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Stay up-to-date with the latest advancements in Athletic Pubalgia Diagnosis! In this video, we'll delve into what's new in 2025, exploring the most recent research, diagnostic techniques, and treatment options for this common condition affecting athletes. Want more info? Get free access to The 6 Step Sports Hernia Recovery Plan. Use this link to get access. https://www.p2sportscare.com/webinars... Video Guide https://www.p2sportscare.com/product/... To work with us, contact us using this link https://www.p2sportscare.com/contact-... or call us 714-502-4243. We have online programs, virtual and in-person options. Costa Mesa, CA www.p2sportscare.com #sportshernia #sportshernia #sportsherniarehab Transcript: Athletic pubalgia, AKA a sports hernia, can be very difficult for a lot of people to diagnose. Healthcare providers have trouble with it, and certainly, patients do too. How can you expect to treat it properly if you don't know how to diagnose it properly? Today, we're covering a literature paper that talked to and examined 245 people to see what they had in common when they had athletic pubalgia, AKA sports hernia, AKA groin pain in athletes. First, they took a little survey to figure out what the most prevalent sport was going to be. Here's what they found. They found soccer was the main sport, with 129 participants, followed by running and gym workouts, with running being 43 and gym workouts being 16 subjects of the 245. Altogether, these sports accounted for 76.7% of the entire sample of people. Now, this isn't to say you can't get it doing other things, but these are the commonalities that they all had. Now we can go to the symptoms. Be aware that symptoms are not always pain. Symptoms can also be tightness, burning, stabbing, or shooting. Tightness can be in the testicle if you're a male. So remember, these are symptoms we're talking about, not necessarily only pain. Symptoms improved at rest and worsened during the practice of the sport, running, or walking. Another 13% had pain during sexual intercourse, 11% during sneezing, and 8% during coughing. We also saw that it worsened during change of direction activities, long runs, sprints and speed training, jumps, and kicks. Most patients had pain in the inguinal region, which is the crease of the hip where your thigh meets your abdominal area. Some had it in the adductor muscles, and some in the pubic bone region, right in the middle. Other affected sites were the lumbar spine (low back), the proximal thigh (upper thigh area), the perineum (the area between the thighs), and the testes (genitals in men). When we got into the physical exam portion, it seemed like they mainly had two things in common. This is the first starting point to figure out what the person has, what images to possibly take, and to see if we can find a pattern to actually treat the person too. Imaging is not always first on the list—it's usually these tests. What we found was that adductor contraction against resistance with an extended knee was positive and painful in 190 out of the 245 patients. Also, simultaneous unilateral (single-side) hip and abdominal contraction against flexion—or flexion against resistance, rather—was present in 188 of the 245 patients. If we reference back up into the results in the original section of the literature, we can see that both of these tests had over a 75% relationship with people having this type of condition. By the way, if you're looking for any information about how to actually resolve this condition and the step-by-step process, we have our sports hernia six-step recovery plan that is free in the link description below. Check that out. Interestingly, many people in this literature actually waited a really long time to find the correct diagnosis. We see that 118 of those 245 had the diagnosis established in less than 90 days from the original pain onset, which is actually not too bad. But we can see that another 127 of those 245 actually didn't get the diagnosis confirmed until after 90 days from onset injury, which is quite a bit of time. Why does this happen? We can use a simple Google search to figure out what the other possibilities are. You can see by this list here that there are many different things that can masquerade as a simple sports hernia: adductor tendinitis, osteitis pubis, inguinal hernia, muscle strains in the groin, hip joint pathologies such as labral tears, impingement, iliopsoas tendinitis, snapping hip syndrome, and the list goes on and on. Now that we've covered what people look like in terms of symptoms and relevant testing for an athletic pubalgia or sports hernia case, let's talk about basic treatment plans.