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GROIN PAIN |
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By - Vipin Kumar Pandey Functional Manual Therapist at VARDĀN
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Groin pain syndromes, commonly referred to as sports hernias, are common in
athletes, and represent approximately 6% of all athletic injuries. However, many
causes are poorly-defined, and therefore, are poorly understood in sport
medicine, and remain a diagnostic challenge. The development of pain in the
groin can be classified as either an overuse injury, which develops slowly over
time, or an acute injury, which occurs suddenly. Common overuse injuries
include athletic pubalgia or sports hernia, which is more common with sports that
involve kicking, rapid accelerations and decelerations, and sudden direction
changes that occurs as a result of an untreated strain or soft tissue tear in
the area. While Athletic pubalgia may sound like an acute injury, it is not
classified as one, because it refers to a problem that results from a tear or strain,
not the actual tear or strain itself. A tear/strain that occurs in any of the soft
tissue in the area, such as muscle or tendons, is considered an acute injury
as it occurs suddenly, and as a direct result of being pulled too far, or in an
unnatural direction.
Other injuries that can contribute to groin pain include:
- Full or partial dislocation of the hip joint.
- Adductor strain / Tenoperiostitis.
- Groin disruption.
- Osteitis pubis.
- Stress fractures in the pelvis.
- Internal snapping of the hip (Coxa Saltans).
- Osteoid Osteoma.
- Nerve Entrapment syndromes.
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Signs and symptoms of Sports hernia |
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- Lower abdominal pain or groin pain.
- Pain worse with Valsalva (Valsalva movements such as sneezing or
coughing) or sport-specific activities, including kicking, cutting, sit-ups
and sprinting, which is relieved with rest.
- Tenderness to palpation over the pubic ramus.
- Pain with resisted abdominal sit-ups.
- Pain with resisted hip adduction - pain commonly also radiates into the
inguinal ligament, testicular region, and perineum.
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Diagnosis |
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- Physical examination
- X-RAY / CT Scan
- MRI
- Ultrasonography
- Bone Scan
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Treatment |
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Specific treatment for a sports hernia will be determined by your doctor, based
on multiple factors such as your age, health, severity, and type of tears, along with the
desired level of physical activity you wish to return to.
Surgical
Patients with severe tears may require surgery to address the torn tendons.
Many hernia specialists and general surgeons will consult an orthopaedic
surgeon for this operation.
Much like the surgical options for true hernias, sports hernia repair can be done
as a traditional, open surgery with one, long incision, or as a minimally-invasive
endoscopic procedure.
Nonsurgical
If mild to moderate symptoms exist, they can be typically remedied with rest, anti-
inflammatory medication, ice, and physical therapy.
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How FMTTM helps? |
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If we talk about treatment of sports hernia, two options are available - one being
conservative or nonsurgical, and the other being surgical, depending upon the severity of the
injury. FMTTM is key to the rehabilitation of
sports hernia, in both lines of treatment that help the athlete to return to his/her
sports.
The rehabilitation consists of:
- Screening of athletes is of vital importance, especially looking for variances
in gait, posture, and flexibility. Functional medical screening in elite
athletes plays an important role for medical teams in assisting
injury prevention and preventing the onset or recurrence of injury.
- Once the screening assessment is complete, athletes should undergo a
considerable amount of training, designed specifically for the individual.
This early part of a ‘functional rehabilitation programme’ plays an important
role, in terms of functional movement and posture to help them acquire
the efficient posture to connect their core muscles for automatic core
engagement. This would help in terms of preventing further injuries.
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Our Client Speak
Dr. Vipin is a highly-skilled therapist. I came to meet Dr. Vipin for an unstable knee and from supportive walking to independent walking, he has made the journey easier with his par excellence knowledge.
I highly recommend him for his skills and result-oriented approach towards his patients.
- Rahuul Buttaan
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VARDĀN is open for consultation & treatment sessions. You can book an appointment with our Functional Manual Therapist to avail our services. We are following stringent precautionary measures for your safety. To contact, you may call or mail us.
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FOR MORE INFORMATION
Please call 011-43580720-22, 8:30 AM to 6:00 PM
Monday to Sunday
You may also contact our team on
+91-9971112446, +91-9910955500, +91-9810306730, +91-9910855500
Email: vardan@timesgroup.com | Web: www.vardan.in
Address: 16-A, Ring Road, Lajpat Nagar- IV, New Delhi 110024
A Functional Manual Therapist is also available in Gurugram & Noida.
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