PDF-Groin Pain

in Athletes Assessment and Management Dr Tom Cross July 2010 wwwsportsmedicinesydneycomau Introduction Groin pain represents a difficult diagnostic and management problem for both the patient and. Pain may be constant or intermittent Pain is worse when sitting or bending forward Pain may be eased by bending backwards Walking and standing are better than sitting Positions and Exercises 57375e following rest positions can be used at home to res There are many anatomic structures in the inguinal and groin region that have the potential to cause pain We report 32 cases of a previously unde scribed condition in athletes of obturator neuropathy a fascial entrapment of the obturator nerve where Conditions we treat. Osteoarthritis (OA). Femoroacetabular. Impingement (FAI). Labral. tears . Bursitis. Tendonitis. Conditions we treat. Healthy hip. Groin Wrap. Begin the wrap with the foot turned slightly inward. Groin Wrap. The wrap begins around the upper thigh. Pull the wrap towards the center line (gro. in. ). Go around 1 to 2 times. Remember to pull the wrap to about 1 and ½ times the original length. Massive regional bias. . Australian East Coast– . diagnosis of sports . hernia is . quite common. . In Adelaide . I was . with a group of AFL doctors who had not made the diagnosis in years. Was told . Normal Anatomy. Adductors are a group of 6 muscles on the inner thigh. Pectineus. Adductor longus. Adductor brevis. Adductor . magnus. Gracilis. Obturator externus. All originate from the inguinal region at the pubis at various points. Related Groin Pain. Normal Anatomy. Pubic symphysis is a . nonsynovial. . amphiarthroidal. joint. Joint between the two pubic bones. Lined medially with hyaline cartilage . Separated by thick fibrocartilaginous disc. Normal Anatomy. Inguinal canal is a 3d cylinder between the deep and superficial inguinal rings. Superior Wall – fibres of internal oblique and transversus abdominis. Posterior wall – conjoined tendon on internal oblique, transversus abdominis and fascia transversalis. Dept. of Family Medicine. University of Michigan Health system. Case Study 1. 44 year old woman with 3 month h/o lateral and posterior hip pain, right greater than left. Worse with prolonged standing and running. Used to jog 8-10 miles a week, but has stopped for past month because of lateral hip pain. No acute injury.. © . 2007 McGraw-Hill Higher Education. All rights reserved.. Anatomy:. Assessment of the Thigh. History. Onset (sudden or slow?). Previous history?. Mechanism of injury?. Pain description, intensity, quality, duration, type and location?. Competencies in Athletic Training . SEATA Athletic Training Student Symposium. Dr. Patricia M. Tripp, ATC, LAT, CSCS. Clinical Associate Professor & . Director, AT Program. Key Points to Consider…. Is there a difference? . Harpreet K. S. I. Singh. 1. , Lisa H. Massey. 2. , Tan Arulampalam. 3. , Roger W Motson. 3. , Nikhil Pawa. 4. 1. . Department of General Surgery. Hillingdon Hospital NHS Foundation Trust, Pield Heath Road, Uxbridge, UB8 3NN. Osteoarthritis (OA). Femoroacetabular. Impingement (FAI). Labral. tears . Bursitis. Tendonitis. Conditions we treat. Healthy hip. Osteoarthritis (OA). Professor, Mayo Clinic Department of PM&R, Rochester, MN. Director, Regenerative Medicine, Mayo Clinic Sports Medicine, Rochester, MN. Medical Director, Mayo Clinic Sports Medicine, Minneapolis, MN.