- Anyone know what this is, or have experience with it? Insurances do not cover surgery, and claim it can be fixed with PT. PT suggests surgery, but that's $20k. What do we do for this athlete?
Off-Topic Sports Hernia
- Thread starter Derek Toshner
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The Nail
Level 7 Valued Member
To be sure I understand - it's not a traditional hernia where the guts poke through your abs right?
If it's a sports hernia strain as described here -> link,
" A sports hernia is a strain or tear of any soft tissue (muscle, tendon, ligament) in the lower abdomen or groin area."
then resting combined with corrective exercises such as brettzels, rib pulls, KB arm bars, 90/90 hip stretches, and yoga should help.
If it is a muscle tear surgery & PT may be the only option. With some kinds of muscle/tendon tears, you have a small window for surgery too before the torn tendon is no longer repairable. A pec tear, common in powerlifting, has to be corrected within a few weeks.
I've never been diagnosed with a sports hernia, but I've struggled with tight, immobile muscles in that area for years...adding those sorts of corrective exercises helped me a great deal in a short time.
Oddly enough I was at your brother's gym last weekend where he taught me those corrective exercises.
@Derek, it sounds to me like a case that needs to be appealed at the insurance company. I've had to do this in the past, and the procedure was that the doctor who diagnosed the condition needs to be in contact directly with the insurance company, with the name and insurance ID of the patient and the rejection letter all in hand, and ask to appeal. From there, it's up to the doctor to convince the insurance company.
Over the years I've had a few rejections overturned and been able to get the necessary procedures, medications, etc. Earlier this summer, I got a drug prescription, whose refill request had been denied, overturned because my pharmacist called in to the insurance.
We've also had it happen that the insurance company asked that a patient see a particular kind of specialist if the request came from a more general type of doctor.
IOW, I wouldn't take the rejection as the last word.
-S-
Over the years I've had a few rejections overturned and been able to get the necessary procedures, medications, etc. Earlier this summer, I got a drug prescription, whose refill request had been denied, overturned because my pharmacist called in to the insurance.
We've also had it happen that the insurance company asked that a patient see a particular kind of specialist if the request came from a more general type of doctor.
IOW, I wouldn't take the rejection as the last word.
-S-
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