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Query: UMLS:C0019270 (hernia)
 15,856 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The case-notes of 189 athletes with chronic groin pain were reviewed to determine the prevalence of the underlying conditions. Diagnoses were determined following a review of their history, clinical examination, local anaesthetic infiltration, radiological investigation, surgical exploration and clinical progress. The most common pathology found was an incipient hernia (50% of cases). Twenty-seven percent were found to have multiple pathologies. An approach to the differential diagnosis and radiological investigation of athletes with chronic groin pain is suggested.
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PMID:The diagnosis of chronic groin pain in athletes: a review of 189 cases. 859 48

The evaluation and treatment of groin pain in athletes is challenging. The anatomy is complex, multiple pathologies often coexist, different pathologies may cause similar symptoms, and many systems can refer pain to the groin. Many athletes with groin pain have had symptoms significantly limit their activity, have tried prolonged rest and various treatment regimens, and received differing opinions as to the cause of their pain. Often times the diagnosis given depends on the physician's specialty. This article focuses on the groin structures and looks at three specific entities-"sports hernia," pubic bone edema, and entrapment neuropathies-as potential causes of chronic groin pain. Potential diagnostic and treatment strategies are also discussed.
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PMID:Evaluation of groin pain in athletes. 1800 6

Exercise therapy is generally recommended in osteoarthritis (OA) of the hip or knee. However, coexisting disorders may bring additional impairments, which may necessitate adaptations to exercise for OA of the hip or knee. For the purpose of developing an adapted protocol for exercise therapy in OA patients with coexisting disorders, information is needed on which specific coexisting disorders in OA are associated with activity limitations and pain. To describe the relationship between specific coexisting disorders, activity limitations, and pain in patients with OA of the hip or knee, a cross-sectional cohort study among 288 older adults (50-85 years of age) with OA of hip or knee was conducted. Subjects were recruited from three rehabilitation centers and two hospitals. Demographic data, clinical data, information about coexisting disorders (i.e., comorbidity and other disorders), activity limitations (WOMAC: physical functioning domain), and pain (visual analogue scale (VAS)) were collected by questionnaire. Statistical analysis included descriptive statistics and multivariate regression analysis. Coexisting disorders associated with activity limitations were chronic back pain or hernia, arthritis of the hand or feet, and other chronic rheumatic diseases (all musculoskeletal disorders); diabetes and chronic cystitis (non-musculoskeletal disorders); hearing impairments in a face-to-face conversation, vision impairments in long distances, and dizziness in combination with falling (all sensory impairments); and overweight and obesity. Coexistent disorders associated with pain were arthritis of the hand or feet, other chronic rheumatic diseases (musculoskeletal disorders), and diabetes (non-musculoskeletal disorder). Specific disorders coexisting next to OA and associated with additional activity limitations and pain were identified. These coexisting disorders need to be addressed in exercise therapy and rehabilitation for patients with OA of the hip or knee.
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PMID:Osteoarthritis of the hip or knee: which coexisting disorders are disabling? 2017 25