Groin pain is an extremely common presentation in exercise and sports medicine, and is
Julie Cai
November 15, 2022
Groin pain is an extremely common presentation in exercise and sports medicine, and is renowned for being a complex issue. It is most common with sports that involve kicking, rapid acceleration and declaration, and sudden change of direction. The anatomy of this region is also complex; the load on this region is extremely high in sports that involve the aforementioned movements, and can also involve the hip joint which is not a superficial joint, making it hard to examine.
The two most common sports associated with groin injury and longstanding pain are soccer and Australian Rules football, which require players to run fast and kick across the body. Longstanding groin pain is also a major concern in basketball, American football, rugby, field hockey, skating, tennis, and basketball.
Some studies have reported:
Risk factors for groin pain have been poorly established due to lack of a universal definition of groin pain until recently. A systematic review in 2007 (4) found that they included:
Another study found that soccer players with a previous hamstring injury, groin injury and knee joint trauma are two to three times more likely to suffer an identical injury in the following season. (5)
Acute injuries around the groin can settle quickly; however it is the resultant altered biomechanical loads that can predispose the sportsperson to further injury. Rushed or inadequate rehabilitation can increase the risk of re-injury dramatically. The hip joint can be subjected to forces of up to eight times body weight during running (6); therefore a small change in load transfer and acceptance around the pelvis can result in injury. Therefore, altered biomechanics can lead to injury, or increase the likelihood of an existing injury becoming longstanding.
There are multiple contributing factors of groin pain, which were outlined in the 2015 Doha Agreement for the terminology and classification of groin pain. You can read more in our next post.
Physio or Chiro treatment for groin pain includes identifying and reducing the sources of increased load on the pelvis with manual therapy, such as lumbar stiffness, hip restrictions, core stability or pelvic imbalances. Treatment also involves improving lumbopelvic stability, strengthening local musculature as well as ensuring exercise is performed without pain for a rehabilitation programme. Untreated groin injuries can commonly lead to chronic exercise-related groin pain, and so must be treated properly to minimise recurrences and return to sport time frames.
If you have any further questions about how we can help with your groin pain, head over to our Contact Us page, or book in now to make an appointment.
Podiatry is a branch of medicine that deals with diagnosing and treating disorders of the feet and lower limbs. A podiatrist (also known as a chiropodist) is a healthcare professional who specialises in this field. Podiatry is a relatively new branch of medicine, only emerging as a distinct profession in the early 20th century. However, the field has grown rapidly in recent years, owing to increasing awareness of the importance of foot health. Today, podiatrists play an important role in keeping people mobile and active. They often treat conditions such as bunions, heel pain, ingrown toenails and Achilles tendonitis. In addition, they can provide advice on footwear and foot care for people with diabetes or other medical conditions that put them at risk of foot problems.
Dry needling is a type of therapy that involves inserting thin needles into the skin and muscles. The needles are usually made of stainless steel and are very thin, so they cause minimal pain when inserted. However, some people report feeling a brief, sharp pain when the needle enters the skin. There are several theories as to why dry needling causes this pain. One theory is that the needles stimulate nerve endings in the skin and muscles, which triggers a pain response. Another theory is that dry needling causes a release of chemicals called cytokines, which can increase pain sensitivity. It’s important to note that while dry needling may cause some discomfort, it is generally not considered painful. Many people find relief from their chronic pain after undergoing dry needling therapy.
A syndesmosis injury is a serious condition that can occur when the bones in the ankle joint are not properly aligned. This can happen when the foot is planted awkwardly, or the ankle is twisted. If not treated properly, a syndesmosis injury can lead to long-term problems. There are two main types of syndesmosis injuries: anterolateral and posterior. Anterolateral injuries are more common when the foot is planted awkwardly on an uneven surface. Posterior injuries are less common and occur when the ankle is twisted. If you think you have a syndesmosis injury, it is important to see a doctor right away. Treatment will vary depending on the severity of the injury but may include rest, ice, elevation, and immobilization. Surgery may also be necessary in some cases.
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