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Matt Adamson, Senior Physiotherapist
What causes groin pain?
Pain in the groin can occur for a number of reasons. It can be related to a local problem arising from the joints and soft tissues around the groin itself, or from other areas that can refer pain into the groin area, such as the lower back.
Muscular Problems - The main group of muscles involved in groin pain are called the adductors which act to bring your knees in together and also perform actions like crossing your legs or kicking a ball. Alongside these on the front of your upper thigh are your hip flexors which bring your knee up towards your chest. It is common in sports which involve running in many directions, twisting and turning and particularly football or rugby to have groin strains. These are usually quite simple and resolve with following the RICE (Rest, Ice, Compression, Elevation) routine and gradual return to sports. A simple muscular injury will usually resolve in 2-4 weeks, however, if you return to activities too soon you risk re-injury and taking longer for it to heal. More significant injuries that alter how you walk or cause bruising to your leg should been assessed by your GP or a Physiotherapist. In some cases, people go on to develop chronic recurrent adductor muscle and tendon problems but this can be treated successfully with a specific exercise programme from a Physiotherapist.
Hip Joint Injuries - These can be split up into different areas depending on what the cause of the problem is;
Pubic Symphysis Injuries - The pelvis is essentially 2 half rings that are joined together at the back and front and the the Pubic Symphysis is the joining portion at the front. It is a fibrous cartilage disc, which is designed to be tough and restrict movement. There are various tendons and ligaments that attach to the Pubic Symphysis and as such, it has a great deal of forces pulling on it. It sometimes becomes injured when the forces from your ligaments and tendons pulling on it exceed what it can take. This can often happen if you significantly increase your exercise levels and is often described as an achy, dull or throbbing pain over the pubic bone area.
Hernias - There are many different types of hernias that can occur in the body however the main ones concerning groin pain are Inguinal and ‘Sportsman’s Hernia’. An Inguinal hernia is a protrusion of part of the intestines in the Inguinal Canal and often causes a sharp pain on coughing/sneezing in the lower abdominal area, usually to the left or right but sometimes both. A Sportsman’s hernia (also known as Gilmore’s Groin) is an injury associated with increased strain on ligaments and tendons than a true hernia and is more recently referred to as Inguinal Disruption or Posterior Abdominal Wall Deficiency (PAWD). This also presents in a similar way to an Inguinal Hernia with pain on coughing/sneezing and is also associated with chronic (long-standing) groin strains.
Claremont Physiotherapists are well placed to help with assessing and treating any of these problems and have excellent relationships with Claremont Consultants. We are able to offer a holistic approach to the problem.
To book an appointment with Matt or any of our Physiotherapists, just call the Physiotherapy Department direct on 0114 263 2112 or email email@example.com. You do not need a referral for Physiotherapy and if you don't have health insurance, an initial 1 hour assessment and treatment costs £53 with ongoing 30 minute appointments charged at £38.