The role of physical activity and exercise in the prevention and management of inguinal and abdominal wall hernias- a narrative review
DOI:
https://doi.org/10.12775/QS.2026.79.76717Keywords
inguinal hernia, abdominal wall hernia, athletic pubalgia, physical activity, rehabilitationAbstract
Background. Hernias and sports-related groin pain can be difficult to distinguish in athletes. The effects of physical activity on hernia risk and recovery remain unclear.
Aim. To review evidence on the epidemiology, risk factors, diagnosis, physical activity, and management of inguinal and abdominal wall hernias, particularly in athletes.
Material and methods. A narrative review was based on publications identified through PubMed, the MDPI platform, and Quality in Sport, addressing hernia risk, diagnosis, exercise, and treatment.
Results. Inguinal hernias are the most common groin hernias and occur predominantly in men. In athletes, clinical assessment and appropriate imaging help distinguish true hernias from athletic pubalgia and other musculoskeletal causes of groin pain. Exercise programmes may improve selected outcomes, including quality of life, in patients with abdominal wall hernias.
Conclusions. Accurate diagnosis is essential for appropriate treatment and return to sport. Further research is needed to clarify the role of exercise and improve evidence-based treatment and rehabilitation strategies for athletes.
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Copyright (c) 2026 Jakub Adam Maciaszczyk, Aleksandra Bernaś, Maja Warchoł, Robert Durski, Adrian Piotr Kobus, Maria Madgalena Dzieniakowska , Julia Paulina Piecyk, Norbert Kobus, Adam Surma, Maja Podziewska
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