Groin Pain

[Martin Rix]

Hi,
I am 29 years old and have recently been suffering from a strange pain in my groin thigh area. I play football and the injury started about three months ago during a training session, I have not played since. The pain is not evident when walking at all but when I try to run faster than a certain pace or particularly when kicking a ball it is most noticeable. I can also recreate the pain by pushing my knees towards each other (which often results in a clicking sound with helps lessen the symptoms temporarily). The pain seems to radiate above my groin and radiate down my inner thing, deep in the muscles. It is sharpest at the groin area though.

I have seen two different physio's and a doctor and neither seems to be able to diagnose what it is. I show many of the signs of Ostetis Pubis but do not have inflammation of the Pubic Symphysis. I also do not have any signs of having a hernia.


I am desperate for someone to tell me what it is and what I should do to correct it, can anyone help me? I would be very grateful for any suggestions / advice?


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[roycar]

any updates on this issue?

i've had a very similar presentation recently in clinic.

[physiobob]

Sounds like you might just have an instability, especially if the small manip to the pelvis with squeezing the legs together relieves the symptoms. If the pain is 'sharp' then perhaps there is some local tissue damage. This might be at the arrachment of one of the inner thigh muscles onto the pelvis. It so this does take a quite a long time to become pain free. Rest is always pain free but load the muscles and the attachment pulls. So running passing etc could be symptomatic.

You need to get in touch with a good sports physio who has a keen interest in biomechanics and your sport to get the appropriate rehab plan. p.s. never rule out a hernia or Conjoint tendon issue unless you've had some dynamic realtime ultrasound investigations.