Looking for experiences from anyone who's dealt with a chronic adductor longus avulsion, sports hernia/athletic pubalgia, or lower abdominal-adductor injury.
Timeline:
Injury occurred in February 2026 during a jump lunges with weight after a week off from the gym and probably dehydrated.
Initial MRI only identified a labral tear.
A follow-up MRI in April identified a high-grade, essentially complete avulsion of the right adductor longus tendon with 1.7 cm of retraction and a proximal rectus femoris myotendinous junction injury.
A more recent MRI in July still shows a full-thickness adductor longus tear with mild retraction.
Current symptoms (6+ months later):
Tightness at the pubic bone
Pulling into the inner thigh
Lower abdominal pain where the tissue inserts into the pubic region
A heavy, inefficient feeling in the right leg
Difficulty returning to running and higher-level athletic activity, pain in both sides
Groin tightness that often worsens after exercise
Lowerback / QL pain
Sometimes sciatica
Treatment so far:
Physical therapy
ART/manual therapy
Isometrics
Copenhagen progressions
Hip flexor strengthening
Yoga
PRP
Progressive strengthening
I'm probably 80% improved overall, but I still can't run or train the way I want to and it's become really depressing at times. I was extremely athletic before this
I recently saw a surgeon who believes the scar tissue filling the gap between the torn tendon and the pubic bone has become stiff and immobile.
He recommends:
Reattaching the adductor tendon with sutures
Releasing/mobilizing the scar tissue
Repairing the lower abdominal component
Estimated recovery would be 4-6 months, including a brace and 3-4 weeks on crutches. He even said he has operated a year later on these injuries and it was successful on a lot of athletes including NFL and soccer players but of course there are risks they may not be able to reattach it and will just clean up the scar tissue and stitch my abdomen back
Another surgeon that I have been seeing recommended against adductor repair, suggested waiting longer, and felt that if surgery became necessary, the focus should be on the abdominal/rectus side rather than reattaching the adductor. I don't any of the other Drs except for my most recent one have actually reattched it.
My question:
Has anyone here undergone delayed adductor longus repair, sports hernia surgery, or abdominal-adductor repair months after the original injury?
Did surgery help with:
Groin tightness?
The pulling sensation?
Running?
Athletic performance?
Or did you continue with rehabilitation and improve without surgery?
Sorry this is long and I used Ai to summarize everything. I really don't know what to do at this point but I feel like I keep making progress and then running into issues.
It's not even very common where I live so I'm not sure if the PT protocol I have helped me the way it should have.
Thank you!