Chronic pain in the groin area

Chronic pain in the groin area is one of the leading causes of loss of form and ability to withstand significant physical exertion in athletes. Such pains and conditions are often referred to as "sports hernia" or "pubalgia in athletes" and are mainly associated with a complex of disorders and injuries of the muscular-aponeurotic apparatus of the pelvis, inguinal region and anterior abdominal wall. Recent clinical studies have shown that one of the most common causes of chronic pain in the groin area is hidden damage and weakness of the posterior wall of the inguinal canal, which manifest themselves at the time of physical exertion and tension, which leads to the short-term occurrence of hernial protrusion in the groin area.

The posterior wall of the inguinal canal

Athletes in such cases usually complain of pain in the groin area that occurs during physical activity, training and competitions, and when the loads stop, the pain is usually relieved. When examining the inguinal region, there are no visible hernial protrusions, however, in a number of cases it is possible to determine the expansion in the projection of the inguinal ring, as well as tension and resistance of the posterior wall of the inguinal canal.

Reinforcement of the posterior wall of the inguinal canal with synthetic polypropylene mesh

All patients with similar chronic inguinal pain should be consulted who are specialists in the problem of "sports hernias" to determine the need for additional research methods (ultrasound and MRI) and indications for various types of treatment of such conditions.