Hernias you really have to get some imaging to confirm it. Until then you area kinda guessing what the extent of the injury is. We have seen althetes with complete and partial umbilical hernias and even sports hernias… however about have the athletes we see under imaging don’t have a hernia at all… more so just tendonitis of an adductor or something of that nature.
I attached an image of a partial umbilical hernia under MSK Ultrasound imaging. We did an image under rest and under a particle sit-up to grade the change.. in this case we did not have the hernia extrude but it was enough where we had this Crossfitter modify for a while.
Musculoskeletal Ultrasound is a Dynamic or movement related image done in real time
This is where the magic of Musculoskeletal Ultrasound comes in. I have read numerous cases where an athlete can only feel pain with a movement, which can only be visualized on Musculoskeletal Ultrasound. MRI is what we call a “static image.” In fact if you are in the MRI tube and move too much the image will become useless with motion artifact.
This article should help you guys understand what your options are for ruling in and out a hernia or muscle strain in the ab or groin region. http://www.p2sportscare.com/2014/02/20/musculoskeletal-ultrasound-in-orange-county/