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Sports Hernia

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Stanley View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Stanley Quote  Post ReplyReply Direct Link To This Post Topic: Sports Hernia
    Posted: 7/18/11 at 4:05pm
I threw in the San Diego HG a month ago, and the next
week or 5 days later. I did my heavy DL routine working
up to a heavy triple of 530#.

I hadn't lifted that heavy in a few months, and I know I
probably shouldn't have done it. I wanted to know if I
had lost/gained strength.

Three days later I was throwing HH and LH with my brother
in the back yard, and I felt a tug in my right groin area
which became more and more inflamed with each throw. I
decided to stop with the hammers after 10 throws, and we
progressed to stones which didn't seem to bother the
injury. We did WFD the next day, and that seemed to
inflame the injury again. I decided to take 6 days off
from all activity.

We threw the following weekend, and I still felt a twinge
but nothing like before.

I took the entire following week off, and threw this
weekend at the HG in Flagstaff. Every thing felt great
for stones and WOB, but when we got to HWFD I felt the
familiar twinge again, which got worse as we progressed
through hammers. Caber didn't really bother me.

Does this sound like a sports hernia, or a pulled abductor?

Any recommendations for rehab would be much appreciated.
I am going to schedule a wellness visit with my doctor
for recommendations, but I really don't want to go the
surgery route unless it is absolutely necessary.

To characterize the pain, it is like being stabbed in the
right side of my groin. A day after the games I only feel
pain when I put force on my right leg towards the inside
of my thigh, or force my right leg towards the left. It
definitely feels like an abductor muscle, but I do have
some slight lower ab pain when I get out of a seated or
lying position.

I am a bit puzzled about why the hammer action seems to
aggravate the injury the most.

Thanks,

Stan Dickey
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AlDargie View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote AlDargie Quote  Post ReplyReply Direct Link To This Post Posted: 7/18/11 at 10:21pm
I can tell you that my first HHammer pull was similar to
what you described. I throw hammer left and the pull
started in my lower left groin area and diagonally up into
the lower front right side. I think it took about 6 weeks
to heal with light active rest and gentle stretching. If
you can't or unwilling to wait, you can try wrapping the
area a bit and see if that helps.
Dyin' ain't much of a living, boy. - Outlaw Josey Wales
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Post Options Post Options   Thanks (0) Thanks(0)   Quote weaselking Quote  Post ReplyReply Direct Link To This Post Posted: 7/19/11 at 1:55am

I think you got it Stan.  Sounds like a groin pull.  Were it a hernia, I would expect a bulging with a cough (or any increased intraabdominal pressure).  Get it properly evaluated by a doc, of course, but rest & NSAIDs ought to do it.  Easier said than done, I know.

We can evade reality, but we cannot evade the consequences of evading reality. - Ayn Rand
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sammy68123 Quote  Post ReplyReply Direct Link To This Post Posted: 7/19/11 at 1:58am

Originally posted by Stanley Stanley wrote:


Does this sound like a sports hernia, or a pulled abductor?

Any recommendations for rehab would be much appreciated.
I am going to schedule a wellness visit with my doctor
for recommendations, but I really don't want to go the
surgery route unless it is absolutely necessary.

To characterize the pain, it is like being stabbed in the
right side of my groin. A day after the games I only feel
pain when I put force on my right leg towards the inside
of my thigh, or force my right leg towards the left. It
definitely feels like an abductor muscle, but I do have
some slight lower ab pain when I get out of a seated or
lying position.

I am a bit puzzled about why the hammer action seems to
aggravate the injury the most.

It sounds like ADDuctor, not abductor (not practicing medicine, but does not sound like a hernia).  Adductors move thigh toward midline of body, abductors move it away from midline.  One reason that the hammer seems to bother it is because the lateral action of your hips with fixed feet.  Do you use blades?  Also, some weakness in your obliques might be contributing also as both internal and external obliques attach on the inguinal ligament right at the area you're describing.  All those parts of your torso and thighs are contributing to the hammer rotation much more so than with WFD or stones because of fixed feet.

Some isomentric ball squeezes--volleyball, basketball, etc--start with 5-count hold x 10-15 reps working up to 10-count hold.  Also, you might try standing leg adduction: with a tube or band looped around right knee attached to the upright of a rack on your right, pull the band toward the midline of your body and hold for 5-count.  Pay attention to what is also happening at your torso, so don't just swing back and forth.  Be sure to do both legs to get equal coverage.

Try those out to see how they work for you.

Teresa Merrick, Ph.D./Bellevue,  NE

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Post Options Post Options   Thanks (0) Thanks(0)   Quote DaleGehman Quote  Post ReplyReply Direct Link To This Post Posted: 7/19/11 at 5:09am

Stan,

You're describing much of what I went through all last season. I popped mine on WFD. I found it a very frustrating injury to heal. I suspect mine was either a bad pull or tear. I injured it in late May, competed through September, probably reinjuring it, and started wieight training in December. I've only been pretty much healed since mid June. I found rest about the best thing to do early on, then to build and strengthen it, I got the most out of back squats, thigh squeezes (not sure what else to call them, done on a machine in the gym), and trunk twists on the cable pull machine. I also wrapped my upper thigh with my knee wrap to train, as that's the only thing that would give me enough support. Good luck with it.

Partner in JDJ Caber Co. "Proudly serving the Scottish Heavy Athlete with fine cabers for sale. No orders too large or too small."
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Post Options Post Options   Thanks (0) Thanks(0)   Quote C. Smith Quote  Post ReplyReply Direct Link To This Post Posted: 7/19/11 at 5:23am
It certainly sounds like an adductor issue.

I would find a good ART specialist and have them look at it and get their thoughts.  It may be something that they can help heal with ART, Graston, etc...
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Crush Quote  Post ReplyReply Direct Link To This Post Posted: 7/19/11 at 8:08am

Stan,

I am certainly not a doctor, but I concur, sounds like an adductor.  I have torn mine.  I am pretty sure most throwers in the games have had at least adductor stress at some point.  My advice to you is when you do recover, spend more time doing throwing drills, start very slow and easy and progress the speed and weight load over time.  Don't take so many practice throws, you don't need them.  I.E. in the hammer, do winds slow and in perfect arc planes for sets of ten.  Maybe 5 -7 sets.  Maybe take three throws after that if your mind won't let you believe that you don't need all that work.  With WFD, try sets of repeat spins with perfect pivots.  If you can get 7-10 spins in a row without falling down, then you will be able to crank throu two in a games.  My only other thought about recovery wqould be to look into PNF stretching. 

...Fear God and keep His commandments, for this is the whole duty of man...

Eccl. 12:13
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Stanley View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Stanley Quote  Post ReplyReply Direct Link To This Post Posted: 7/19/11 at 10:58am
Thank you all!

Adductors. Yes, that's what I meant. The darned spell
check told me I was wrong and I believed it.

I had thought I would try doing something like ball
squeezes (actually I thought of that evil looking
contraption in the gym with the pads on the inside of the
thighs) and light hammer winds just because that seems to
be the weak link.

I have a massage therapist in my family and she knows
PNF. I just haven't had a chance to get by and see her.

I am going to rest until the pain subsides. Then I am
going to start working these assistance exercises (ball
squeezes, band work) daily. I will do some light drills
on the weekends for the first few weeks, and slowly work
my way into some full force throws over the next 6 weeks.

If I don't feel better by then I am going to the doctor.

Thank you all for your advice. Yesterday I was really
concerned. I have always been pretty healthy. I have
competed in 10 to 15 power lifting events and never been
injured (other than some minor rotator cuff tears). The
HGs are definitely more taxing on the body, but
infinitely more fun. I am hooked. I enjoy practicing
almost as much as competing. I can't say that about power
lifting. I now think of the gym as a means to an end. Not
the end.

Thanks again.

Stan
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jsully Quote  Post ReplyReply Direct Link To This Post Posted: 7/20/11 at 11:04am
I've done this a couple different times, with different sides as well. Ice, rest, foam rolling and side lunges were my best friend for 3 weeks. If you deadlift or squat wide then stop. I just brough my legs in closer and it didn't affect them. Good luck.  
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sammy68123 Quote  Post ReplyReply Direct Link To This Post Posted: 7/21/11 at 3:33am

Originally posted by Stanley Stanley wrote:


I had thought I would try doing something like ball
squeezes (actually I thought of that evil looking
contraption in the gym with the pads on the inside of the
thighs) and light hammer winds just because that seems to
be the weak link.

Thank you all for your advice. Yesterday I was really
concerned. I have always been pretty healthy. I have
competed in 10 to 15 power lifting events and never been
injured (other than some minor rotator cuff tears). The
HGs are definitely more taxing on the body, but
infinitely more fun. I am hooked. I enjoy practicing
almost as much as competing. I can't say that about power
lifting. I now think of the gym as a means to an end. Not
the end. 

Stan

It's easier to just have people call the machine the "hip in" machine--pads on inside, you pull in.  Its opposite--"hip out"--pads on outside, you push out.  Wouldn't hurt to do both of them with a controlled 5-count lowering.  However, the same two exercises done in a standing position would be closer to the biomechanical actions needed.  Also be sure to strengthen your left side--torso, inner/outer hip.  It's very easy for a right-handed thrower to allow the left side of body to ride along instead of contributing to the effort.  Ends up overstraining the right side.

I enjoy HG more than PL too, but I wouldn't necessarily say they are more taxing to the body than PL.  Certainly more technical and needing more precision.  The movement and speed components create a smaller window of error.  Practice to groove the right patterns; I need to get better at incorporating drills into my gym workouts instead of only during my practice sessions.

JMHO

Teresa Merrick, Ph.D./Bellevue, NE

Teresa Merrick
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mthompson33 Quote  Post ReplyReply Direct Link To This Post Posted: 7/21/11 at 5:23am
Stan,

Does it hurt when you try to raise your knee to your chest (not pulling it up with your hands but raising it up like you were doing high knees) or when you try to do something like a box jump?

This sounds pretty similar to a problem I have spent most of the year trying to correct.  I'm pretty close, but I've logged about 20 visits to the A.R.T. practitioner and lots of stretching and rehab.  Mine presented itself as a lower abdominal strain, but involved so much more.  Had a partially torn hip flexor that was locked up and prevented the abdominal from healing properly.  Once that was loosened up it became obvious that I had inactive glutes.  This resulted in a nagging hamstring problem.  I am currently working to become more balanced in the hips and the results have been good.  Despite the injuries I've managed to move my PRs in several events through the early season.

The standing adduction/abduction work (bands or cables) along with hip extensor activation work (super mans, bands or cables) have definitely been a big part of my rehab work.  Another helpful activity uses bands between the knees and doing various high knees and lateral movements.
Matt Thompson

"If you wake up and you're not in pain, you know you're dead." -- Russian Proverb
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Soul Eater Quote  Post ReplyReply Direct Link To This Post Posted: 7/28/11 at 8:36am
Active Release Tech or ART sounds like a good way to go, It can get very
painful especially in that area of the Body. My advice to you is bring a bite
stick. I'm not being funny.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mthompson33 Quote  Post ReplyReply Direct Link To This Post Posted: 7/29/11 at 4:14am
Yep, I have some bruising on my hamstring and shoulder from yesterday's session...  Not needed a bite stick though...  I kind of like the pain...
Matt Thompson

"If you wake up and you're not in pain, you know you're dead." -- Russian Proverb
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Post Options Post Options   Thanks (0) Thanks(0)   Quote C. Smith Quote  Post ReplyReply Direct Link To This Post Posted: 7/29/11 at 5:23am
When I was having Graston done on my hip flexor I would be purple from hip to mid thigh.  Awesomely painful.  
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Post Options Post Options   Thanks (0) Thanks(0)   Quote CNorth Quote  Post ReplyReply Direct Link To This Post Posted: 8/06/11 at 1:16pm
Are you still having issues ? If so let me know maybe I can give you some ideas as I am dealing with the my femoral triangle / adductor area
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