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Groin Strain (Groin Pulled)

A groin pull is an injury to the muscles of the inner thigh. The groin muscles, called the adductor muscle group, consists of six muscles that span the distance from the inner pelvis to the inner part of the femur (thigh bone). These muscles pull the legs together, and also help with other movements of the hip joint. The adductor muscles are important to many types of athletes including sprinters, swimmers, soccer players, and football players.

A groin pull is an injury to the adductor muscles called a muscle strain. When a muscle is strained, the muscle is stretched too far. Less severe strains pull the muscle beyond their normal excursion. More severe strains tear the muscle fibers, and can even cause a complete tear of the muscle. Most commonly, groin pulls are minor tears of some muscle fibers, but the bulk of the muscle tissue remains intact.

Symptoms of a Groin Strain

An acute groin pull can be quite painful, depending on the severity of the injury. Groin pulls are usually graded as follows:

  • Grade I Groin Strain: Mild discomfort, often no disability. Usually does not limit activity.
  • Grade II Groin Strain: Moderate discomfort, can limit ability to perform activities such as running and jumping. May have moderate swelling and bruising associated.
  • Grade III Groin Strain: Severe injury that can cause pain with walking. Often patients complain of muscle spasm, swelling, and significant bruising.

Groin pulls are often seen in athletics who participate in sports such as ice hockey and soccer. The injury appears to be related to factors including hip muscle strength, preseason conditioning, and previous injury. Because of this, proper conditioning is of utmost importance to prevent the occurrence of a groin strain injury. Athletes, especially hockey and soccer players, should incorporate adductor strengthening, pelvic stabilization, and core strengthening exercises into their workouts to prevent the occurrence of a pulled groin.

A pulled groin is usually a clear diagnosis. Most athletes know what the injury is before they seek medical attention. However, other conditions can mimic the symptoms of a groin strain. One condition that was previously not well recognized is called a sports hernia. Sports hernias have been found in patients who were diagnosed with chronic groin strains. The sports hernia is a condition similar to a regular inguinal hernia, and is due to a weakening of the muscles that form the abdominal wall. The symptoms of a sports hernia are often nearly identical to those of a groin strain.

Other conditions that may mimic the symptoms of a groin strain include osteitis pubis(inflammation of the pubic bone), hip joint problems (including early arthritis, labral tears, and other conditions), and low back problems (pinched nerves).

When do I need to see a doctor for a groin pull?
If you have symptoms of a severe groin pull, you should be evaluated for proper treatment. Some signs of a severe groin strain include:

  • Difficulty walking
  • Pain while sitting or at rest
  • Pain at night

Severe groin pulls should be evaluated because in some very rare situations of complete muscle rupture, surgery may be necessary to reattach the torn ends of the muscle. This is rarely needed, even in patients with Grade III groin strain injuries, as these patients can usually undergo successful non-operative treatment.

If you are unsure if you have a groin pull or the symptoms do not quickly resolve, then you should be seen by your doctor. As described above, other conditions can be confused with a groin pull, and these should be considered if your symptoms do not resolve. Once a strain is diagnosed, you can begin treatment for your groin pull.

Treatment of a groin pull is usually guided by the severity of the injury. Resting a groin pull is the key to successful treatment. As a general rule of thumb, if you have a groin pull, you can do activities that don’t aggravate your injury. You should rest until you are pain free to allow the injured muscle to heal. Resting inadequately may prolong your recovery.

The following are the common treatments used for groin strains:

  • Rest
    It is important to rest following the injury to allowed the injured muscle to properly heal. Allow pain to guide your level of activity; this means that activities which cause symptoms should be avoided.
  • Stretching
    Gentle stretching is helpful, but it should not be painful. Stretching excessively can be harmful and slow the healing process.

    • Adductor stretches
  • Ice the Injury
    Apply ice to the injured area in the acute phase (first 48 hours after injury), and then after activities. Ice will help calm the inflammatory response and stimulate blood flow to the area.
  • Heat Applications
    Before activities, gentle heating can help loosen the muscle. Apply a heat pack to the groin prior to stretching or exercising. As a general rule of thumb, remember to heat before, and ice after.

    • Know when to ice and when to heat an injury
  • Anti-inflammatory Medications
    Oral anti-inflammatory medications (such as Ibuprofen, Aleve, or Motrin) can help relieve symptoms of pain and also calm the inflammation.
  • Physical Therapy
    Physical therapists can be helpful in guiding treatment that may speed your recovery. Some people find modalities such as ultrasound, therapeutic massage, and specific exercises particularly helpful. You should see your physician to determine if these would be appropriate for your condition.

What can be done to prevent groin strains?
New research is shedding light on factors that can be helpful in preventing groin injuries. Competitive athletes who participate in soccer, ice hockey, or similar sports that are prone to groin injuries should focus some energy on groin injury prevention. Exactly what exercises and stretches are most important in still being worked out, but some suggestions for groin injury prevention include:

  • Adductor stretching
  • Hip adductor and abductor strengthening
  • Pelvic stabilization exercises
  • Core stability, including abdominal and lumbar strengthening

Together, these exercises and stretches can help control the movements of the hip and pelvis, and hopefully prevent many groin strains.

CURE YOUR GROIN STRAIN TODAY. CALL +65 6471 2744 OR SMS to +65 92357641 FOR APPOINTMENT

Muscle Strain

Muscle strain or muscle pull or even a muscle tear implies damage to a muscle or its attaching tendons. You can put undue pressure on muscles during the course of normal daily activities, with sudden, quick heavy lifting, during sports, or while performing work tasks.

Muscle damage can be in the form of tearing (part or all) of the muscle fibers and the tendons attached to the muscle. The tearing of the muscle can also damage small blood vessels, causing local bleeding (bruising) and pain (caused by irritation of the nerve endings in the area).

Muscle Strain Symptoms

  • Swelling, bruising or redness, or open cuts as a consequence of the injury
  • Pain at rest
  • Pain when the specific muscle or the joint in relation to that muscle is used
  • Weakness of the muscle or tendons (Asprain, in contrast, is an injury to a joint and its ligaments.)
  • Inability to use the muscle at all

When to Seek Medical Care

If you have a significant muscle injury (or if the home care methods bring no relief in 24 hours), call your doctor.

If you hear a “popping” sound with the injury, cannot walk, or there is significant swelling, pain, fever, or open cuts, you should be examined in a hospital’s emergency department.

Exams and Tests

The doctor will take a medical history and perform a physical exam. On exam, it is important to establish whether the muscle is partially or completely torn (which can involve much longer healing, possible surgery, and a more complicated recovery).

X-rays or laboratory tests are often not necessary, unless there was a history of trauma or evidence of infection.

Self-Care at Home

The amount of swelling or local bleeding into the muscle (from torn blood vessels) can best be managed early by applying ice packs and maintaining the strained muscle in a stretched position. Heat can be applied when the swelling has lessened. However, the early application of heat can increase swelling and pain.

Note: Ice or heat should not be applied to bare skin. Always use a protective covering such as a towel between the ice or heat and the skin.

  • Take nonsteroidal anti-inflammatory agents such as aspirin and ibuprofen to reduce the pain and to improve your ability to move around.
  • Protection, rest, ice, compression, and elevation (known as the PRICE formula) can help the affected muscle. Here’s how: First, remove all constrictive clothing, including jewelry, in the area of muscle strain.
    • Protect the strained muscle from further injury.
    • Rest the strained muscle. Avoid the activities that caused the strain and other activities that are painful.
    • Ice the muscle area (20 minutes every hour while awake). Ice is a very effective anti-inflammatory and pain-relieving agent. Small ice packs, such as packages of frozen vegetables or water frozen in foam coffee cups, applied to the area may help decrease inflammation.
    • Compression can be a gently applied with an Ace or other elastic bandage, which can provide both support and decrease swelling. Do not wrap tightly.
    • Elevate the injured area to decrease swelling. Prop up a strained leg muscle while sitting, for example.
  • Activities that increase muscle pain or work the affected body part are not recommended until the pain has significantly gone away.

Medical Treatment

Treatment is similar to the treatment at home. The doctor, however, also can determine the extent of muscle and tendon injury and if crutches or a brace is necessary for healing. The doctor can also determine if you need to restrict your activity, take days off work, and if rehabilitation exercises are required to help you recover.

Prevention

  • Avoid injury by daily stretching.
  • Stretch every time before you exercise.
  • Establish a warm-up routine prior to engaging in strenuous exercise.
  • Start an exercise program in consultation with our doctor.

To schedule for an appointment, call us at +65 6471 2744 / Email: info@boneclinic.com.sg

Muscle Strain

Muscle strain or muscle pull or even a muscle tear implies damage to a muscle or its attaching tendons. You can put undue pressure on muscles during the course of normal daily activities, with sudden, quick heavy lifting, during sports, or while performing work tasks.

Muscle damage can be in the form of tearing (part or all) of the muscle fibers and the tendons attached to the muscle. The tearing of the muscle can also damage small blood vessels, causing local bleeding (bruising) and pain (caused by irritation of the nerve endings in the area).

Muscle Strain Symptoms

  • Swelling, bruising or redness, or open cuts as a consequence of the injury
  • Pain at rest
  • Pain when the specific muscle or the joint in relation to that muscle is used
  • Weakness of the muscle or tendons (A sprain, in contrast, is an injury to a joint and its ligaments.)
  • Inability to use the muscle at all

Muscle Strain Treatment Self-Care at Home

The amount of swelling or local bleeding into the muscle (from torn blood vessels) can best be managed early by applying ice packs and maintaining the strained muscle in a stretched position. Heat can be applied when the swelling has lessened. However, the early application of heat can increase swelling and pain.

Note: Ice or heat should not be applied to bare skin. Always use a protective covering such as a towel between the ice or heat and the skin.

  • Take nonsteroidal anti-inflammatory agents such as aspirin and ibuprofen to reduce the pain and to improve your ability to move around.
  • Protection, rest, ice, compression, and elevation (known as the PRICE formula) can help the affected muscle. Here’s how: First, remove all constrictive clothing, including jewelry, in the area of muscle strain.
    • Protect the strained muscle from further injury.
    • Rest the strained muscle. Avoid the activities that caused the strain and other activities that are painful.
    • Ice the muscle area (20 minutes every hour while awake). Ice is a very effective anti-inflammatory and pain-relieving agent. Small ice packs, such as packages of frozen vegetables or water frozen in foam coffee cups, applied to the area may help decrease inflammation.
    • Compression can be a gently applied with an Ace or other elastic bandage, which can provide both support and decrease swelling. Do not wrap tightly.
    • Elevate the injured area to decrease swelling. Prop up a strained leg muscle while sitting, for example.
  • Activities that increase muscle pain or work the affected body part are not recommended until the pain has significantly gone away.

Medical Treatment

Treatment is similar to the treatment at home. The doctor, however, also can determine the extent of muscle and tendon injury and if crutches or a brace is necessary for healing. The doctor can also determine if you need to restrict your activity, take days off work, and if rehabilitation exercises are required to help you recover.

Next Steps Prevention

  • Avoid injury by daily stretching.
  • Stretch every time before you exercise.
  • Establish a warm-up routine prior to engaging in strenuous exercise.
  • Start an exercise program in consultation with your doctor.