Do you have groin pain when walking, running or playing sport?
Need to know what could be causing it?
Hip and groin pain can be a very complicated to understand and manage. Some can be simple (muscle strains) however, more often than not, there are a few areas involved.
With the hip being close to the lumbar spine and the main attachment of many muscle groups, it usually takes a multi-dimensional rehab program to get groin pain under control.
This blog will discuss the potential causes of groin pain and the best ways to stretch out the main muscles of the hip and groin.
Possible causes of groin pain:
Hip Impingement. This is when a small bit of bone grows on the edge of the hip joint, which can make the joint a slightly abnormal shape. When this occurs, the joint can become irritated through certain movements and positions, which over time, can cause pain and reduce function. This pain is often felt in the front of the hip or the groin area and can be a sharp pain or a dull ache. The main movements that can cause pain are turning, twisting and squatting.
Hernia. A hernia around the groin region is usually a tear or strain in the abdominal wall. It is usually unknown how they are caused, however in active people, hernias can be caused by high velocity movements and heavy lifting. The main symptoms of a hernia involve pain on sitting up from a lying position in the front of the hip, pain on consistent coughing and some more dynamic movements such as twisting.
Referred pain from lumbar/ Sacro-iliac joint (SIJ). Your hip pain may not be coming from your hip. A lot of people who suffer from hip and groin pain could actually have no issues with their hip at all. The low back and SIJ (the joint that connects the back to the hip) has the ability to refer pain to the side and front of the hip and groin. This can be referral from a disc, nerve or sometimes a muscle. The pain is usually diffuse, achy and is associated with other areas of pain.
Adductor tendinopathy. The adductors are one of the main groups of muscles around the hip. They help to stabilise the hip and knee when running as well as assist in changing direction at various speeds.
As you can already imagine, sports such as soccer, hockey and football that require a lot of sudden changes of direction and consistent running can overload the tendons of these muscles. When this occurs a dull aching pain will be worse at the start of exercise and the day after as well.
The symptoms generally present around the lower groin which will limit range of movement as well as reduce the overall speed and agility of a player.
This creates a bit of a chain reaction as the body will try and recruit other muscles to help assist with the movement, which will overload those muscles as well. This isn’t a great cycle to be involved in.
This over loading pattern can also lead to other groin issues, such as osteitis pubis.
Although all of these causes are quite unique and have varying levels of muscular input, there is usually great benefit in stretching the muscles of the hip.
Please follow the link below to our video on some great hip and lower leg stretches: http://myphysiosa.com.au/best-physio-stretches-for-tight-leg-muscles-by-mount-barker-adelaide-physiotherapist-david/
If you have tried all these and they haven’t helped then don’t worry! As I said earlier, groin and hip pain can be very complicated and complex.
A Physio can help to correctly and accurately diagnose your problem with various tests so that you can completely understand exactly what is going on.
From here, a Physio can set up a specific and individualised rehab program to settle your groin pain and getting you back to your active best!
Michael Wilson, myPhysioSA Senior Physiotherapist