hip GROIN PULL / STRAIN
DEFINITION:
- Also known as an adductor muscle strain. (See illustration).
- Stretching injury to the muscles/tendons of the upper, inner thigh, that pull the legs together (adduction).
MECHANISM OF INJURY / HOW IT OCCURS:
- Most commonly a result of a sudden change in direction while running. The result of stretching an actively contracting muscle/tendon unit.
- Often seen in sports such as football, soccer, and basketball.
SYMPTOMS:
- Individuals will complain of pain in the groin which is exacerbated with any stretch of the groin musculature.
DIAGNOSIS:
- Physical examination will reveal tenderness to palpation of the adductor muscles/tendons.
- May see swelling or bruising if severe tear present.
- Stretching the adductors will result in increased symptoms.
- For persistent symptoms may consider radiographic studies to include x-ray evaluation or Magnetic resonance imaging (MRI) to determine the extent of the strain/tear as well as to rule out fracture or hip joint damage.
TREATMENT/REHABILITATION:
- Rest, ice, and anti-inflammatory medications (NSAIDs), are initial line of treatment.
- Therapy to include stretching and strengthening is beneficial. (See exercises for groin pull/strain).
- Gradual resumption of activities must be emphasized as is proper warm up.