Discrete Unilateral Abdominal Wall Pain In A Cross-country Runner Case Study

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now open for the 2026 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2026 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Communications
  - Collaborate.AMSSM.org
  - New Branding Campaign
  - AMSSM Member Marketing Toolkit
  - Journal Access
  - Publications/Position Statements
  - Press Releases
  - Brochures
  - Weekly Digests
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Discrete Unilateral Abdominal Wall Pain In A Cross-country Runner Case Study - Page #1

Author: Joshua Geller, MD Co Author #1: Austin Sturdivant, MD Co Author #2: William M Jones, MD Senior Editor: Heather Rainey, MD Editor: Nicole Prendergast, MD Patient Presentation: A 16-year-old female cross-country athlete with a past medical history of anxiety and depression presented to the emergency department (ED) with persistent, severe right lower quadrant abdominal pain after doing intense core exercises and running drills. History: The patient noted pain was localized in a small area of 1 to 2 cm to the right of the umbilicus, and was exacerbated with abdominal muscle activation. The patient had multiple ED visits and a multi-day hospital admission during which multiple subspecialty consults were obtained, and a pelvic ultrasound, computed topography (CT) of the abdomen and pelvis, and magnetic resonance imaging (MRI) of the pelvis were performed without evidence of acute pathology. Pediatric pain management was consulted, and the patient underwent a rectus sheath block. In addition, she was prescribed anti-inflammatories, gabapentin, and Robaxin, which provided transient pain relief. The patient referred to physical medicine and rehabilitation and sports medicine for diagnostic ultrasound. Physical Exam: The patient’s exam was notable for focal tenderness to light touch noted along the rectus abdominis muscle at the level of the umbilicus on the right side with positive Carnett's sign. There was no other tenderness noted elsewhere. Abdomen was soft and non-distended. No rebound or guarding noted and the patient had a negative Murphy's sign. The patient had normal sensation across thoracic dermatomes. Also noted to have normal strength and sensation both lower extremity L2-S1 myotomes and dermatomes. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC