Groin Pain & Injury

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Article by John Miller

Groin Pain

Groin Pain

What Causes Groin Pain?

Groin pain is a common sporting injury in high speed running, change of direction or jumping and landing sports. The musculature is complicated with highly stressed anchor points and the involvement of pelvis joints plus your lumbosacral spine. These injuries can cause a tendinopathy such as adductor tendinopathy.

The joints most likely involved in groin pain include your pubic symphysis, sacroiliac joints, hip joints and your low lumbar spine. One example of excessive stress occurring through your pubic symphysis is osteitis pubis. Femoroacetabular impingement is a bone impact condition that requires careful management to avoid surgery. Hip arthritis or a hip labral tear can also cause deep groin pain. Stress fracture can also occur affecting either your pelvis or femur. 

Muscle control is a vital component of the rehabilitation and prevention of groin pain. Your deep abdominal core muscles, deep hip rotators, gluteals, adductors and lower back muscles all work together to control your lower limb on you pelvis and pelvis on your spine. Any muscle imbalance or inco-ordination can lead to groin pain. The most common groin muscle injury is an adductor muscle strain commonly referred to as a groin strain. Hip flexor strains are also common especially in kicking and running sports.

Other passive tissue such as your inguinal wall can be overstressed and result in conditions such as an inguinal hernia or sportsman's hernia.

Systemic conditions should also be considered as a potential cause of groin pain. These include: rheumatoid arthritis, ankylosing spondylitispsoriatic arthritis and osteoarthritis.

For more specific advice about groin pain, it's cause and how you can rehabilitate it please consult your physiotherapist with a special interest in groin injuries.  

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Common Sources of Groin Pain

Groin pain is a common sporting injury in high speed running, change of direction or jumping and landing sports. However, it can also be associated with hip conditions in very young children, adolescents, adults and the elderly.

A recent literature review discovered 33 different diagnostic terms for common sources of groin pain in athletes. No wonder groin pain is all too commonly misdiagnosed and mistreated!

Let's look at some of the most common sources of groin pain depending on their structure:

Adductor-related Groin Pain
Pubic-related Groin Pain
Hip-related Groin Pain
Inguinal-related Groin Pain
  • Inguinal hernia
  • Sportsman's hernia
Iliopsoas-related groin pain
  • Hip flexor strain
Other Muscle-related Groin Pain
Systemic Diseases
Referred Sources

As you can see, these are just a few of the common groin injury sources, so an accurate diagnosis is very important to provide you with the best rehabilitation.

If you are suffering groin pain, we highly recommend that you seek the professional help of a practitioner who is experienced in the assessment and management of groin pain. It can be very tricky! You wouldn't want to undergo a hip replacement early in life due to mismanagement of your groin pain.

Groin Pain Assessment 

Your physiotherapist is an expert at the diagnosis and treatment of traumatic and biomechanical related injuries affecting your groin. 

For a thorough assessment and the quickest relief from your groin pain, please contact your physiotherapist.

Groin Pain Treatment

With accurate assessment and early treatment, most groin pain responds extremely quickly to physiotherapy allowing you to quickly resume pain-free and normal activities of daily living.

Please ask you physiotherapist for their professional treatment advice.

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Groin Pain Treatment Options

  • Early Injury Treatment
  • Avoid the HARM Factors
  • What to do after a Muscle Strain or Ligament Sprain?
  • Acupuncture and Dry Needling
  • Sub-Acute Soft Tissue Injury Treatment
  • Core Exercises
  • Closed Kinetic Chain Exercises
  • Gait Analysis
  • Biomechanical Analysis
  • Balance Enhancement Exercises
  • Proprioception & Balance Exercises
  • Agility & Sport-Specific Exercises
  • Medications?
  • Orthotics
  • Soft Tissue Massage
  • Brace or Support
  • Electrotherapy & Local Modalities
  • Heat Packs
  • Joint Mobilisation Techniques
  • Kinesiology Tape
  • Neurodynamics
  • Prehabilitation
  • Running Analysis
  • Strength Exercises
  • Stretching Exercises
  • Supportive Taping & Strapping
  • TENS Machine
  • Video Analysis
  • Yoga
  • FAQs about Groin Pain

  • Common Physiotherapy Treatment Techniques
  • What is Pain?
  • Physiotherapy & Exercise
  • Massage Styles and their Benefits
  • How Does Kinesiology Tape Reduce Swelling?
  • What Causes Post-Exercise Muscular Pain?
  • Heat Packs. Why does heat feel so good?
  • Post-Run Soreness: Should You Be Concerned?
  • Running Recovery: 6 Helpful Tips
  • Sports Injury? What to do? When?
  • What are Growing Pains?
  • What are the Common Massage Therapy Techniques?
  • What are the Early Warning Signs of an Injury?
  • What is a TENS Machine?
  • What is Chronic Pain?
  • What is Musculoskeletal Physiotherapy?
  • What is Nerve Pain?
  • What is Sports Physiotherapy?
  • What to expect when you visit PhysioWorks?
  • What's the Benefit of Stretching Exercises?
  • Helpful Products for Groin Pain

    Groin Injuries

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    Last updated 07-Jul-2016 03:00 PM

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