Groin Pain Syndrome
Published on under Joint Pain
With groin pain syndrome, there is a significant amount of tension directed at the pubic joint by the muscles, tendons, and ligaments (collectively called “soft tissues”) during intense athletic activities (and sometimes regular daily life). These soft tissues also provide shock absorption and add structural support to the pubic joint.
Researchers speculate that groin pain syndrome is caused by the significant difference in strength of the opposing muscle forces from above (abdominal muscles) and below (adductors) leading to strain/sprain and eventually pubic joint pathology (osteoarthritis). Because of this high level of force, injury to the labrum that lines the rim of the hip joint may occur simultaneously resulting in two separate injuries or pain generators, making it easy to overlook the often more subtle, less known groin pain syndrome. Degeneration or joint arthritis can result in both the pubic joint and hip joint, again, adding to the confusion and differential diagnosis.
One case study that involved three soccer players with groin pain syndrome reported that all three athletes experienced satisfactory outcomes after an eight-week course of conservative treatment that included manual joint and soft tissue manipulation. Another study that looked at outcomes from NFL players who underwent either conservative or surgical treatment for groin pain syndrome found no difference in performance between the two groups, though the data suggests that players who underwent surgery for groin pain syndrome may have had shorter careers than those in the non-surgical group.
Doctors of chiropractic are trained to identify all potential causes for a patient’s musculoskeletal condition and to offer conservative treatment options to reduce pain and restore function so the patient can resume their normal activities.
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