Groin Disruption Injury

Groin Disruption Injury

Groin disruption injury is a painful, soft tissue injury of the groin. It most often occurs during sports that require sudden changes of direction or intense twisting movements. This leads to pubic instability or pelvic instability caused by stretching or tearing of muscle, tendon, or ligament in the pubic region. The other names include hockey groin, Gilmore's groin, athletic pubalgia, pubic instability.

Causes and risk factors

Groin disruption injury is caused by a muscular injury that affects the region where abdominal muscles join to form the inguinal ring. The groin area is at extreme risk of chronic overuse injury caused during sports activities specifically while playing hockey, soccer, football, and rugby. Other causes are age-related weaknesses resulting from degeneration in muscles and bones, obesity, congenital defects in the groin area, or previous surgery in the groin region.

Clinical presentation

Patient complains of severe pain in the groin area at the time of the injury. The pain gets better with rest. Pain is experienced in the groin while twisting, turning, running, and sprinting. Stiffness and tenderness is also experienced by the athlete after training. Groin pain is experienced while sneezing and coughing.

Investigation

Medical history by the patient and clinical examination by the doctor helps in diagnosis. Physical tests are done for further evaluation of the injury such as squeeze test, palpation and modified Thomas test is performed. USG, CT scan, and MRI are done.

Treatment

Rest is needed for a few days depending upon the severity. Application of ice to the affected area helps in relieving the symptoms. Compression of the affected area also helps in managing the condition. Anti-inflammatory medication is required. Physiotherapy will also help in managing the condition. Surgery is performed when conservative treatments fail to work. Surgery to repair the torn tissues in the groin contribute further to the treatment.

Other Modes of treatment

The other modes of treatment can also be effective in treating groin disruption injury.

Homoeopathy is a science which deals with individualization and considers a person in a holistic way. This science can be helpful in combating the symptoms. Similarly, the Ayurvedic system of medicine which uses herbal medicines and synthetic derivates are also found to be effective in treating groin disruption injury.

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