most common kind that we treat is called a ‘Gilmores Groin’. This is an injury involving microscopic tears to the tendons which attach the abdominal and groin muscles to the pelvis in the groin.
This injury is commonly caused with forceful twisting movements at the pelvis, common hockey or football.This injury is caused with forceful twisting movements at the pelvis, commonly hockey or football. Pain can also be increased with coughing or sneezing. If the injury is not addressed early, the pain can become worse, preventing the muscles from contracting and causing muscle weakness.
What is the best treatment for a Gilmores groin?
It is common that after either an ultrasound scan or an MRI scan the patient may require surgery to repair the tendon. This will depend on the severity of your symptoms. The physiotherapist will be able to advise you with this and refer you to an Orthopaedic specialist for a further assessment if surgery is recommended. Surgery is recommended in the majority of cases and it is believed that return to sport can be as soon as 15 weeks after the surgery if the appropriate rehabilitation is adhered to. This is where physiotherapy is extremely important.
Physiotherapy can be very beneficial in improving symptoms and reducing pain. In the majority of cases the physiotherapist may advise you to see an orthopaedic specialist for an opinion regarding surgical repair, however it may be appropriate to treat the injury conservatively. The physiotherapist will complete a thorough assessment to identify specifically, which muscles are affected. We may feel it is appropriate to complete some manual therapy (soft tissue massage, joint mobilisations, trigger point release) in order to help reduce tension within the soft tissues and prevent extra stress on the tendons which attach to the groin. Whether your injury is treated post operatively or without surgery, it will be appropriate to use specially designed exercises to strengthen the muscles in relation to the severity of your symptoms. Specific exercises will be prescribed to target the injured tendons in order to help with the repair process. These exercises will ensure the muscles will not lose their strength and stability. The physiotherapist may advise with rest from activity for a certain period of time, dependent on the severity of your symptoms. It will be important to rest, as well as complete the specific exercises, in order to allow the tendons to repair without further damage.
If you would like to discuss your problem before booking an appointment please give our physiotherapy team a call, we will do our best to help.