Groin pain or hip pain

Groin Pain or Hip Pain

What is this?

The ‘groin’ is an umbrella term for the area where the lower end of your abdomen (stomach) and the upper part of your thigh meet. There is one on either side of your body with your pubic area inbetween. There are a number of different specific injuries which can cause pain in this area which the team at Back In Action Physio will try to figure out.

How do they happen?

Groin pain can come on with a number of different mechanisms of injury but most commonly we see this in sports such as football where players are stretching out to kick a ball, stretching their leg out to stop a ball or sudden uncontrolled stretching of the leg. The groin area can also be injured when too much stress is placed on the one area by repeating the same activity too many times causing an overuse. Pain in the groin can also be generated by a problem in the hip or the pubic bone itself.

What do they feel like?

Normally patients complain of a deep aching pain which is worse when they are immobile (sleeping or sitting) and then try to move. There is pain with running, kicking and twisting type activities. Any activity which requires the leg to move away from the midline also aggravates the pain. Patients often report that even after prolonged periods of rest the symptoms still come back again when they try to return to sport with no intervention by a physiotherapist.

How are they diagnosed?

Your physiotherapist is likely to diagnose groin pain by listening to your mechanism of injury or onset. They will also perform a series of specific tests looking at your back, pelvis, a number of different muscles, hip, alignment and stability to accurately differentiate the different conditions that could be causing the groin pain .They will palpate or feel where the pain is and what the different areas feel like compared the unaffected side. Generally further investigations aren’t needed but sometimes X-rays or scans may be needed to rule out stress fractures.

What can Back in Action do to help?

Although resting is a key factor in the early phase of a groin strain there are many different things we can do here at Back In Action to help firstly get rid of the pain, then regain your movement and finally stop it coming back again. Once the exact reason for your pain has been established we will Photo
do such things as massage, mobilisations, taping, acupuncture (if required) and other manual therapy techniques. We will identify areas of weakness and tightness and look at the biomechanics and loading of the whole lower limb to start you on a specific home exercise program. It is important with a groin injury to have a clear idea of the short and long term goals so that each contributing factor is rehabilitated and then integrated in the final stages. This is when we do somesports specific training to enable you to return even better, faster.