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Inguinal-Related Groin Pain and/or Disruption in Athletes: Current Understanding, Assessment and Management
Kristian Thorborg1,2, Aali Jan Sheen3,4
1Department of Physical and Occupational Therapy, Physical Medicine and Rehabilitation - Copenhagen (PMR-C), Copenhagen University Hospital, Amager and Hvidovre, Hvidovre, Denmark.
Open Access Journal of Sports Medicine
|February 19, 2026
Summary
Inguinal-related pain in athletes, often called "sports hernia," involves abdominal muscle and fascia injuries. Management requires a multidisciplinary approach, prioritizing non-surgical rehabilitation before considering surgery.
Area of Science:
- Sports Medicine
- Orthopedics
- Athletic Training
Background:
- Inguinal-related pain affects 5-20% of male athletes' groin issues, rarely impacting females.
- Often mislabeled as "sports hernia," it's now understood as muscle-tendon injuries of abdominal fascial tissues.
Purpose of the Study:
- To review current understanding, assessment, and management of inguinal-related pain and disruption in athletes.
- To differentiate these injuries from true hernias and emphasize accurate diagnosis.
Main Methods:
- Narrative review synthesizing existing literature on inguinal-related groin pain.
- Analysis of consensus statements defining clinical diagnosis and pathological findings.
- Review of treatment strategies, including non-surgical and surgical interventions.
Main Results:
- Diagnosis relies on detailed history and physical examination, supported by imaging for specific cases.
- Pathology ranges from minor abdominal wall deficiencies to significant tears and overuse injuries.
- A multidisciplinary approach involving physical therapists, sports medicine specialists, and surgeons is crucial.
Conclusions:
- Effective management necessitates a tailored, shared decision-making process.
- Non-surgical rehabilitation and activity modification are first-line treatments.
- Laparoscopic repair offers high success rates when conservative measures fail.
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