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by Sayed Ahmed Hashem PT

Whether acute or chronic, groin injuries make up 2 to 5% of sport-induced injuries.  Although the cause of groin pain is unclear, in a high percent of athletes the cause of pain is multi-factorial.

Groin injury is one of the most common lower limb injuries cited in sport activities that involve repetitive movement, kicking or sudden change in directions. Therefore these injuries are more prevalent in athletes who participate in sports such as ice hockey, handball, high jumping and running, and may comprise as many as 5 to 7% of all injuries in football (soccer) players.

There are a few biomechanics abnormalities that can predispose an athlete to groin injuries such as individual gait, anatomical leg length discrepancy, and muscular imbalances including mechanical leg length discrepancy. There are also some musculoskeletal conditions that can commonly cause groin pain.

Common causes include:

Adductor muscle strains (adductor muscles pull towards the body)

A tear or a rupture in the inner thigh adductor muscles because of a forceful abduction (movement away from the body) with internal rotation of the hip, as well as push off or a side to side motion. Adductor muscle strain is the most common cause of groin pain in football players and runners.

Osteitis Pubis

This is caused by repetitive shearing stress on the pubis symphysis or fixation of the sacroiliac joint. This can also be combined with an adductor strain.  This pain is usually aggravated by sit ups and adduction (using the strained muscles).

Iliopsoas Strains

The iliopsoas bursa is the largest bursa in the body, and becomes aggravated by repetitive overuse and friction over the iliopectineal eminence of the pubis. The pain of iliopsoas strain is not only localized in the groin area – it also radiates to the anterior thigh.

Reclining Bound Angle Pose (Reclined Cobblers Pose):

Sit on the mat and bring your feet to each other and keep your spine erect.  With each exhale of breathe, allow your knees to fall towards the floor in a relaxed stretch.

Bridge Pose:

Lie flat on a mat, bend both your knees and keep your arms to the sides. Press your body down and left your pelvis up in the air. You’ll notice the small cushion placed directly under the shoulders.  This is there to elevate the upper body, so that the head and neck can remain on the floor in a more neutral position with the body, rather than being forced into flexion which might cause neck strain.  This elevation also helps when lifting the bottom away from the floor.

Pigeon Pose:

Start in a crossed leg position. Leave one leg in front and extend the other behind you, flat on the ground with toes pointed.  Avoid any knee strain in the front leg.  Word towards keeping your pelvic pointed squarely forward, rather than tilting to sit on one cheek.  Breathe and try to relax the side of the open leg down towards the floor with each exhale.


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