Diagnosis Of A Groin Pull
The diagnosis of a groin pull (groin strain) requires a short history taking so the practitioner can understand what the individual did that they feel led to the injury and what their general level of athletic activity is. An appreciation for the type and amount of load applied to the tissues helps understand the severity of injury and the future demands on the tissue. A physical examination of the area involving palpation and stress testing as well as potentially some functional testing depending on the severity of the injury is also necessary. Generally the history and physical exam is enough to land on a working diagnosis and plan the treatment however sometimes investigations like X-rays, ultrasound imaging and an MRI may be used to help rule out other problems if the diagnosis is not clear.
Accurate diagnosis is important as it can impact the management approach, so while groin pain is commonly caused from a groin pull, groin pain can also be the result of:
- Hernias, such as a lower abdominal, inguinal or femoral hernias.
- Stress fractures to the pubic bone or neck of femur.
- Hip impingement and/or hip labral injury.
- Osteoarthritis of the hip.
- Lumbar spine.
Treatment For A Groin Pull?
The severity of a groin pull will dictate the management and return to play time frames. Given time and appropriate management a groin pull will usually heal nicely and people will return to their pre-injury athletic levels. In the early phases of rehabilitation of a groin pull ice and compression are commonly used if there is pain, swelling and bruising. NSAIDS may also be used at the advice of your general practitioner.
To assist with healing and return to sport, loading exercises involving strengthening or stretching may be prescribed by your physiotherapist. Depending on the severity of injury such exercises may be started soon after injury or following several days of resting and more passive management.
Disclaimer: Sydney Physio Clinic provides this information as an educational service and is not intended to serve as medical advice. Anyone seeking specific advice or assistance on Diagnosis And Treatment Of A Groin Pull should consult his or her physiotherapist, general practitioner or sports medicine specialist.