Oliver Bee RMTRegistered Massage Therapist

Massage therapy · Kitchener–WaterlooInguinal Hernia

Hip & Thigh

What It Is

An inguinal hernia happens when soft tissue, such as fatty tissue from inside the abdomen or a loop of intestine, pushes through a weak spot in the lower abdominal wall into the groin (Cleveland Clinic, 2022). The bulge can be painful, especially when coughing, bending or lifting a heavy object (Cleveland Clinic, 2022). The lump may get bigger when you cough or sneeze and smaller when you lie down (NHS, 2026).

An inguinal hernia is not always dangerous in itself, and one that is not causing symptoms may not need treatment (NHS, 2025). However, an inguinal hernia does not go away on its own: surgery is the only treatment that can permanently fix it (MedlinePlus, 2024). Your doctor may recommend surgery if the hernia is causing symptoms such as pain, or to prevent serious problems such as a blocked bowel or a strangulated hernia, where the blood supply to the trapped tissue is cut off (NHS, 2025). Hernia repair is a common operation.

Even though some hernias do not have a clear cause, others are linked to a number of conditions, such as (Cleveland Clinic, 2022; MedlinePlus, 2024):

  • A weak area in the abdominal wall that has been there since birth
  • Previous surgery to the abdomen
  • Straining when passing urine or opening your bowels
  • Increased pressure in the abdomen
  • Heavy lifting or heavy manual work
  • Pregnancy
  • Being overweight
  • Fluid in the abdomen
  • Long-term coughing or sneezing

In some people, the weakness that leads to the hernia is present from birth, when an opening does not close properly. Other hernias develop later in life as the muscles weaken with age, or because of things like long-term coughing (for example from smoking) and strenuous activity (Cleveland Clinic, 2022).

Inguinal Hernia Anatomy

"Inguinal" means "in the groin". An inguinal hernia happens in the inguinal canal, a passageway that runs through the lower abdominal wall on each side of the pelvis, down towards the genitals (Cleveland Clinic, 2022). In males, the testicle passes down through this canal before birth, which leaves a natural weak point; this is one reason inguinal hernias are much more common in men and boys (Cleveland Clinic, 2022). The bulge may be felt on either side of the pubic bone and can extend into the scrotum or labia (Cleveland Clinic, 2022).

Not a diagnosis — for more information, contact me or another trusted healthcare provider.

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