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Patient:  22-year-old male, collegiate football player

Symptoms:  The patient had six months of bilateral groin pain with occasional testicular pain.  He had a previous right inguinal hernia repair with mesh without relief of his symptoms three months prior to coming to our office.  He continued to experience pain with any activity including activities of daily living.  Lifting, running, cutting, coughing, and sneezing all caused pain.  Conservative therapy consisting of physical therapy, ART therapy, massage, steroid and PRP injections, and anti-inflammatories did not provide any relief.

Diagnosis:  The patient had a core muscle injury, bilateral.  MRI showed postoperative changes from the previous hernia repair, but also a midline rectus abdominis adductor aponeurotic plate disruption extending bilaterally, left greater than right, sparing the lateral edges.

Treatment & Rehabilitation:  The patient underwent bilateral pelvic floor repairs with partial removal of mesh.  Four weeks postoperative he was back to play.  At four months postoperative, he is playing at his previous level.  He was just drafted into the NFL.