EN 
NL Lies complaints
Physio Fitaal stands for modern physiotherapy. In our physiotherapy practice, the focus is on orthopaedic rehabilitation. This means we treat injuries to tendons, muscles, bones and/or joints. Sometimes nerves are indirectly involved in this. We make the treatment plan as transparent as possible so you understand where you stand. Our approach consists of a combination of the latest scientific insights combined with years of expertise in injury treatment. Within these frameworks, we offer an exclusive service and there is always room for personal preference. Our treatment is designed to give people back their autonomy over their bodies. Fysio Fitaal Tilburg consists of a team of experts with a passion for physiotherapy and always goes for a sustainable result.
- Around 33% of all cases involve an acute injury
- The timing of the injury is then clear and often happens during explosive movements during sports
- In 66% of cases, the symptoms gradually increase to a point where the sport can no longer be performed adequately
Cause
Groin pain is common in athletes. Especially in sports where there are many changes in speed and direction. Think sprinting, turning, braking and jumping. In this case, it is often a muscle injury. This is therefore the most common cause of groin pain in adults. The muscles in the groin are called the adductors and are responsible for the force in the hip inwards. The adductors are very important during different types of sports such as: football, sprinting, rugby and hockey. Besides the adductors, other muscles of the hip and muscles in the abdominal region can be the reason for the complaints. Apart from muscle injuries, groin pain can also result from problems at the hip joint.
Common Lies complaints
Risk factors for developing a groin injury
- A previous injury to the groin region
- Reduced strength of the adductors, good rehabilitation is therefore crucial
- Reduced hip mobility
- Reduced control of the pelvis/low back
- Top sport
- Fatigue
- Moderate preparation for league
Gradations of a groin muscle injury
In a muscle injury, we use different degrees. Namely, it is possible that there is only muscle pain or a mild strain. But it could also be that there is a muscle tear or even a complete tear.
- 1A Fatigue of the muscle which can result in muscle tension, usually due to overuse or exercising on a different surface.
- 1B Muscle pain, generalised muscle pain of the adductors, usually caused by powerful moments of slowing down during sports.
- 2A Muscle injury due to radiating pain from the low back
- 2B A local neuromuscular dysfunction of the muscle
- 3A Small localised muscle tear less than 1 muscle bundle
- 3B Medium-sized muscle tear, multiple muscle bundles involved in the injury
- 4A (Sub)total muscle tear, avulsion fracture
- 4B Muscle contusion due to severe collision with person or object from outside
The different type x injuries
The different type x injuries
Anatomy of x
Anatomy of x
How is an inguinal injury diagnosed
A muscle injury in the groin is often confirmed by pain on tightening, stretching and palpation of the injured structure. You may be able to see some fluid or damage on an ultrasound image but in most cases, additional examination is not necessary in a muscle injury. In complaints caused from the hip, we often see a restriction of movement in that joint. Also, the symptoms have often been present for some time and have slowly gotten worse over time. Should the source of the pain come from the hip joint, additional examination is often indicated. First, however, the physical tests must give a suspicion of a problem from the hip.
Rehabilitation at Fysio Fitaal
In certain phases, things might go slower than you had thought beforehand. Our specialists will guide and motivate you as best they can during this process. Fysio Fitaal works with specialists in the field of sports rehabilitation. This combination of expertise, extensive facilities and passion for sports means you have come to the right place.
Groin pain due to complaints in the hip joint
Groin pain can also be caused by a tendon injury. We call this a tendinopathy of the adductors. Previously, it was also called tendinitis. An acute tendonitis is called tendinitis. Itis a suffix in the medical world indicating which part is inflamed. Tendo is tendon in Latin. So inflammation of the tendon. The irritation is caused by overuse and not by any other condition in the body. So you don't have a fever with this form of inflammation either. Sometimes this is accompanied by an injury to the lower abdominal muscles. Often, the symptoms start with some stiffness before and after exercise. After that, the pain is often continuous during sports. Performance often decreases and eventually performing your sport is no longer possible. Sometimes there may be swelling. Scientific research indicates that after the inflammation phase, eccentric training is necessary to rebuild the quality of tendon tissue properly. Eccentric training means that you deliver force while lengthening the muscle. In this way, the tendon is stimulated to create stronger new fibres in the right tensile load of the tendon. This way, the forces on the bone can be transferred properly again.
Groin pain due to complaints in the hip joint
It is possible that the groin pain is caused from a structure in the hip. So in this case, it is not a muscle in the hip that is sensitive. The capsule of the hip, the labrum or extra bone growth on the head or socket of the hip may be causing the pain.
Femoro Acetabular Impingement(FAI)
FAI occur when extra bone growth occurs at the head or at the socket of the hip joint. Extra bone growth on the head of the hip is called the CAM type. Extra bone growth on the acetabulum (socket) is called the PINCER type. There can also be both, this is the mixed-type. In the long term, this can cause problems to the cartilage of the hip and/or the labrum.
The different stages in the treatment of a groin injury
Successful rehabilitation consists of several stages and steps. Good strength, stability and control are necessary to safely return to your sport.
Adjusting the (training) load
In this phase, we mainly focus on symptom reduction. There is often pain and reduced hip mobility. Therefore, it is important to regain good control of your hip movements. This is achieved through exercises of the muscles and possibly supportive treatments. With muscle injuries, you may experience some discomfort when exercising. A pain score of 3 on a scale of 0-10 is acceptable. So is the response to exercises afterwards.
Strength and coordination phase
In this phase, there is more of a build-up in strength. How fast this is built up depends on the reaction to the given load. Because the risk of a new injury is higher after a previous injury, it is extremely important to make a sustainable build-up in strength and coordination. This is often greatly underestimated and the risk of a new injury is higher than intended.
Sports-specific phase
The final phase focuses particularly on maximum strength, jumping power and explosiveness. This is all needed to quickly change direction within your sport. We also work towards a competitive condition so that you can continue to perform under fatigue. The quality of movement must remain good under these conditions, which is why a lot of attention is paid to this.
Sports resumption
The timing of sports resumption remains a difficult decision. This is because there is a proven criteria for sports resumption. Wanting to start again too early often leads to a new injury. In all cases, the athlete should be able to sprint again pain-free, maximise leg muscle tone and perform sport-specific skills such as shooting a ball. In addition, the exercise pattern must have improved sufficiently to allow for a dosed build-up in training before resuming (competition) matches.
Physical tests for groin pain
Various tests can be performed when an injury in the groin region is suspected. In this, we differentiate between muscle injuries and problems from the joint.
Muscle strength testing hip
Muscle strength testing hip
Stretching and palpation of the muscle group
Stretching and palpation of the muscle group
Faber test
Faber test
Fadir test
Fadir test
Making an appointment at FysioFitaal
We work from multiple locations in Tilburg, always close by for professional and accessible physiotherapy. Fill in the contact form and we will contact you soon. Together, we will work on your recovery!
