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How to Treat a Core Muscle Injury
Treatment options for core muscle injuries vary depending on a number of factors, including the severity of the injury and the performance level to which the patient wants to return.
Non-surgical treatments for core muscle injury
Traditional conservation treatments, such as icing the injured area, are almost always the first step for core muscle injuries, commonly known as sports hernia injuries.
Other non-surgical treatments for a sports hernia include:
- Activity modification
- Anti-inflammatory medications
- Physical therapy for core stability
- Therapeutic injections and procedures
- Acupuncture
- Heat/ice therapies
- Yoga
- Massage therapy
In many cases, such a regimen of treatments over the course of four to six weeks will allow an athlete or recreational player to return to sports. However, if the pain returns when you resume normal activities, it may be time to consider surgical options to repair the core muscle injury.
Each treatment protocol is personalized to your diagnosis, history and prognosis.
Surgical treatments for a core muscle injury
If the measures mentioned above are unsuccessful, surgery may be required. Early surgical intervention of severe core muscle injuries may return players very quickly to the playing levels they were at before sustaining the injury.
Surgery for core muscle injuries entails suturing the muscle attachments to the bones and adjacent ligaments in order to provide stability to the pubic joint.
An open surgical procedure for repairing the pelvic floor, such as how the surgeons at Vincera Institute perform them, consists of the reattachment of the rectus abdominis muscles (your "abs") to the pubic bone. If athletes have adductor involvement, an adductor compartmental decompression and/or repair could be done. To directly treat the inflammation, the procedure involves the anterior and lateral release of the epimysium of the adductor fascia, the connective tissue that ensheaths the adductor muscles.
Each treatment protocol is personalized to your diagnosis, history and prognosis.
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