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Hernia repair + abductor lengthening
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Was getting some aches and pains after a long stretch of training so decided to get them checked out. Long story short it's a minefield in there: bilateral sports hernias, bilateral pelvic stress fractures, fluid-filled bursa sack over my hip. And that was just the hips, I was really going in for my knee and ankle (arthritis and torn ligament respectively).

Dr recommended surgery to fix the hernias, and I just spoke with the surgeon who recommended repairing 1 of the hernias along with lengthening both my abductors. Has anyone done this? What were your experiences/recovery/would you do it again?

39 yo, mainly running fwiw (might be more cycling in my future though). Also getting some blood work done as I feel like I shouldn't have been at risk for stress fractures given demographic and bone density (from >10 years ago though).
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Re: Hernia repair + abductor lengthening [TomkR] [ In reply to ]
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TomkR wrote:
Was getting some aches and pains after a long stretch of training so decided to get them checked out. Long story short it's a minefield in there: bilateral sports hernias, bilateral pelvic stress fractures, fluid-filled bursa sack over my hip. And that was just the hips, I was really going in for my knee and ankle (arthritis and torn ligament respectively).

Dr recommended surgery to fix the hernias, and I just spoke with the surgeon who recommended repairing 1 of the hernias along with lengthening both my abductors. Has anyone done this? What were your experiences/recovery/would you do it again?

39 yo, mainly running fwiw (might be more cycling in my future though). Also getting some blood work done as I feel like I shouldn't have been at risk for stress fractures given demographic and bone density (from >10 years ago though).

I had left and right hernias done and my right abductor lengthened. I can't remember how long I was off running, but I think at least 2-3 months. That was because of the abductor repair. And no issues since. Had another 10 years of rugby and touch football before switching to tri.
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Re: Hernia repair + abductor lengthening [zedzded] [ In reply to ]
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Thanks for the info - interesting that most of the info around this talks about lifters/football/rugby players who get it. Not so much runners. However I'm built more like a football player than runner so maybe it's more body type than sport?
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Re: Hernia repair + abductor lengthening [TomkR] [ In reply to ]
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TomkR wrote:
Thanks for the info - interesting that most of the info around this talks about lifters/football/rugby players who get it. Not so much runners. However I'm built more like a football player than runner so maybe it's more body type than sport?

Yeah i guess from side-stepping, change of direction.
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Re: Hernia repair + abductor lengthening [TomkR] [ In reply to ]
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If you are in the NYC area I would HIGHLY recommend Dr. Mark Zoland. One of the top sports hernia surgeons in the world.
I had a similar situation excluding the stress-fractures.

I researched and visited numerous doctors in the area; I even reached out to the chop shop guy down on PA that works on all the big time athletes.

Zoland re-attached the abdominal wall and actually released a tendon in my abductors (not sure the difference between releasing it and lengthening). Prior to his procedure, I saw a hip specialists, Dr. Bharam (who was in contact with Zoland) who injected both my hips with cortisone.
The procedure with Zoland was simple; early morning and I was out by lunch. Easy healing process but I probably couldn't run for 3-months or so.

Same as you, no clue as to the cause. I actually think my PT guy (Finish Line PT, stay way from these guys) did this to me by having me do aggressive hip rotation exercises with a ViPR trying to open up my core/ spine. No reason why a runner should tear their abdominal wall off their hip bones.

I hope this helps.

As an FYI, I recovered 100%; broke 3:00 in the marathon since and completed 10+ IRONMAN.
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Re: Hernia repair + abductor lengthening [TomkR] [ In reply to ]
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TomkR wrote:
Thanks for the info - interesting that most of the info around this talks about lifters/football/rugby players who get it. Not so much runners. However I'm built more like a football player than runner so maybe it's more body type than sport?

I’d assume you mean Adductors. I just had my left one done 3 1/2 weeks ago. I spent three months of it hurting like hell after I tore it playing hockey.

The reason it comes up in those sports is because of the one time tear possibility. It becomes so tight that it can’t really stretch anymore. For hockey you are using it to decelerate your leg then immediately contracting it as hard as you can to pull it forward so it tears or like many other sports it’s the quick change that tears or strains it. Once that happens repeatedly it becomes less stretchable and you’re kinda SOL.

It’s not that you can’t do it running but it’s just a lot less likely to have that type of situation repeatedly.

Anyways back to your question. I did not have a hernia and I had strength back it just wasn’t feeling better. The adductor release was cake I’ve felt better on average the first week. This week was the first week I really haven’t needed medicine unless I accidental move it weird. I tried to sit up the other day and I had my leg the wrong way and it let me know. The good thing is you can’t reinjure it because they are detaching not attaching.

I ran twice this week a mile and a half each. I can skate more or less fine except for a full stride, but like 90 percent or so. The actual strength isn’t back 100 percent yet but the rest of the muscles have been strong enough to deal with it.

I wish they could have done the surgery 2 months ago but I get it. If you need someone in the Denver area. I can send you who I went to.
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Re: Hernia repair + abductor lengthening [laughable] [ In reply to ]
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Releasing is the same as lengthening. They cut the Adductor Longus off the pelvis releasing it from the pelvis effectively lengthening the muscle.
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Re: Hernia repair + abductor lengthening [TomkR] [ In reply to ]
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Hello TomkR and All,

One of our sons had a hernia repair ... possibly torn from soccer ...

He checked several doctors and went with a no mesh doctor as it appeared the mesh can cause trouble later ...

No surgery on abductor ... hernia only ...

He had about 3 months rehab to be able to be active again ...

Cheers, Neal

+1 mph Faster
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Re: Hernia repair + abductor lengthening [Grantbot21] [ In reply to ]
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Grantbot21 wrote:
I’d assume you mean Adductors.

Yep, dammit - 50/50 and wrong every time.

Thanks for the info, very helpful.

NealH - no mesh for me either, I've read similar.

I'm in CA and there's one guy who does it here, and he's out of network. Hasn't been fun trying to get insurance to cover, but looks like it's finally approved.

Looks like overall success rate of the procedures is high, so looking forward to having normal-functioning ADDuctors and lower abs.
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Re: Hernia repair + abductor lengthening [TomkR] [ In reply to ]
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TomkR wrote:
Grantbot21 wrote:
I’d assume you mean Adductors.

Yep, dammit - 50/50 and wrong every time.

Thanks for the info, very helpful.

NealH - no mesh for me either, I've read similar.

I'm in CA and there's one guy who does it here, and he's out of network. Hasn't been fun trying to get insurance to cover, but looks like it's finally approved.

Looks like overall success rate of the procedures is high, so looking forward to having normal-functioning ADDuctors and lower abs.

ADD adds them to your body, so moves them closer. Easiest way to remember.
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Re: Hernia repair + abductor lengthening [TomkR] [ In reply to ]
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Looks like you are referring to adductor release?

Had bilateral sports hernia repair and adductor release October 2020. Generally went well. Although I think I need to concentrate on some adductor PT, as occasionally I will get a response that just feels like the whole system there is weak. Like on today's run.
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