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.