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Terrible Groin Injury...advice needed!
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rover1981 posted:
I was hoping somone out there could lend me some helpful advice.

For 6 months i have been suffering from a fairly persistent dull ache in my right groin, specifically over the hip flexor area and in the inner thigh. even just walking causes the ache to intensify and has changed me from a very happy and active amatuer soccer player (playing 3x a week) into a miserable guy who suffers pain and needs to rest after one round of grocery shopping.

Physical therepy has restored some strength. An MRI supposedly did not show a tear, and a physical exam from a hip and groin specialist ruled out a sports hernia. Massage therepy has broken down scar tissue to restore range of motion yet i cannot perform any areobic exercise without severe discomfort. the specialist said i had a pectineus and rectus femoris strain..however these both should heal within 6-8 weeks...but this has been 6 months.

please read the back story for more information if needed. thank you for any help you might be able to provide.


Back story:
6 months ago (april 2011) i injured my groin playing soccer. it first felt like a nasty pull as I pivoted on my left foot, turned 180 and struck the ball. At first i treated it like a regular straine following the R.I.C.E protocol. however after little improvement my dr signed me up for physical therepy. After 6 weeks of regular therepy we hit a wall as i was still unable to perform certain leg raises without any additional weigh (i could not even raise my right leg upwards off the table as i lay on my side right side). At this poin i also could not raise up my right knee from standing with a straight back (the captain morgan pose). From there i had a negative mri scan and visited a hip/groin specialist who ruled out a sports hernia. The specialist said i had a pectineus and rectus femoris strain and continued physical therepy etc would see me though in 6 weeks. However, that didnt happen. A chiropractor performed some massage therepy which broke up the scar tissue or losened the stiff muscels so i can now perform the captain morgan and raise my leg up off the table. However.. this darn dull achy, tired pain occurs just from merely walking. I am open to any advice on diognosis, treatment or next steps.

Thank you,
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kogirl04 responded:
Have you hd an xray to make sure you do not have a stress fracture? I am in the same position having thought for the last 2.5 weeks that I had strained my groin muscle. I rested for 2 weeks and found that the pain got incresingly worse when I went grocery shopping. I, too, am tired of mere walking creating so much pain so I broke down and a 3rd xray found a stress fracture on the left side of my pelvic bone. I'm scheduled for an MRI this week to rule out labral tear. I'm on crutches for 6-8 weeks so the fracture can heal properly. Doctor was stunned I put up with the pain for almost 3 weeks, but being an avid distance runner, I thought it was just normal pain after suffering a fall.
 
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DeadManWalking57 responded:
Rover:

I had pain off and on for 20 years before getting rid of it, from a severe groin pull. A training shoe specialist told me what I was doing wrong.

Every step you take, the hip flexors are engaged to bring your thigh forward (or inward). So if its injured, you keep it injured unless you rest it. Oops !

If using heat to increase circulation, you might be overdoing it. You want to increase circulation, not break down the muscle with heat and serve it nice and tender for dinner. LOW HEAT. And alternate with an ice pack every 20 minutes.


Next, use a large ace bandage to wrap the upper thigh and support it around your waist. You do this to reduce the strain on the flexors. The stretched bandage will give them some relief. Put your foot on a low step, or put he injured leg slightly forward, and wrap so the bandage is stretched in this position, and wrap around the thigh and pulled up around your waist. You can alternate lifting from inside or outside. You'l' know when you've done it right.

Causes of continuing weakness.

You need to strengthen the muscles once healed, and you can also reduce the load while rehabbing the muscles. What ? Yes, reduce the load. You reduce the load by shortening the lever that is being swung forward by the muscles. That means lifting your foot higher, when the leg is BEHIND you. Not a flexor lift of the thigh, but a hamstring lift of the foot. When you pick up your foot, swing it up at least an extra couple inches.

Re-aggravation of this injury, for me, came from being unaware I was not raising my foot high enough behind me, flexing the hamstring, when running. The foot would be lower, the flexor had greater weight to move, and of course, I re-injured the muscles.

So become extremely conscientious about kicking up both feet behind you when running, before you swing the leg forward. If running and you feel the flexors developing pain, you will get IMMEDIATE relief by kicking up the heel behind you much higher before swinging your leg forward.

What you may need to do is strengthen the hamstrings more, so this becomes natural. Then the flexor will never get an increased load, unless you forget or become lazy and drop the foot too low while swinging your thigh forward.


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