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Sports hernia (chronic groin pain or Gilmore’s groin) – Information for GPs

Referral criteria / commissioning position

Refer to secondary care when:

  • conventional primary care/non-operative management fails

Red flag symptoms

  • Unless there are palpable firm masses within the region, which may represent lymph nodes, there are no red flags in the presentation of a sports hernia

Investigations prior to referral

  • if true hernia is suspected then an USS

Information to include in referral letter

  • Evidence that the 6 to 12 weeks of non-operative management has been completed and that this has failed to improve the situation
  • Relevant past medical/surgical history
  • Drug history (prescribed and non-prescribed)
  • Current regular medication
  • BMI
  • Smoking status
  • Alcohol consumption
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