|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.