Management of Sportsman’s hernia/disrupted groin

Sportsman's hernia, also known as a disrupted groin or athletic pubalgia, is a painful condition of the soft tissues (muscles, tendons, ligaments) in the lower abdomen or groin region. Despite its name, it is not a true hernia (a fascial defect with a palpable lump).

Instead, chronic groin pain and a feeling of weakness typically result from a tear or strain in the muscles, tendons, or ligaments of the lower abdominal wall caused by repetitive twisting and turning movements, sudden changes of direction, or forceful kicking.

If you are an athlete or lead an active lifestyle, watch for the following warning signs:

Chronic dull or aching pain in the groin or lower abdomen that worsens with activity and improves with rest
Sharp pain at the time of injury that subsides to a persistent burning sensation, often radiating to the inner thigh or scrotum in men
Pain on coughing, sneezing, or sit‑ups and a noticeable loss of performance

Because the symptoms of a sports hernia can mimic other conditions (e.g., inguinal hernia, urological issues in men, or gynaecological problems in women), accurate diagnosis requires a high degree of clinical suspicion.

At ELEMENTAL, diagnosis begins with a thorough medical history and physical examination, followed by appropriate imaging such as ultrasound or MRI to visualise the soft tissues and assess the extent of the injury.

Initial management of a sports hernia is almost always conservative, involving rest, anti‑inflammatory medication, and a structured physiotherapy programme. However, if symptoms fail to resolve after 2‑6 months of conservative care, surgery is the most effective long‑term solution.

Laparoscopic (keyhole) repair is the preferred surgical technique at ELEMENTAL. It offers numerous advantages:

Minimal Invasiveness – performed through three tiny incisions
Rapid Recovery – most patients can return to normal daily activities as early as the next day
High Patient Satisfaction – independent data shows that approximately 90% of patients are satisfied with the outcome; 50% become completely symptom‑free, and an additional 34% have only minimal residual symptoms during heavy physical activity

At ELEMENTAL Medical Center in Dubai, these advanced laparoscopic procedures are performed by Dr. Peter Lassu, a Hungarian board‑certified general and vascular surgeon with more than 27 years of international experience (UK, Hungary, UAE). Dr. Lassu earned his MD from the prestigious Medical University of Pécs and has over 27 years of practice, including 6 years in the UK

Dr. Lassu also emphasises the importance of a structured postoperative rehabilitation programme (PSRP), which begins approximately seven days after surgery and is essential for a safe return to sport. Contemporary studies demonstrate that with a refined endoscopic technique and proper rehabilitation, 98.5% of athletes can return to their previous level of sporting activity, with 75% doing so within 8 weeks.

Take the Next Step

Don’t let chronic groin pain keep you on the sidelines. A precise diagnosis and effective, minimally invasive treatment can restore your mobility and performance.

Book your consultation with Dr. Peter Lassu at ELEMENTAL Medical Center Dubai today and take the first step toward an active, pain‑free life.

Doctors