Key Things to Know About Sports Hernia Injuries

At Core Surgical in New York City, patients dealing with ongoing groin pain often have one key question: Is it a sports hernia? Also known as athletic pubalgia, this condition can be frustrating, especially for athletes and active individuals who want clear answers and effective treatment. Below, we address some of the most common questions patients ask.

What is a Sports Hernia?

A sports hernia, or athletic pubalgia, is not a traditional hernia. Instead of a visible bulge, it involves a strain or tear in the soft tissues of the lower abdomen or groin.

It typically develops from repetitive stress, especially in sports that involve:

• Sudden twisting or turning
• Rapid acceleration and deceleration
• Kicking or explosive movements

Over time, these forces weaken the tissue, leading to persistent pain and instability.

What are the Symptoms?

Symptoms can vary, but most patients describe a deep, ongoing discomfort in the groin area. It may start as mild irritation and gradually worsen.

Common signs include:

• Groin pain that increases with activity
• Pain during twisting, sprinting, or cutting movements
• Discomfort when coughing or sneezing
• Tenderness in the lower abdomen
• Reduced athletic performance

In many cases, the pain improves with rest but returns once activity resumes.

Who is Most at Risk?

Sports hernias are most common among athletes, but they can affect anyone who places repeated strain on the core and groin.

Higher-risk groups include:

• Soccer, hockey, and football players
• Runners and tennis players
• Individuals with weak core stability
• People returning to activity too quickly after injury

Even non-professional athletes can develop this condition through regular, intense activity.

How are Sports Hernias Diagnosed?

Diagnosis requires a careful evaluation. Because there is no visible bulge, sports hernias can be missed without a thorough assessment.

At Core Surgical, specialists typically use:

• A detailed physical exam
• Imaging such as MRI or ultrasound
• Evaluation of movement and pain triggers

This approach helps distinguish athletic pubalgia from other causes of groin pain.

What Treatment Options are Available?

Treatment depends on the severity of the injury and how long symptoms have been present. Some mild cases may respond to conservative care, but persistent pain often requires a more advanced approach.

Options include:

• Physical therapy to strengthen core muscles
• Anti-inflammatory treatments
• Activity modification and rest
• Surgical repair for lasting relief

At Core Surgical, both open and laparoscopic procedures are offered, using advanced techniques to repair damaged tissue and restore stability.

When is Surgery Recommended?

Surgery is typically considered when pain does not improve with non-surgical treatments or continues to interfere with daily activities or sports.

The goal of surgery is to:

• Repair weakened or torn tissue
• Reinforce the abdominal wall
• Relieve chronic pain
• Allow a safe return to activity

With modern techniques, many patients experience strong outcomes and a structured return to their routine.

Why Choose Core Surgical?

The team at Core Surgical brings decades of focused experience in treating complex hernias and groin injuries. With over 50 years of combined clinical expertise, our board-certified surgeons take a personalized approach to every case and have consulted for the NBA, NFL MLS, MLB and NHL.

Patients benefit from:

• Specialized knowledge in sports hernia repair and groin pain
• Advanced surgical options, including minimally invasive techniques
• Individualized treatment plans tailored to activity level and goals
• A commitment to precise care and long-term results

A Clear Path Forward

Athletic pubalgia can be difficult to live with, especially when it limits movement and performance. The good news is that with the right diagnosis and treatment plan, recovery is possible. At Core Surgical in NYC, the focus is on delivering expert care that addresses the root of the problem, helping patients return to their daily lives and activities with confidence.

Trust the doctors that professional athletes trust for their groin injuries. Contact our team if you need expert care for a groin injury.