Originally Posted by WhoDatFan26
(Post 711751)
Here is the prognosis and treatment needed:
An adductor (groin) strain is a common problem among many individuals who are physically active, especially in competitive sports. The most common sports that put athletes at risk for adductor strains are football, soccer, hockey, basketball, tennis, figure skating, baseball, horseback riding, karate, and softball.[1]
Hip adductor injuries occur most commonly when there is a forced push-off (side-to-side motion). High forces occur in the adductor tendons when the athlete must shift direction suddenly in the opposite direction. As a result, the adductor muscles contract to generate opposing forces.
One common cause of adductor strain in soccer players has been attributed to forceful abduction of the thigh during an intentional adduction. This type of motion occurs when the athlete attempts to kick the ball and meets resistance from the opposing player who is trying to kick the ball in the opposite direction. To a lesser extent, jumping also can cause injury to the adductor muscles, but more commonly, it involves the hip flexors. Overstretching of the adductor muscles is a less common etiology.
The initial management of an adductor injury should include protection, rest, ice, compression, and elevation (PRICE). Painful activities should be avoided. The use of crutches during the first few days may be indicated to relieve pain. Use of steroid injections is controversial in adductor strains, because the potential exists for tendon rupture if the steroid is injected into the tendon itself. Obtain consultations as appropriate to rule out differential diagnoses.[16, 17, 18, 19, 20, 21]
Do not advance the athlete too quickly back to his/her sport, as the injury may become a chronic condition. Acute strains easily can become chronic strains if proper time is not allowed for healing. Chronic strains are much more difficult to manage.
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