Sports Hernia (Athletic Pubalgia)

A sports hernia is a strain or tear of soft tissue in the lower abdomen or groin area. It causes chronic groin pain in athletes and is common in hockey, soccer, and football.

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Typical Recovery Time

6-12 weeks with conservative care; 4-6 weeks post-surgery

Symptoms

•Groin pain that worsens with athletic activity
•Pain when coughing, sneezing, or twisting
•Tenderness in the lower abdomen
•Pain radiates to the inner thigh

Common Causes

•Sudden twisting or cutting movements
•Repetitive hip flexion and trunk rotation
•Common in hockey, soccer, and football

Treatment Options

1Rest and activity modification

2Physical therapy

3Anti-inflammatory medications

4Core strengthening

5Surgery in refractory cases

When to See a Doctor

If groin pain persists despite rest or significantly limits your athletic performance.

Frequently Asked Questions

What is a sports hernia?

A sports hernia, also called athletic pubalgia, is a strain or tear of soft tissue in the lower abdomen or groin. It does not involve a true hernia bulge. It can cause chronic groin pain in athletes.

What causes a sports hernia?

It is caused by repetitive twisting, cutting, and high-intensity athletic activity. Sports like soccer, hockey, and football increase risk. Weakness or imbalance in the core and hip muscles can contribute.

What are the symptoms?

Symptoms include deep groin pain that worsens with activity and improves with rest. Pain may occur with sprinting, cutting, or sit-ups. Some athletes notice reduced performance or difficulty pushing off.

How is it treated?

Treatment includes rest, physical therapy, and strengthening of the core and hip muscles. Activity modification is important early on. Surgery may be considered if symptoms persist despite conservative care.

When can I return to sports?

Return depends on pain-free movement, strength, and sport-specific function. Many athletes return over several weeks to months. Surgical cases require a longer rehab timeline.

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