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Groin's injury in Athlete and its Management

What is Groin’s injury?

Groin’s injury most commonly occur during- sports or recreational activities (such as gymnastics, basketball, triathlon, wrestling, and football), work-related activities, and motor vehicle accidents.

Sometimes the cause of your groin pain is not an injury to the groin but may be coming from other parts of the body due to pulled muscles, ligaments, or tendons.

Some groin related injuries are- groin strain (it is an injury or tear to any of the inner muscles of the thigh), Avulsion fracture (it occurs when the tendon that connects muscles to pubis bone is torn), stress fracture of the femoral neck, osteitis pubis (chronic inflammation at pubis symphysis joint), and Hip labral tear, etc.

The common causes of groin injuries are- repetitive stress, short and intense training period, and over-use injury.

Physiotherapy Management of Groin’s injury:

  • Modification of training load.
  • In the first 48 hours avoid NSAIDs and use Cryo-therapy and compression bandaging (using a short stretch bandage that causes high dynamic pressure). Early movement may encourage but avoid stretching & massage for 96 hours.
  • After 48 hours- a physiotherapist at Elite Physiotherapy & Sports Injury Centre uses a specialized movement training program.
  • Hip muscle strengthening exercises- start with an isometric then concentric and then eccentric strengthening program. Strengthening exercises include hip adductor and external rotator strength.
  • Abdominal training- eccentric abdominal training in both uniplanar and multiplanar.
  • Hip joint mobilization- joint mobilization is a special technique to improve joint ROM in which our highly qualified physiotherapists are well experienced and have efficiently practiced this technique for many years.
  • Lower spine mobilization.
  • Flexibility training of hip muscles- stretching of hip flexors, external rotators, and gluteal muscles.
  • Neuromuscular control training.
  • Dynamic force reduction training (landing mechanism)- physiotherapists do training bilateral than unilateral.
  • Postural re-education.
  • Manual therapy- such as Dry needling, muscle release, Myofascial release, and soft tissue mobilization.
  • The home exercise program includes-
    • lateral lunges (3×12, each side),
    • single-leg barbell high step-ups,
    • bridging,
    • sumo squat with weight,
    • theraband exercises,
    • dead-bugs,
    • reverse plank,
    • Also, Copenhagen planks.
  • Also, various therapeutic modalities are used such as:
    • High-intensity class 4 laser therapy,
    • Extracorporeal shock wave therapy (ESWT),
    • Cryo-air machine, and
    • In addition, Combo therapy.

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