Muscle rupture in Rectus Abdominis

Patient 28 years old that attends to the clinic to ask about a pain and a lump in the Rectus abdominis muscle. The pain started during a Padel game, in an toss.

There is no difference between both halves of the abdomen in the visual inspection. In the palpatory examination I can feel the lump. This leads me to think about an abdominal hernia. There is a pain of 4 out of 10 in the V. A. S.

The ultrasound image (ecography) shows the swollen muscle belly and also shows that there is no breakage of the deep abdominal fascia, what means that there is not an hernia.

The treatment consists in putting needles into the muscle rupture and applying a current.

In this case the use of ultrasound image (ecography) is compulsory due to the risk of drilling the deep abdominal fascia.

After one single session the patient feels a remarkable improvement and a reduction in the lump. More sessions are needed though.