Sports Medicine/pain in lower abs

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Question
ma'am,
i am 21year old man. i started weightlifting 2years ago.
i am suffering from pinching like pain in my right side of lower abdomen whenever i lift.
i thought it can be hernia but i saw no mark of bulge or bump appearing on my abdomen when i cough or i lift and when my doctor diagnosed me then he also told that it is not hernia. he couldnt tell me what was it he said it can be due to tearing of abs muscle.
and adviced me to take rest and use gym supporter everytym.
i used to wear gym supprter while lifting and after his advice i use it daily and i remove it at night. i took rest for nearly 1month but still pain hasnt subsided. yesterday i felt even more intensity pain when i was laughing(it was like needle is pricking inside my abs on right side of my navel).
is it case of navel displacement? what should i do?i tried massaging and hot compress over it for 1week. please help me sir as i want to start lifting as soon as i can.

Answer
Hello Rishabh!

Frankly, from the fine descriptive letter you wrote, if you haven't ever been shot in the area of the right naval, then you have what the doctor diagnosed.......torn abdominal muscle(s). This happens when you over-stretch with a quick jerk of the weights.  When you move, the torn part of the muscle affects the nerve that travels through the area, and a pinch feeling occurs.

A hernia does not have to bulge, and there are no "bumps" to feel. A hernia happens when soft tissue, such as the abdominal muscle tear, and some of the surrounding muscle tissue will push through the weaker part of that muscle.  That is a "hernia", and it can be so deep, no one can feel it from the outside.

Because nothing has really helped this feel better, I would strongly suggest you make an appointment, as soon as possible, with a surgeon.  If possible, you need to visit a well known hospital in your area, and ask the receptionist if there is an American-trained surgeon working at that hospital.  See if this surgeon will see you for a consult, and possible treatment.  You will need surgery to have the hole sewn up in the muscle before an organ, or muscle, becomes strangled in the opening.  This could turn into a major medical emergency if it is not taken care of very soon.

Thank you for writing, and I hope you will let me know what you have done to fix this problem.  I care, and worry, that you will not wait any longer to take care of this.

Sincerely,

Dr. Patricia Arthur  

Sports Medicine

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Dr. Patricia B. Arthur, DC, MRC, CST

Expertise

As a 30-year practicing Chiropractic Physician, my specialty was Sports Medicine. For 8 years I had the distinct pleasure of working with the USOC, and traveled the world to care for the athletes in the Pre-Olympic venues for the Summer Games. When I wasn't traveling, I had a private practice, and a hospital practice, in Kamuela, Hawai'i. Questions I couldn't answer usually dealt with pharmeceuticals. This was not my expertise, but the simple questions pertaining to familiar drugs I was able to digress, or refer to someone that was knowledgable in that field. Most Sports Medicine field injuries were familiar to me, but I always aired on the side of caution. In my office practice, I would tend to see more patients with the weekend injuries who would try to self-treat, only making the injury worse than it should have been! Nevertheless, I never took anything for granted, and so it was my conservative approach to the "cause-and-effect" mechanisms that were vitally important to the healing process.

Experience

Following my competitive nature, I knew Sports Medicine would always be a part of my life. After graduation from Palmer University in Iowa, the old adage taught at the school dealt only with the spinal column......anything connected to the spine was outside our scope of practice. To me, this was too simplistic, because the complex body also had arms and legs! From this point, I developed specific technigues which would encorporate the body as a whole rather than haphazard segments. There is nothing traumatic that happens to a single ligament, tendon or joint that doesn't effect a secondary, or possibly a tertiary element in that area. In order for that space to heal, all the factors must be addressed. Volunteering my time teaching referrees, coaches, and interested parents about the realities of probable sports injuries was worth a thousand words!j

Organizations
American Chiropractic Association; Local Emergency Response Committee; Hazardous Materials Response Team; Urban Search and Rescue Team - Operations and Planning; Federal Corps of Engineers Committee; Earthquake Advisory Board; Big Island Wildfire Committee

Publications
Papers published focusing on the importance of proper care of sports injuries; Authored medical columns for the syndicated magazine "The People's Doctor "; Published papers in professional journals on Head Injuries in Sports; Published papers on Drug Abuse in Sports.

Education/Credentials
Robert Packer Hospital - Certified Surgical Technician - CST; Palmer University - Doctor of Chiropractic - D.C.; Wright State University - Masters in Counseling/Psychology; Wright State University - Masters In Couseling of the Severely Disabled.

Awards and Honors
Selected US Olympic Physician -1988; Graduated Wright State University with a 3.75 GPA; Graduated Palmer University with a 3.5 GPA; Faculty Appointment - Palmer University Post Graduate Education; Faculty Appointment- Hawai'i/Kapiolani Community College - Skills Team Tester;

Past/Present Clients
Cincinnati Bengals Football Team pre-season training; Summer Olympic Athletes worldwide; Kona Ironman Triathletes - Finish - line physician

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