Conservative care of sports hernias within soccer players: a case series

J Bodyw Mov Ther. 2012 Oct;16(4):540-8. doi: 10.1016/j.jbmt.2012.04.004. Epub 2012 May 5.


Objective: To detail the progress of 2 high-level soccer players and 1 recreational soccer player with chronic groin pain that was exacerbated by participation in sports and relieved by rest. The patients under went a conservative treatment plan featuring manual therapy, therapeutic modalities, and plyometric training.

Clinical features: The most important examination findings were palpable tenderness over the internal oblique fascia and anterior pubic tubercle, pain with resisted hip adduction, and pain with a resisted abdominal curl-up. Conventional treatment aimed at decreasing healing time of the injury through manual therapy, including soft tissue and modality techniques; rehabilitative exercises, focusing on the pelvic muscles; and plyometric training, aiming at sport specific functional improvement.

Intervention: The conservative treatment approach utilized in this case series involved manual therapy, 1-2 times a week for 6-8 weeks, consisting of soft tissue, laser, microcurrent, and acupuncture; rehabilitative exercise and plyometric training, 3 times a week for 8 weeks, to help improve strength, coordination, and correct pelvic muscle imbalances. Outcome measures included visual analog scale scores and resisted muscle testing.

Summary: Three soccer players, of varying levels of ability, presenting with a suspected sports hernia (chronic groin pain exacerbated by sports and relieved by rest) were relieved of their pain after 8 weeks of conservative care featuring manual therapy, rehabilitative exercises, and plyometric training.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Adult
  • Athletic Injuries / etiology*
  • Athletic Injuries / rehabilitation
  • Athletic Injuries / therapy
  • Chronic Disease
  • Groin / injuries*
  • Hernia / etiology*
  • Hernia / rehabilitation
  • Hernia / therapy
  • Humans
  • Male
  • Musculoskeletal Manipulations
  • Pain Measurement
  • Plyometric Exercise
  • Rest
  • Soccer / injuries*
  • Soft Tissue Injuries
  • Young Adult