Diffuse lower abdominal pain and pressure intolerance after heavy lifting - before AND after inguinal hernia repair. Anyone experienced this?
I’m a 24-year-old male, currently 5 weeks after laparoscopic TAPP inguinal hernia repair.
My main problem, however, actually started BEFORE the surgery.
The original injury happened while carrying a \~270 kg piano upstairs with one other person. Because of the shape of the piano, I had to lean significantly backwards while carrying it, so my abdominal wall was stretched while under a huge load. I was also wearing a lifting belt tightened extremely hard and bracing as hard as possible.
After this event I developed an inguinal hernia, but also something that has bothered me even more: a diffuse, deep, dull ache/pressure across my lower abdomen and extreme sensitivity to increases in intra-abdominal pressure.
Even relatively small loads can aggravate it. For example, lifting only around 5–6 kg can make my lower abdomen feel pressured/overworked, sometimes with the symptoms becoming worse several hours later or the following morning.
I eventually had the inguinal hernia repaired with TAPP. My surgeon recently examined the repair and found no signs of recurrence. However, 5 weeks after surgery, the same diffuse lower abdominal symptom that existed before surgery is still there and is currently more sensitive than it was pre-op.
Walking actually seems to help me. I’ve gradually managed around 10k steps and recently tried a very light 500 m jog, but the lower abdominal wall still feels unusually sensitive to pressure/load.
I’m starting to wonder whether the original piano incident caused something in addition to the inguinal hernia — for example an abdominal wall/core muscle or aponeurotic injury.
**Has anyone experienced something similar after very heavy lifting — especially diffuse lower abdominal pain/pressure without necessarily having a visible bulge?**
**Did you eventually get a diagnosis (abdominal strain, core muscle injury/athletic pubalgia, rectus-adductor injury, etc.)?**
**Did MRI or dynamic ultrasound show anything?**
**Most importantly, did you recover and eventually regain tolerance to heavy lifting? What kind of rehabilitation helped and how long did it take?**
I’m not looking for a diagnosis from Reddit — I’d mainly like to hear from people who experienced a similar pattern and how their recovery progressed.