About sports hernia and chronic groin pain
Chronic groin pain in athletes has several possible sources that often overlap. They include the adductor (inner thigh) tendons, the lower abdominal wall where it attaches near the pubic bone, the pubic joint itself, and the hip joint. Sports hernia is a common term, but it usually describes a strain of these tissues rather than a true hernia.
It is most common in sports with fast direction changes and kicking, such as soccer, hockey, football, and lacrosse. Pain often builds gradually and can become a nagging problem that limits speed and power.
Common symptoms
- Deep groin or lower abdominal pain with sprinting, cutting, or kicking
- Pain with sit-ups, coughing, or sneezing in some cases
- Tenderness near the pubic bone or inner thigh
- Pain that eases with rest and returns with sport
Common causes and risk factors
- Repeated twisting, cutting, and kicking
- An imbalance between strong hip muscles and weaker core muscles
- Limited hip rotation, often from impingement
- Rapid increases in training intensity
How we diagnose it
Our physicians examine the adductors, lower abdominal wall, pubic bone, and hip joint to find where the pain truly comes from. Ultrasound at the exam table shows adductor tendon changes and can reveal a hernia during a cough or strain. MRI may be added when the source is unclear. A visible bulge in the groin needs evaluation for a true hernia.
How Propel treats sports hernia and chronic groin pain
Most athletes improve with a structured rehab program that builds adductor and core strength, restores hip motion, and progresses back to running, cutting, and kicking step by step. We coordinate with coaches and trainers so you stay as active as safely possible during recovery.
For stubborn adductor tendon pain, PRP placed under ultrasound can support tendon healing, including small partial tears. When pain persists despite thorough rehab, or when a true hernia or significant abdominal wall injury is found, we help coordinate referral to a surgeon who treats athletic groin injuries.
What to expect at your visit
- 1.
We listen first
Your visit opens with a real conversation: how the problem started, what you have already tried, and the activity you want back.
- 2.
Exam and in-office ultrasound
A hands-on exam, then ultrasound at the exam table, often while you move, so your physician can see the tendon, joint, or nerve involved.
- 3.
A clear diagnosis and plan
You leave knowing what is wrong and what your options are, from strength-based rehab to procedures, and why we recommend each one.
- 4.
Treatment and follow-through
Most procedures happen here in the office. We coordinate with your physical therapist and check progress against the goals you set.
Questions about sports hernia and chronic groin pain
- Is a sports hernia a real hernia?
- Usually not. The term describes a strain or weakness of the lower abdominal and groin attachments rather than a bulge of tissue through the wall. That is why it often does not show up on a standard hernia exam.
- Can hip problems cause groin pain in athletes?
- Yes. Hip impingement and labral tears commonly cause groin pain and can coexist with adductor or abdominal wall strain. Checking the hip is part of every groin pain evaluation.
- How long before I can return to sport with athletic groin pain?
- It varies with the cause and how long symptoms have been present. We use strength and movement milestones, rather than a fixed date, to guide your return.