Dr. William Meyers has dedicated 25 years to pioneering the diagnosis, treatment, rehabilitation and prevention of core muscle injuries, also known as sports hernia or athletic pubalgia. He has treated athletes, including professional players from the NFL, NHL, NBA, MLB, MLS, Professional Tennis, Professional Golf, Professional Bull Riding, Swimming, Olympic Track and Field, collegiate and recreational athletes. Full Bio…
Practice & Procedures
Core Muscle Injuries
What are Core Muscle Injuries?
Core muscle injuries, often called athletic pubalgia, sports hernia, or Gilmore’s groin, are defined as an umbrella term for musculoskeletal injuries involving attachments and/or soft tissue support structures of the pubis that are career ending or threaten quality-of-life. Although often called a “sports hernia”, it is not a hernia.
Most of these injuries occur from hyperextension of the abdomen and hyperabduction of the thighs. Often there are multiple areas of fraying as well as tears that occur both in the abdominal muscles as well as the adductors, involving the longus, brevis, pectineus, and other attachments.
When considering the pubis as a joint, just like the knee or the shoulder, there are a number of musculoskeletal attachments that serve as ligaments and functionally stabilize the joint. There are many variants of core muscle injuries. Find out more about the different variants of core muscle injuries.
While at Duke University, Dr. Meyers became involved with the University’s various sports programs as well as with some of the national sports teams. As a former athlete himself, Dr. Meyers was sensitive to the physical demands placed upon high performance athletes and the impact of injuries. He developed a particular interest in the area of acute and chronic groin pain. In collaboration with orthopedic and other sports medicine specialists, he developed a methodology for diagnosis and surgical intervention related to treatment of groin pain in high performance athletes.
In the 1970s and early 1980s, most lower abdominal or groin pain was initially treated, unsuccessfully, by performance of a hernia repair. It was not until the mid-80s that Dr. Meyers developed a surgical approach for the treatment of athletic pubalgia by a combination of rectus abdominis reattachment and adductor releases/repairs. In the 90s, Dr. Meyers discovered there were multiple variants of groin injuries that required tailoring of the operations to those specific injuries. Therefore, he further refined the surgical procedure to accommodate these variants.
To date, Dr. Meyers has performed over 11,000 successful pelvic floor repairs to correct core muscle injuries. In addition, recent advances have been made in training protocols for the prevention of injuries consistent with core muscle injuries. With advances in rehabilitation modalities and the surgical pelvic floor repair, most athletes can return to full performance within several weeks after surgery.
Thompson WM, Meyers WC, Seigler HF, Rice RP: Gastrointestinal complications of renal transplantation [radiologic aspects]. Semin Roentgenol 13:319-238, 1978.
Meyers WC, Jones RS: Hyperacidity and hypergastrinemia following extensive intestinal resection. World J Surg 3:539-544, 1979.
Meyers WC, Jones RS: Effect of glucagon and insulin upon biliary lipid secretion. Am J Surg 137:7-12, 1979.
Meyers WC, Kelvin FM, Jones RS: Diagnosis and surgical treatment of colonic endometriosis. Arch Surg 114:169-175, 1979.