Bad advice from GP (in the UK) and chance of inguinal hernia for competitive powerlifter

Hi Docs,

Hope you guys are well.

I’m 36 years old, male, competitive powerlifter at U74kg (aiming to do at U83kg). Current best lift: SQ 180kg, DL (Sumo): 240kg and BP 105kg.

I’ve been having several on-going injuries, however, for the last 6 days, I have had mild pain around my lower right abdomen, Very occasionally it speared to my right testicle. The pain, in general, are very mild, and so far it hasn’t stopped me from doing anything, but it’s just been there and it’s annoying.

Hi Docs,

I hope you’re all doing well.

I’m a 36-year-old male and a competitive powerlifter in the U74kg class (aiming for U83kg). My current best lifts are a 180kg Squat, 240kg Sumo Deadlift, and 105kg Bench Press.

While I deal with various ongoing training injuries, for the last six days, I’ve had mild pain in my lower right abdomen. Occasionally, this sensation radiates to my right testicle. The pain is generally very mild and hasn’t limited my activity, but it is persistent and annoying.

I recently saw a new GP. After an examination, he couldn’t identify the cause but told me not to worry. He stated that while I don’t have a hernia yet, I likely will soon due to powerlifting. When I asked how to prevent one, his exact advice was: ‘Stop powerlifting; walking and cycling are enough.’

This advice felt inaccurate to me. Has there been any recent data supporting his claim that powerlifting inevitably leads to hernias? Should I be concerned?

Also, given that he appeared quite unhealthy himself, if there is no data to support his claims, isn’t providing such discouraging advice potentially harmful to public health?

Yea, resistance training doesn’t increase the risk of developing a hernia per se, but it may be provocative. In other words, if someone already has a hernia, they may realize it while lifting (inside or outside of the gym). We talk more about this here:

Appearance of the physician aside, yes, giving bad advice surrounding exercise risks can be problematic. Given that the data suggests smoking reduces risk of developing inguinal hernias, it’d be similar to recommending you light up to reduce the risk!

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