In this video, I describe how I have developed a methodology for the workup for inguinal pain, based on my experience evaluating over Ten Thousand patients with this. I am a firm believer that a history and physical exam, by an experienced surgeon in abdominal core health is more accurate, faster, and less expensive than ultrasound almost 100% of the time. This video is intended for primary care providers and patients who may not fully understand the complexity of the abdominal wall and imaging.

Here is a high-level summary:

Introduction

Hi everyone, I'm Dr. Michael Reinhorn, a hernia specialist with a particular focus on inguinal hernias.
Today, I want to talk about imaging for hernia diagnosis.
Background

I have extensive experience in general surgery, particularly inguinal hernia repair.
I've performed over 5,000 inguinal hernia repairs and have a deep understanding of the condition.
The Role of Physical Examination

In most cases (around 98%), a skilled surgeon can diagnose an inguinal hernia through a physical exam alone.
This exam involves a detailed discussion of your symptoms and a careful inspection of your groin area.
When Imaging Might Be Necessary

Imaging is only necessary in a small percentage of cases (around 2%).
If your case is complex or unclear, a CT scan may be helpful for a more detailed view.
CT scans provide a 3D image that allows for better differentiation between tissues and identification of specific hernia types.
Why Ultrasounds May Not Be Ideal for Hernia Diagnosis

Ultrasounds sometimes misinterpret hernias, which can lead to unnecessary worry and confusion.
They may miss hernias altogether, delaying proper treatment.
Recommendations

If you suspect a hernia, consult a hernia specialist directly.
Specialists can often diagnose a hernia quickly and accurately through a physical exam.
Primary care providers: If you suspect a hernia or core muscle injury, consider referring patients to a hernia specialist to avoid unnecessary imaging and anxiety.
Conclusion

While imaging has its place, a physical exam by a qualified specialist is the most effective way to diagnose an inguinal hernia in most cases.
By working together, we can ensure patients receive the most accurate diagnosis and appropriate treatment plan.