The groin injury
What is a groin injury?
We could define the groin injury as a syndrome that can come from several causes (trauma, muscle imbalances) but in which there is necessarily pain located in the pubic region that may even radiate to the adductors, abdominals and crural arches.
Patients who suffer this disease are athletes. If one practices regularly football, marathon, rugby ... maybe you have already developed this syndrome or going to do someday.
How to know if you have a groin injury?
It is recommended to consult a doctor or a physical therapist to establish a correct and valid diagnosis (because one can believe it is a groin injury but ultimately it is not). But the following signs are characteristic to suspect of a groin injury:
- A subjective feeling of deep pain in the abdominal or groin area.
- Pain increases considerably with exertion such as running, sit-ups, ...
- Palpable tension at the level of the pubic ramus in the insertion of the rectus abdominis.
- Pain when the patient carries out hip adduction against resistance.
- Pain when snuggling.
What can be the cause?
As already mentioned, there are 2 types of groin injury.
First, the traumatic: It can be caused by local microtrauma (falls, abrupt and sudden complete contractions of the adductor in the sports gesture like for example when hitting a ball ...). Common in athletes. In this case, there may be a spasm of the musculature in response to the trauma. The tendons may also suffer at this time.
Secondly, chronic groin injuries: they can be produced by a non-resolution of trauma in the acute phase, but it is usually due to muscle imbalances between anterior and posterior chains. Often the hamstrings and abdominals are shortened / contractured and hip flexors and extensors of the lumbar spine elongated / distended. In addition, the shortened hamstrings make the position of the pelvis change and thus the adductors are in a stretched position. Also the quadratus lumborum muscle can suffer.
How to treat it?
All these mechanisms make muscles tense and relaxing them is needed. Therefore stretching of certain muscles can be performed analytically (=local ) or globally depending on the diagnosis made by the professional.
Of course pain is also treated using cold, electrotherapy, performing isometric contractions (without movement), etc.
Deep transverse massage on the tendon insertions can recommend.
Relative sport rest for 1 to 2 weeks is also advisable.
Finally, work on the stabilising muscles of the trunk which will surely have suffered.
Another valid option, it is to use 3TOOL with 2 of its 3 areas:
- Pointy area: over the trigger points, especially in the hamstrings and abdominals. The fact of treating them will probably reduce pain and tension.
- Flat area: use as massage to relax the fascias, remove tension in the muscles that have suffered.
3TOOL will be very helpful for the therapist because it is a complement, a "bonus" in the treatment, and this in an ergonomic, innovative and effective way. Actually, it is also good news for the patient because it will allow self-treatment at home, so one improves faster and can return as soon as possible (with caution) to the sport.