The Hernia Cinic
Investigations
The diagnosis of many hernias can frequently be made form simple clinical examination.  The clinician is looking for the presence of a lump or swelling with a cough impulse, that is it becomes more pronounced on coughing.  

On occasions further investigations are required.  These serve two purposes, to help confirm the presence of a  hernia, and also to rule out alternative possible diagnoses.  

Ultrasound scan
This is a simple non invasive painless test that can help with the diagnosis of a hernia. As described on the Assessment page this is often done at the time of the examination by Rob Hicks. (Not the Physiotherapists)

MRI 
A non-invasive, painless but noisy investigation which provides excellent information regarding the structural anatomy particularly of the abdominal wall groin and pelvis.  Although it is not particularly effective at diagnosing a hernia it is used to rule out other causes for hip and groin pain, in particular the adductor muscles, pubic symphysis, hip joints and lower back.  

This would be organised separately to the initial examination and the results reviewed with Rob Hicks at a subsequent appointment. 

X-rays
X-rays of the pelvic bones may be requested.  These can support the information from MRI to give additional detail of the hip joint, stress fractures and with loading can show instability of the pubic symphysis.

This would be organised separately to the initial examination and the results reviewed with Rob Hicks at a subsequent appointment. 
 
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