Is a Hidden Hernia Causing Your Groin or Pelvic Pain?

Chronic groin, pelvic, or lower abdominal pain can be frustrating and difficult to diagnose. In many cases, patients undergo multiple evaluations without receiving a clear answer for their discomfort. One often-overlooked cause of persistent pain in these areas is an occult hernia, also known as a hidden hernia. Because these hernias are small or lack obvious physical bulging, they are frequently misdiagnosed or dismissed entirely. At Core Surgical in NYC, our hernia specialists have the expertise to identify and treat hidden hernias, helping patients find lasting relief.

What is an Occult (Hidden) Hernia?

Unlike traditional hernias, which present as visible bulges or lumps, occult hernias may not be detectable through a standard physical exam or even imaging. These hernias occur when a small portion of tissue or intestine pushes through a weak spot in the abdominal wall, but the herniation is either too deep, too small, or temporarily retracting, making it hard to identify.

Hidden hernias commonly develop in the inguinal (groin) region, but they can also occur in the lower abdomen or near prior surgical sites. Women are particularly prone to occult hernias, as their anatomy makes it more difficult to detect a small herniation without specialized imaging techniques.

Common Symptoms of a Hidden Hernia

Occult hernias often go undiagnosed because they do not always present with a noticeable bulge. Instead, they can cause a variety of symptoms, including:

• Persistent groin, pelvic, or lower abdominal pain
• Pain that worsens with movement, coughing, or prolonged standing
• A burning, aching, or sharp pain in the affected area
• Pain that radiates to the hip, thigh, or lower back
• Discomfort during physical activity, including walking or exercising
• Bloating, nausea, or digestive disturbances in some cases

Because these symptoms mimic other conditions like hip impingement, nerve entrapment, or gynecological disorders, many patients are misdiagnosed and treated for the wrong condition, delaying proper care.

Why a Hernia Specialist is Essential for Diagnosis

Hidden hernias are often overlooked in general medical exams, making it crucial to seek evaluation from a specialist who understands the complexities of occult hernias. At Core Surgical in NYC, we use a combination of:

• Advanced imaging techniques such as ultrasound, MRI, or dynamic CT scans to detect subtle herniations.
• Physical examination techniques that involve positioning the patient in ways that increase abdominal pressure, revealing hidden weaknesses in the abdominal wall.
• Diagnostic nerve blocks to differentiate hernia pain from nerve-related conditions.

Treatment Options for Occult Hernias

If a hidden hernia is confirmed, treatment typically involves minimally invasive laparoscopic or robotic surgery to reinforce the abdominal wall and repair the defect. These techniques allow for faster recovery times, minimal scarring, and reduced post-surgical pain, allowing patients to return to normal activities more quickly.

Find Relief at Core Surgical in NYC

If you have persistent groin or pelvic pain with no clear diagnosis, an occult hernia may be the underlying cause. At Core Surgical in NYC, our hernia specialists provide expert diagnosis and treatment for hidden hernias, helping patients finally achieve relief. Contact us today to schedule a consultation and take the first step toward resolving your pain.