American Medical Society for Sports Medicine

That's obviously not great information.

A lot of these folks are not reverting to the mean once they get this problem, right? So physical examination per the ACSM/AMSSM twenty-four consensus statement is going to recommend for the diagnosis of this condition using palpation.

So point tenderness at the rectus abdominis insertion on the pubis, inguinal fold, adductor origin, along the iliopsoas, and pubic symphysis.

So essentially knowing this anatomy is going to be very important, and you can also show the patient how to palpate these themselves as well.

So if you're not having success conservatively, send them back to the surgeon because these, uh, surgeries, as we'll see in a minute, pretty good return to sport rates, and you actually return back pretty quickly.

Some authors suggest that in athletes with symptoms lasting greater than two months, resolution without surgery is unlikely, right? Again, if you're not making progress, send back to the doc.

The ACSM/AMSSM consensus recommends individualizing treatment based on sport, position, time in season, degree of limitation, and prior treatment.

And this was a nice little chart that I got from Open Evidence.

I've been listening to his presentations now for a few years.

He actually transitioned and helped me change some of my practice based off some of the data I remember sitting at an AMSSM lecture and I think it was some of y'all's fellows that were up on stage and you were sitting up there and they were presenting some of their initial cases on PPP.

And my fellows were sitting there and we started talking about applications from that standpoint.

That was when I was at the University of Arkansas.

Yeah, I think that was honestly the hardest part for me when I started doing platelet-poor plasma is you have this beautiful PRP, right, that has a lot of function and you're just taking it and casting it aside and throwing it out.

I think that was very hard when I was first starting out, but I think that's something you get over with time.

At the initial meeting or like the initial lecture series that was at AMSSM this past year, there were a bunch of survey questions that they were asking and you could, you know, log in on your phone and submit answers.

And I thought it was, you know, one, it's great.