GROIN PAIN
Vipin Kumar Pandey

By - Vipin Kumar Pandey
Functional Manual Therapist at VARDĀN
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.
Signs and symptoms of Sports hernia
  • 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.
Diagnosis
  • Physical examination
  • X-RAY / CT Scan
  • MRI
  • Ultrasonography
  • Bone Scan
Treatment
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.
How FMTTM helps?
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.
 
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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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.