Hip and groin pain are difficult areas for most physiotherapists to treat and rehabilitate.
The source of the pain is complex and often poorly understood and is why rehabilitation can be difficult. A reason for this could be because there are a multiple combination of overlapping structures within the hip & groin region that could be the source of pain. As you can see from the image there are numerous muscle and ligaments that can act on the hip and groin. Identifying what structure that is causing the pain is a crucial part in achieving successful treatment and rehabilitation plan.
An accurate diagnosis can be like punching in the correct address into Google Maps. Only when you have the right address (diagnosis) will you get the most accurate directions (treatment plan) to your desired location. What we do know is that an accurate diagnosis of the structures causing pain will lead to effective treatment and favourable outcomes for the patient. The main reason why patients are not recovering from lingering hip and groin pain is because they haven’t received the most accurate diagnosis. That is why a thorough assessment from an experienced therapist is crucial to developing an effective treatment plan.
Sam Jewell, read his bio here, has extensive experience treating active people with hip and groin pain. During his time as the lead physiotherapist for the Wellington Phoenix he built up expertise in this specific area. Sam explains that hip and groin pain is the most common injury that football players continue to play with and acknowledges that it can be a frustrating problem to deal with during the season (Langhout et al., 2019). The reason for this frustration is because hip and groin pain are often a complex presentation, with historically poorly understood causes of pain and unclear diagnostic criteria that challenges a clinician’s ability to establish what’s causing symptoms and therefore how best to treat it (Pizzari, Coburn, & Crow, 2008; Thorborg, Branci, Nielsen, Langelund, & Hölmich, 2017; Weir et al., 2015).
Sam highlights that due to the multiple movements and forces the hip can produce, a comprehensive examination of the entire hip & groin region is warranted (Thorborg et al., 2018). A thorough assessment will provide an accurate diagnosis that forms the basis of Sam’s rehabilitation plan. He cites emerging evidence confirming both hip and groin pain can respond well to specific strength and progressive loading programs. Recent research showed targeted strengthening even prevented groin problems among male football players reducing the risk of reporting groin problems by 41% (Haroy et al., 2018).
If hip and groin pain is stopping you performing the activities you want to do, then an accurate diagnosis is the first step to building the best treatment plan. Sam has the expertise and experience to help relieve your pain and improve your function so that you can get back to what you want to do. To help our community, Recovery room Physiotherapy is offering people that book an appointment with Sam for their hip and groin injuries, complimentary access to our rehab gym for continue your specific rehabilitation plan. To secure your appointment with Sam you can book online here