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Groin Strain Physiotherapy
A groin strain is an injury to the groin—where the body where the
abdomen meets the leg and the inner thigh muscles attach to the pubic
Typically, groin strains occur in the muscles of the upper inner
thigh near the pubic bone (refer to picture) or in the front of the hip.
This injury tends
to be more common in athletes (due to nature of sports) and men; however, certain activities can
increase the risk for anyone to experience a groin strain - groin strains
can occur during sprinting or any type of activity requiring forceful
movement of the leg, such as
- kicking the leg up
- or changing
directions while running
Groin strains account for 10% of all hockey
injuries and 5% of all soccer injuries.
Our senior physiotherapists treat groin
- reducing pain
- helping patients improve muscle strength
and leg motion and
- increase the speed of recovery.
What is a Groin Strain?
A groin strain refers to an overstretch or tearing injury to the muscles of
the inner thigh or front of the hip. Groin strains makes it difficult and painful to
- moving the leg away from or toward the body
Groin strains can occur from overuse of the muscles, or from a
sudden contraction of the muscles.
Groin muscle injuries happens when the muscles are either too forcefully contracted
or too forcefully overstretched and they are classified/graded according to
the amount of muscle damage that occurs:
- Grade 1: Mild or partial stretch, or a tear of a few muscle fibers.
The muscle is tender and painful, but maintains its normal strength. Use
of the leg is not impaired, and walking is normal.
- Grade 2: Moderate stretch, or tearing of a greater percentage of the
muscle fibers. There is more tenderness and pain compared to mild version, with obvious and noticeable loss of
strength, and sometimes bruising.
Use of the leg is noticeably impaired,
and limping when walking is common.
- Grade 3: Severe tear of the muscle fibers, sometimes a complete
Patients may experience or hear a “popping” sound when the injury
occurs. Bruising is apparent, and sometimes a “dent” (like a cave-in) in the muscle may
be seen under the skin at the site of the tear.
Use of the leg is
severely difficult, and putting weight on the leg is very painful.
When groin muscles are strained or torn, muscle fibers and other
cells are disrupted.
Bleeding can occur, which causes bruising. Within a
few minutes to a few hours after the injury, swelling can occur,
causing the injured area to expand and feel tight and stiff.
Although groin strains most often occur in athletic activities such
they also can occur during everyday
activities, such as lifting heavy items or slipping while walking.
How Does a groin strain Feel like?
A groin strain causes sharp pain or spasms in the groin area or lower
The groin pain can quickly resolve, or it can linger/persist, and can
develop into a throbbing pain at rest with sharp stabs of pain whenever
you try to move your leg or walk.
A mild lower-grade groin strain can be relatively
pain free with everyday activities and walking, but aggravated with
quick movements of the legs such as
Higher-grade strains can cause the
muscles to feel tight or weak. Simple movements that involve
- trying to
lift the leg or knee or
- bringing the knees together
can provoke pain,
and even cause the groin muscles to spasm. If the groin strain involves a
Grade 3 (complete) tear, a "pop" may be felt or heard when the muscle
tears at the time of injury, and using the leg at all can be extremely
Signs and Symptoms
With a groin strain, patients may experience one or more of the following symptoms in the groin area or lower abdomen:
- Pain, a deep ache, and/or spasms
You might also experience one or more of the following symptoms:
- Weakness in the leg when trying to walk, climb stairs, or move the leg
- Limping when walking
- Difficulty performing daily activities that require standing and walking
How Is It Diagnosed?
If you see our senior physiotherapists first, we will conduct
a thorough evaluation that includes taking your health history. Our first physiotherapy goal is to exclude any other serious
conditions causing your symptoms that would warrant a referral to a doctor (we have a medical network).
Since groin pain can be present with other
diagnoses involving your hip, pelvis, or lower back, we may ask specific questions or use additional tests to assess
the possible contribution of these other regions to your pain.
We may ask you:
- What were doing when you first felt pain?
- Where did you feel the pain?
- Did you hear a “pop” when it occurred?
- Did you receive a direct hit to your leg or groin area?
- Did you notice any swelling in the first 2 to 3 hours following the injury?
- Do you feel pain when lifting your leg, walking, moving the leg away from you, or drawing your knees together?
We will perform special tests to help determine a diagnosis of a groin strain, such as:
- Gently moving your leg away from your body
- Asking you to resist against his or her hand as he or she tries to gently push your leg outward (muscle strength test)
- Gently feeling parts of the muscle to determine the specific location of the injury (palpation)
To provide a final diagnosis, we may collaborate
with an orthopedic doctor or other health care provider. The doctor may
order further tests—such as an X-ray or magnetic resonance imaging
(MRI)—to confirm the diagnosis and to rule out other potential issues.
These tests, however, are not commonly required for groin strain.
how our senior physiotherapists can help
We will design a specific treatment program to
speed your recovery. This program will include exercises and treatments
you can do at home to help you return to your normal lifestyle and
The First 24 to 48 Hours
Immediately following your consultation, we may advise you to:
- Rest the area by avoiding walking or any activity that causes pain.
Crutches may be recommended to reduce further strain on the muscles when
- Apply cold therapy to the area for 15 to 20 minutes every 2 hours.
- Compress the area with an elastic bandage wrap.
- Consult with a doctor for further services, such as medication or diagnostic tests.
We will design an individualized treatment plan
for you based on your unique condition and goals. Your plan may include
We can use
different types of treatments and technologies to control and reduce
your pain, including
treatments can lessen the need for pain medication, including opioids.
We will choose
specific activities and treatments to help restore normal movement in
the leg and hip. These might begin with "passive" motions that the
therapist performs for you to gently move your leg and hip joint, and
progress to active exercises and stretches that you perform yourself.
Certain exercises will benefit
healing at each stage of recovery; we will choose
and teach you the appropriate exercises to steadily restore your
strength and agility. These may include using
- cuff weights
- weight-lifting equipment
- cardio-exercise equipment, such as
treadmills or stationary bicycles
Speed recovery time
We are trained and experienced in choosing the right treatments and exercises
to help you heal, return to your normal lifestyle, and reach your goals
faster than you are likely to do on your own.
Promote a safe return to activities
We will collaborate with you to decide on your recovery goals,
including your return to work or sport, and will design your treatment
program to help you reach those goals in the safest, fastest, and most
effective way possible.
We will apply hands-on
therapy, such as massage, and teach you exercises and work retraining
activities. We also may teach you sport-specific techniques
and drills to help you achieve any sport-specific goals.
Prevent future reinjury
recommend a home-exercise program to strengthen and stretch the muscles
around your hip, upper leg, and abdomen to help prevent future re-injury
of your groin. These may include strength and flexibility exercises for
the leg, hip, and core muscles.
If Surgery Is Necessary
Surgery is rarely necessary in the case of groin strain, but if a
groin muscle fully tears and requires surgical repair, we will help you
- minimize pain
- restore motion and strength
- return to normal activities in the speediest manner possible after
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book an appointment today
(or check your pains / injuries)
Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
See all the conditions our principal physiotherapists treat.
HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
- manage and decrease hand pains
- improve range of motion, strength and dexterity
- increase the function of their hand
following injuries or post-operations
Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
- Cupping TCM
- Auricular Therapy TCM
- Herbal TCM Medicine & Supplementation
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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