Conservative Management of Inguinal Hernia: A Case Report

Abstract

BACKGROUND: Few articles explore effectiveness of physical therapy in delaying surgical intervention for patients with inguinal hernia pain. As such, there is limited evidence guiding effective treatment approaches. A focus on retraining the deep stabilizing core musculature was successful in improving pain and function in a patient with an inguinal hernia in this case report. CASE PRESENTATION: The patient presented with moderate pain, utilization of a hernia belt for all functional tasks, and decreased overall functional ability. The patient had difficulty conducting his exercise regimen and tasks around his horse ranch. OUTCOME AND FOLLOW-UP: At discharge, the patient was able to lift 25 lbs, had no pain, utilized his hernia belt only when lifting over 25 lbs, and increased his score on the Lower Extremity Functional Scale by 16 points. 6 DISCUSSION: This case demonstrates the role physical therapy plays in conservative management of inguinal hernia pain and the associated loss of function with this diagnosis. JOSPT Cases 2023;3(1):37–42. Epub: 14 December 2022. doi:10.2519/josptcases.2022.11368