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Groin Pain In Athletes
by Dr. Jim Forbes


            Groin pain is a major issue in almost every sport.  However, it is more common in skating sports due to the nature of the skating motion which separates the leg from the body.  Groin pain can be the result of one injury or the accumulation of many past injuries.  Regardless of the scenario it is wise to ensure that your groin pain is correctly diagnosed and correctly managed.  This article will cover the risk factors of groin pain and the recommendations on how to prevent yourself from having a groin injury.  If you currently have groin pain, it is best to consult your local health professional who is fluent in manual medicine.

 



Causes of Groin Pain

            Groin pain can be the result of damage to many structures in the hip and pelvis.  The most common cause of groin pain are the muscles that are located in the groin area.  As well, the pull from these damaged tendons often results in damage to the neighboring joint near their attachment.  This joint is called the pubic symphysis joint and when damaged can present further pain in the groin area.

 

Risk Factors for Groin Injury

            Due to the increasing number of groin injuries (especially in hockey players), there has been extensive research on characteristics of people who have had groin pain in the past.  These are some of the common findings.  To be adequately screened to see if you have any of these risk factors you should consult your local chiropractor who is familiar with preventative exercise and pre activity performance screening.

Weak groin muscles

Decreased range of motion of the hip joint.

Weak muscles around your core

Previous groin injury (especially one that was poorly managed)

Involvement in repetitive kicking, twisting, or skating sports.

Improper warm up

How to Exercise to Prevent Groin Injury

            - Core Training

            The first area which you should strengthen is your core.  Everyone thinks that they do “core exercises,” however, not everyone does them correctly.  Begin your core training with simple exercises that emphasize a core contraction while maintaining normal breathing.  When I show this to patients they realize that the “core exercises” that they were doing weren’t really strengthening the core at all.  There are 29 pairs of muscles that make up your core, and you should perform 2-3 core specific exercises per day.  Your abdominal muscles actually have attachments to your groin muscles.  So, working your core will ensure that the abdominal muscles and therefore your groin muscles are stronger.  Consult your health professional who is fluent in core exercise principles to find out which exercises are the most beneficial for you.


 

 

          
 - Groin Muscle Training

           
Once a stable core is built, the groin and hip muscles may now be trained.  Begin by simply squeezing a soccer or basketball between your ankles with your legs straight while lying on your back.  Hold this contraction for 30 seconds and complete this exercise 10 times each day.  Perform the same action but now, place the ball between your knees.  A stronger muscle is able to work harder with more endurance.  Thus a stronger muscle will not fatigue early in activity and is more able to handle the stresses of your activity in order to resist injury.

 

        

    - Balance Training

            Once the groin muscles are being strengthened it is wise to work on balance.  Balance is a result of the core, your arms, and your legs working in unison to maintain a stable center of mass.  This requires a symphony of muscles which add to stability and thus help reduce injury.  It may be hard to find an unstable surface (preferably a half exercise ball or a “wobble board).  If you do not have one of these then you can merely balance on one leg and challenge yourself to see how long you can balance for.  Perform repeated bouts of balancing for 5-7 minutes each day as this will facilitate the core exercises that you perform with this program.

           

           

           

 - Active Stretching

            When a muscle is damaged it is wise to stretch that muscle in an active yet controlled fashion.  Perform this exercise on the edge of a chair or using an exercise ball.  Slowly roll over the ball stretching your groin gradually to the point where you feel slight pain then back it off to where you do not feel pain.  Hold this position for 15-20 seconds and repeat it 5 times each day AFTER YOU PERFORM YOUR EXERCISE PROGRAM as you should never stretch prior to activity.

 

 

            - Performance Care          

            Range of motion abnormalities at the hip and low back can create too much movement at the pubic symphysis and they must be identified and addressed in any case of groin pain in order to remove the potential cause of the groin pain.  Abnormalities in range of motion can initially inhibit performance and eventually cause injury.  Therefore, you should consult your health professional who is familiar with treating groin pain and its relative range of motion deficiencies.

            - Improper Warm Up

            Failing to prepare your body for activity will result in an increase risk of injury during the initial stages of the game or practice.  A warm up should be done to increase blood flow to muscles by performing sport specific exercises that will be performed during the game.  Most injuries occur early in the game when players are not physically ready for the task at hand.  Next month I will write about the proper warm up and how to turn readiness before the game into results.

Conclusion

            Groin injuries are common in sports, however, they don’t have to be.  With the proper advice regarding strength training, stretching, and addressing range of motion abnormalities with proper treatment you can avoid having a groin injury and stay in the game.  Preventative strength training is the best way to ensure that you have an injury free season while increasing performance and getting results. 

 


Dr. Forbes is a chiropractor in Sarnia who is devoted to providing honest, comprehensive
 and effective care with special emphasis on sports injuries and preventative rehabilitation.
If you would like Dr. Forbes to do a complementary group/team presentation on a topic
 of your choice please contact him at:



Dr. Jim Forbes

Chiropractor, ART & Medical Acupuncture Provider
Hare Chiropractic and Natural Health Centre
1389 Colborne Rd. Sarnia
519 332 4222
DrJimForbes@Gmail.com
Twitter: @DrJimForbes
For more information regarding other topics of interest please visit www.DrJimForbes.com


 

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Dr. Jim Forbes
Chiropractor, ART &
Medical Acupuncture Provider


Hare Chiropractic
and Natural Health Centre
1389 Colborne Rd. Sarnia
519 332 4222
DrJimForbes@Gmail.com
Twitter: @DrJimForbes

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