Groin Rehabilitation-10 Tips

Differential diagnosis in persistent groin dysfunction is notoriously difficult. This is likely due to the overlap in pathology and the lack of specificity with provocation tests. The treating clinician needs to be aware of the pathological spectrum primarily with a view to identifying potential surgical cases. As the treatment outcome is often variable with the duration of rehabilitation extending over months it is important for the therapist to have markers of progress and sequential progressions to evaluate treatment response. When dealing with groin dysfunction which is mechanical in origin it is useful to have a checklist to dictate interventions.

Groin Rehabilitation – 10 Tips for differential Diagnosis

Oesteitis Pubis

Sports hernia

Adductor tendinopathy

Peripheral entrapment neuropathy

Hip  Pathology

Rectus abdominis insertion strain

Pubic symphysis dysfunction

SI Dysfunction

Lumbar Spine

Hamstrings

Of all of these diagnostic possibilities only sports hernia and Adductor tendonopathy have possible surgical management options. Therefore the first clinical priority is to segregate out these possibilities and then focus the clinical exploration on the mechanism of breakdown and prioritising legitimate targets to address. We will return to these challenges in future posts.

Here is a link to a paper addressing the role of core stability in groin dysfunction…….

groin2

Enjoy the clinical challenge
David

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