When bones of the hip are abnormally shaped and do not fit together perfectly, the hip bones may rub against each other and cause damage to the joint. The resulting condition is femoroacetabular impingement (FAI), which is frequently seen along with a tear of the labrum.
There are a number of muscles and their tendons connected to the groin that can injured whether it is sudden or over time giving rise to groin pain. These include the rectus abdominis muscle, adductor muscle and iliopsoas muscle. ‘Hernias’ and stress around the pubic symphysis which connects your pubic bones also can cause groin pain. Usually the problem is a kicking sport but the groin can also be strained if performing an activity which causes an excessive stretch to any of the muscles or on strain on the pelvis itself. Often when groin pain is experienced more than one of the above is affected.
It is vital to have physiotherapy as soon as possible if a groin strain is suspected as if you continue to play sport hoping the pain will resolve itself your recovery is likely to take a long time. A physiotherapist can be organised to come to you and take a detailed history and perform a full physical assessment including specific tests. They will then be able to tell where your groin pain is coming from and what is contributing to causing the pain. They can then treat you effectively by taking you through a specific progressive exercise programme and use other treatments such as myofascial release, acupuncture and anti-inflammatory treatment on the affected area. The aim will be to return you to sport painfree as soon as possible. They will also be able to advise you on exercise you can doing during rehab to keep up your fitness.
A Rectus femoris tendon strain is a tear of the tendon of the powerful quadriceps muscles at the front of the thigh. It often occurs at its origin at the front of the hip. An avulsion strain occurs when the tendon tears, pulling a small piece of bone away with it.
Bursitis is inflammation of a bursa. A bursa is a closed, fluid-filled sac that works as a cushion and gliding surface to reduce friction between tissues of the body. The major bursae (this is the plural of bursa) are located next to the tendons near the large joints, such as in the shoulders, elbows, hips, and knees.
Osteoporosis is a health condition that weakens bones, making them fragile and more likely to break. It develops slowly over several years and is often only diagnosed when a fall or sudden impact causes a bone to break (fracture). The most common injuries in people with osteoporosis are: broken wrist.
The main difference between osteoarthritis and rheumatoid arthritis is the cause behind the joint symptoms. Osteoarthritis is caused by mechanical wear and tear on joints. Rheumatoid arthritis is an autoimmune disease in which the body's own immune system attacks the body's joints. It may begin any time in life.
Acute pain is the pain we feel immediately after injuring ourselves and while the injury is healing. Chronic pain is pain that continues even though healing has occurred and it is not unusual to find no direct link between the pain and the original injury that may have healed a long time ago. Chemical changes happen in the brain and spinal cord to re-route signals to pain centres in the brain. Then any normal sensation such as a movement, touch, pressure, stretching etc can be felt as pain. In some instances the pain system can be activated without any physical stimulus ie changes in weather, mood, thoughts or no stimulus at all.
Snapping hip is a condition in which you feel a snapping sensation or hear a popping sound in your hip when you walk, get up from a chair, or swing your leg around. The snapping sensation occurs when a muscle or tendon (the strong tissue that connects muscle to bone) moves over a bony protrusion in your hip.
Stress fractures are tiny cracks in a bone — most commonly, in the weight-bearing bones of the lower leg and foot. Stress fractures are tiny cracks in a bone. They're caused by repetitive force, often from overuse — such as repeatedly jumping up and down or running long distances.
These are the main joints of the pelvis and can be moving too much or be stiff. This can cause stress on surrounding structures leading to buttock or groin pain. The pain tends to be when doing weight bearing activities or turning in bed.
Physiotherapy can help by performing an in depth examination and use specific tests to determine whether the pain is coming from a problem with the sacroiliac joints. Treatments can be used such as manual therapy, taping, acupuncture, stretching any tight surrounding exercises and teaching specific exercises to increase the stability around the pelvis.
Slipped capital femoral epiphysis (SCFE) is a disorder of the hip that can happen in your pre-teen or teen. SCFE happens when the head (“ball” part) of the top of the thigh bone (femur) slips backward and downward at the point of growth plate. Normal hip with femur head and neck fully intact.
Legg-Calve-Perthes disease, also known as Perthes disease, is a disorder of the hip in young children that usually occurs between the ages of 4 and 10. The hip is made up of the femoral head — the “ball,” which is the upper part of the femur — and the acetabulum — the "cup" that fits around the femoral head.
Nerve entrapment is a medical syndrome that develops when nerves become compressed (or entrapped) and restricted. This occurs due to a variety of causes, from trauma or injury to repeated or overuse activity. Nerve entrapment syndrome is also known as: Nerve compression syndrome.
Pain in the hip and groin can actually be referred from another area in the body i.e. the lower back. Trigger points in muscles away from the pelvis and groin can also refer to the area.
These possible causes summed as:
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