I have seen women like athletic women, younger athletic women who have pelvic pain, so you go through the whole differential diagnosis of what could be causing pelvic pain in a women, and usually that would be OBGYN have gone there thorough exam, imaging studies, MRIs. And sometimes it comes back like it’s a sports hernia where they are athletic and they have developed this groin pull, which is like when you develop a groin pull and sports hernia there is imbalance between your core muscles and your adductors and your thighs. So, usually a core muscles do a lot of the athletic training, like when you are running on the soccer field or field, hockey field or whatever sport you are participating in, you rely a lot more on your core muscles than your thigh abductors. But if this is an imbalance, your thigh abductors starting taking over what the core muscle should be doing and you get what’s called sports hernia, is really just an injury to the abductors and your core muscles. And so there is a surgery that we do that can help balance that out and alleviate the pain, but it’s not a true like hernia where you think, it’s a misnomer, where you think our hernia is going to opening and you have something protruding through. Sports hernia is just like a muscle thing an imbalance between your cores and your abductors.
The a lot more like what a vaginal deliveries, women get like dysfunction of the pelvic floor. So, they do get like cystoceles and rectoceles and that is kind of like, there is a diaphragm in your pelvis made of muscles. So, when you give a vaginal delivery or vaginal birth those muscles are all stretched out and during pregnancy your serum levels, your blood levels of all of these collagenases, they kind of like cause the muscles to stretch out so you can have the baby, but afterward all those collagenases, they can kind of go away, they are not in your blood stream anymore, and your pelvic floor is also kind of like go back to its normal size and normal structure, but a lot of times in women it doesn’t. So, then you get like the stress incontinences and this rectoceles, cystoceles where things kind of start dropping through the floor. And that is a hernia because it’s a weakening of the pelvic floor. And that’s more like urogynecologist would manage that kind of hernias. Surgeons, you know don’t do a lot of vaginal and floor work, but there are some hernias that go through the pelvic floor that we deal with but that’s mostly a urogynecology repair, you know they would handle those kind of hernias.
