7/28/2019 Adductor Tendinopathy, groin pain

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T.(02) 4954 5330 | F.(02) 4954 5380 | E.info@advancedphysio.com.au | W.www.advancedphysio.com.au335 Hillsborough Rd, Warners Bay NSW 2282

This is a condition of the adductor tendons. Theadductor tendons attach the thigh bone(femur) to the pelvis and are placed under great stress with running, jumping or kicking.

Tendinopathy is a general term that meanstendon disorder. It encompasses all types oftendon problems and does not imply aparticular diagnosis or mode of treatmentrequired.

Frequently this is a degenerative condition (or tendinosis), meaning that the tendonundergoes structural changes related to celldeath and disintegration. This condition candevelop in anyone at any age but is morecommon in athletes particularly those in kickingand running sports.

If this is left untreated it can develop into a longterm injury which can be highly detrimental toathletic performance.

Pain and Symptoms

Risk Factors

DiagnosisThe diagnosis is usually made from the historyand from clinical testing. Further investigationssuch as x-ray, MRI and ultrasound can beundertaken to confirm the diagnosis and toassess other structures.

Due to the proximity of this injury to the lower abdominal and genital region a medicalassessment is often required to exclude other possible problems.

TreatmentPhysiotherapyInitially a period of reduced load is required. Thiscan be achieved by rest from or modificationof running, pivoting, twisting and kicking. Agroin strap may be used throughout therehabilitation period to help unload theaffected tendon. Cross-training in anon-stressful way is usually prescribed tomaintain cardiovascular fitness and thestrength and flexibility of uninjured areas.

Following this treatment will address the risk factors and you will commence an exerciseprogram. Lower limb strengthening is anessential part of the rehabilitation to helpre-establish neuromuscular control. This willusually be a gym based program that is gradedand progressed as your symptoms allow. A highemphasis will be placed on restoring hip/pelviccontrol and stability.

Patient Information Sheet

The pain is typically felt in the lower groin or upper thigh regionPain is typically worsened by activities suchas running, moving sideways, or jumping,although lower grades of injury willsometimes settle as they warm up

Running on hard surfacesExcessive runningBody MassFootwear Changes in training intensity, volume or typeof trainingExcessive amount of kicking (especially long

balls)

Poor hip/pelvic stability and strengthPoor adductor strength and flexibilityAge - tendons become less able to absorbforce as they agePoor collagen (genetic factors)

7/28/2019 Adductor Tendinopathy, groin pain

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T.(02) 4954 5330 | F.(02) 4954 5380 | E.info@advancedphysio.com.au | W.www.advancedphysio.com.au335 Hillsborough Rd, Warners Bay NSW 2282

Medical There are several promising medicaltreatments available. These need to beprescribed and administered by a MedicalDoctor who has expertise in this area. Someexamples are:

Recovery TimeRecovery from this condition is variable. It isimportant to realise that tendons take a long

period of time to recover and some do noteven recover completely. Often theconditoncan take up to 3 6 months toresolve. and then a preventative programwould be implemented to help decrease therisk of future aggravations..If the condition fails to settle over anappropriate period of time and allconservative measures have beenexhausted then referral to a specialist Doctor may be required.

There are some cases that can beunresponsive to rehabilitation and these mayrequire surgery.

Patient Information Sheet

Cortisone Will typically only be suggested ifthere is an associated bursal or tendon

sheath inflammationLocal Blood Injection This is designed tostimulate a healing response in the tendon.They use your own blood which containsgrowth factors.