Login required to started new threads

Login required to post replies

Lower Abdominal Injury Help
Quote | Reply
Yes, I know that I need to go to a doctor for this and was already referred to a specialist but had it pushed back with COVID-19.

I started having pain that seem to originate very low and flares up immediately when I started trying to run. There was nothing I could figure out that caused it and even took several weeks completely off and no improvement. After this I went to the doctor worried about something more serious and they checked for hernias, testicular exam, and just generally pressed around to feel for anything. I was then referred to an orthopedist.

For a while the pain was constant, and much worse when I ran. Zero pain when riding my mountain bike around the neighborhood. Some pain when doing lunges. Pain during running.

I have included a picture of where it is. Any general ideas of how I could have injured this area? Like I said before, I am still going to the doctor, just trying to narrow things down.


Quote Reply
Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
Quote | Reply
Sort of the same thing.. Flare up and feel very tight at the start of a run, would generally loosen up, but then get painful after some rest. Would mostly go away after 24-36 hours. Felt like something was pulling the abs down from the pubic bone area. I also started getting some adductor (?) groin soft tissue pain on the opposite side.

Happened a couple years ago as well, had a hernia specialist look at it, not a hernia. Had a PT "tele-session," she looked at range of motion in and out on each side. She thinks it's an alignment issue, with twist perhaps as well. So my pelvic tilt was pulling the ab down on one side and the adductor (?) up on the other.

Haven't run since about 4/3, trying to just let it all simmer down, doing daily exercises to try to reset the pelvis muscularly (as I understand it). I've done ART and acupuncture for this before, but hands on stuff obv out.
Quote Reply
Re: Lower Abdominal Injury Help [ChrisM] [ In reply to ]
Quote | Reply
Its sure an interesting spot to be injured. Hopefully I can get back to the specialist and get an answer soon, but being cooped up and not able to run is really not good for this quarantine 15 I'm working on putting on my frame.
Quote Reply
Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
Quote | Reply
Google "osteitis pubis." Hope this isn't it, but I have had this with MRI confirmation and your symptoms sound familiar. Good luck.
Quote Reply
Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
Quote | Reply
I 2nd the motion on Osteitis Pubis
Quote Reply
Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
Quote | Reply
It could be from more miles than your body can handle. I’ve gotten pain in that area during a 50M trail ultra run (starting at 35mi) and the only way to make it feel better was to do side to side footwork exercises. This might work for you. Just some light side to side to see if it makes you feel any better. You’re going to have to rehab the area in some way to get back to full recovery.

Also, I think flutter kicks and scissor kicks can help to strengthen this area when you’re better, but might be painful now.

https://www.strava.com/...tes/zachary_mckinney
Quote Reply
Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
Quote | Reply
I have had some issues in that general area that have been psoas related and perhaps pelvic tilt/twist. Local PTs have helped me work through flare ups generally showing up after big run blocks.
Quote Reply
Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
Quote | Reply
Dude I’m so sorry but it sounds an awful lot like Osteitis pubis. Do a search on this forum and several threads have extensive discussions on it. OP has a long and frustrating road to recovery, but you can beat it with hard work, patience, and time.

I know you’ll get an appt with a sports med doc when you can, I fear you’ll get confirmation.
Quote Reply
Re: Lower Abdominal Injury Help [caamano] [ In reply to ]
Quote | Reply
Well, those symptoms match. Hopefully I get a diagnosis soon and can start a true road to recovery. With how easy I have been raking it lately and avoiding the pain, I barely ever feel it day to day, unless I run for even a few steps. Thanks for throwing that out there everyone.
Quote Reply
Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
Quote | Reply
Yeah, I hope we are all wrong but I agree with the OPs, this sounds like osteitis pubis.

The picture you posted is pretty much the exact area where I had pain. Just sitting around, it did not bother me. If I tried to run, even 100m, it was this terrible tight dull ache. Cycling did not bother it, unless I pushed really hard, but I also could not swim (I guess the downward pressure on my hips aggravated the area). Took me about 6 months to recover from this injury so I hope your issue is something different
Quote Reply
Re: Lower Abdominal Injury Help [EyeRunMD] [ In reply to ]
Quote | Reply
Were there any exercises or specific stretches that helped with your recovery?
Quote Reply
Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
Quote | Reply
BHicks wrote:
Were there any exercises or specific stretches that helped with your recovery?


Part of it was simply rest but I also focused on core work (as tolerated). Glute bridges were a big one for me. I continue to do them to this day. Sit ups and/or crunches were too painful at the start so I stayed away from those. I used machines at the gym to increase my adductor strength.
Quote Reply
Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
Quote | Reply
I posted a long list of what was given to me for Athletic Pubalgia (a related condition):

https://forum.slowtwitch.com/...ost=7035462#p7035462

It took a long time to recover (6 months), and then to go away completely (1 year). But, there were a few good side effects of the exercises above. Notably, I'm now "bullet proof" on the run. knock-on-wood.
Last edited by: Tom_hampton: May 6, 20 9:38
Quote Reply
Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
Quote | Reply
Any resolution? Mine didn’t resolve with PT stuff and has gotten a bit worse even tho I haven’t run since,,,,, who knows when.

Seeing a sports doc Monday to try to figure it out.
Quote Reply
Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
Quote | Reply
Closing the loop on mine, MRI shows Core Muscle Injury, tears of abs and adductors.
Quote Reply
Re: Lower Abdominal Injury Help [ChrisM] [ In reply to ]
Quote | Reply
ChrisM wrote:
Closing the loop on mine, MRI shows Core Muscle Injury, tears of abs and adductors.

Did you end up needing surgery? Or has your problem cleared up without surgery?
Quote Reply
Re: Lower Abdominal Injury Help [EyeRunMD] [ In reply to ]
Quote | Reply
Had surgery October 2020. Resolved the issues
Quote Reply
Re: Lower Abdominal Injury Help [ChrisM] [ In reply to ]
Quote | Reply
ChrisM wrote:
Had surgery October 2020. Resolved the issues

Who did your surgery?

Meyers, in Philadelphia?

Did you have laparoscopic or open method?

Mesh?

How long did it take before you could run again after surgery?
Quote Reply
Re: Lower Abdominal Injury Help [EyeRunMD] [ In reply to ]
Quote | Reply
"Meyers, in Philadelphia?"
--------------------------------------
Our daughter had similar symptoms and had surgery by Dr. Poor, who is with Meyers at the Vincera Clinic, in March. They use an open method there and do not use mesh. So far so good.

David
* Ironman for Life! (Blog) * IM Everyday Hero Video * Daggett Shuler Law *
Disclaimer: I have personal and professional relationships with many athletes, vendors, and organizations in the triathlon world.
Quote Reply
Re: Lower Abdominal Injury Help [david] [ In reply to ]
Quote | Reply
david wrote:
"Meyers, in Philadelphia?"
--------------------------------------
Our daughter had similar symptoms and had surgery by Dr. Poor, who is with Meyers at the Vincera Clinic, in March. They use an open method there and do not use mesh. So far so good.

Thank you.

My groin pain aches a little bit, during the first 2-3 minutes of a run, and then goes away. I'll feel it after a run, for a few hours, but then it becomes unnoticeable. I backed off on total running mileage but I'm still able to run 6-8 miles, 3x per week without trouble. Its not getting worse but its also not getting better. I've had osteitis pubis in the past but this lower abdominal pain is different. Trying PT before going thru with imaging or consideration of a visit to a surgeon.
Quote Reply
Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
Quote | Reply
BHicks wrote:
Yes, I know that I need to go to a doctor for this and was already referred to a specialist but had it pushed back with COVID-19.

I started having pain that seem to originate very low and flares up immediately when I started trying to run. There was nothing I could figure out that caused it and even took several weeks completely off and no improvement. After this I went to the doctor worried about something more serious and they checked for hernias, testicular exam, and just generally pressed around to feel for anything. I was then referred to an orthopedist.

For a while the pain was constant, and much worse when I ran. Zero pain when riding my mountain bike around the neighborhood. Some pain when doing lunges. Pain during running.

I have included a picture of where it is. Any general ideas of how I could have injured this area? Like I said before, I am still going to the doctor, just trying to narrow things down.

It could be 2 things:
- tendinitis in the abs insertion (or even a small muscle injury). I had this. It hurts... but you can recover with rehab.
- inguinal hernia, it needs surgery

Both of them need to be reviewed by a medical specialist. And none of them can recover with only rest.

Good luck
Quote Reply
Re: Lower Abdominal Injury Help [EyeRunMD] [ In reply to ]
Quote | Reply
EyeRunMD wrote:
ChrisM wrote:
Had surgery October 2020. Resolved the issues


Who did your surgery?

Meyers, in Philadelphia?

Did you have laparoscopic or open method?

Mesh?

How long did it take before you could run again after surgery?

i'm in LA so drove of to Dr, Brown in Fremont. Open, no mesh. Several weeks to run again
Quote Reply