Strategies for High-Impact Sports Athletes to Preventing Athletic Pubalgia

 Mitigating Athletic Pubalgia in Athletes: Preventative Strategies in High-Impact Sports 


Athletic Pubalgia (AP), commonly known as a "sports hernia,"  plagues athletes engaged in high-impact sports and has started to become more prevalent over recent years. The research delves into the intricate world of AP, exploring the literature for preventative strategies to make a significant impact on an athlete's well-being and overall ability to perform.


Understanding Athletic Pubalgia:


Athletic pubalgia is a complex groin/abdomen condition, often challenging to diagnose and manage. High-impact sports involving rapid directional change, dynamic movement, and intense, constant physical effort have been linked to the cause of this injury. AP has a high rate of reoccurrence in individuals after already having the condition. In addition, painful conditions like osteitis pubis can co-exist with the occurrence of AP, further emphasizing the need for prevention. 


Key Insights from Our Research:


1. Our studies highlighted the importance of tailored training regimens, considering the athlete's sport, biomechanics, and anatomical factors. 


2. Additionally, Coaches and trainers play a pivotal role in injury prevention by implementing individualized training approaches and monitoring their athletes.


3. Accurate and early diagnosis emerged as key aspects of prevention. 


4. Advanced diagnostic tools, including MRI, proved instrumental in identifying and understanding the pathology severity, guiding treatment decisions, and contributing to the overall comprehension of AP.


Looking Ahead: 


As we navigate the multifaceted nature of AP, future research should prioritize;

1. Comprehensive, long-term studies with a diverse population.

Ensures a more inclusive understanding of AP across various demographic groups, shedding light on potential variations in diagnostics and treatment outcomes.

2. Exploration of gender-specific variations.

Recognizing the existing gender gap in AP research, there's a pressing need to explore gender-specific variations in etiology, diagnosis, and treatment outcomes. 

3. A multidisciplinary approach 

Bringing together surgeons, physical therapists, and sports medicine specialists can enhance the collective understanding of AP, paving the way for holistic interventions that consider both anatomical and biomechanical factors.

In essence, looking ahead involves not only expanding the breadth of our understanding but also deepening our insights. 


Live links:


For those interested in reading more information on the anatomy, treatments, symptoms, causes, physical tests, and more, click here.


For a video on imaging and breakdown AP, click here.


About the Author: 



Jacob Swinehart is a senior at Westfield State University in the Sports Medicine and Human Performance department. Jacob Plans on graduating with a bachelor's Degree with a concentration in Sports Medicine. His future plans are to pursue a career in occupational therapy. Jacob plays for the school's football and track teams while also participating in clubs like SACC. Jacob can be reached at jakeswinehart@yahoo.com for more personal information about this topic.


References:

1. Coker, D. J., & Zoga, A. C. (2015). The Role of Magnetic Resonance Imaging in Athletic Pubalgia and Core Muscle Injury. Topics in magnetic resonance imaging: TMRI, 24(4), 183–191. https://doi.org/10.1097/RMR.0000000000000056  


2. O'Donnell, R., DeFroda, S., Bokshan, S. L., Levins, J. G., Hulstyn, M. J., & Tabaddor, R. R. (2023). Cadaveric Analysis of Key Anatomic Structures of Athletic Pubalgia. Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 7(6), e23.00070. https://doi.org/10.5435/JAAOSGlobal-D-23-00070

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