Challenge of the Week / Sports Medicine / 12.20.19

A 19-year-old male patient who is a football running back presents with 5 days of pelvic pain related to cutting and pivoting during play. The pain radiates to his perineum and adductors. Symptoms are moderate and only bother him with high-level running and cutting activities in football. Which of the following is the best next step in management?
  • Platelet rich plasma injection
  • Platelet-rich plasma is not typically used to treat a sports hernia.

  • Core, hip and lower extremity rehabilitation
  • The patient’s history is consistent with a sports hernia (athletic pubalgia). The initial treatment is nonoperative with rehabilitation of the core, hip and lower extremities.

  • Referral to a general surgeon
  • Nonoperative treatment should be tried initially. Referral to a general surgeon may be necessary at a later date but not initially.

  • Corticosteroid injection
  • A corticosteroid injection is not typically used to treat a sports hernia.

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