Groin Pain

[trevs45]

My 13 year old son has suffered with groin pain for the last 18 months or so, it has restricted him quite considerably in his sport, mainly football.
He has visited various Physio's and an Osteopath to try and resolve the problem, all have mentioned growing pains and tight hip flexors and given various core exercises for him to do but he does not seem to be progressing.
Recently he had a full hip x-ray which showed everything to be normal. Rest has not cured it as he has not played football for 10 weeks due to the appalling weather, upon his first game back last week, he was pain free and running about normally for 30-35 minutes and then the pain came back, this eased off again a couple of hours later and he was pain free. I would be grateful if anyone has come across anything similar or can give any more advice as we don't know who to turn to or what to try next for him. Any help would be gratefully received, thanks

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[tonywoodall]

Hi folks, In my experience this is a Sacro-Iliac joint problem with referred pain into the Groin. Frequently caused by Hyper-Extension of the hip on the affected side especially in younger people where there is incomplete maturation of the bones and joints.

Treatment would be Mobilisation and / or Manipulation of the Sacro-Iliac joint. There will be associated inflammation of the adjacent Lumbo-Sacral area and inflammation at the site of the referred pain in the Groin. These sites could use standard Ultra-Sound / Lazer treatment plus mobilisation of the Lumbo-Sacral area. By this time stretching has probably been used without success so don't do it.

Continuing playing sport at this time will stop treatment being effective. That he had short term symptoms which settled quickly suggest the problem is not serious.

Good luck. Tony Woodall. Physiotherapist - Retired.