Thursday, August 30, 2012

Groin pain and hip joints

While chiropractors are known as 'back' or spine people we deal more accurately with issues associated with the axial (or midline) skeleton and it's mechanisms of support.

Groin pain is a very common presenting complaint in a chiropractors office and can be a challenge to accurately diagnose.

While there are many possible causes of hip/groin pain the most common sources of discomfort are either in or around the hip joint itself.  Less common are sources which refer pain into the groin.  Hip problems themselves can also refer pain to the pelvis, back, thigh and knee.

The very sensitive sacroiliac joint ligaments can also be responsible for 'hip' pain.

One of he most common source of pain in the groin is considered to be a pinching of the sensitive material surrounding the hip joint (FAI).  This can be mild or severe, acute or chronic and be brought on by athletic injury, repetitive movements, degeneration, dysplasia, hypermobility or a combination.  Sensitive structures can be nipped and irritated leading to inflammation and in some cases destruction of the cartilage.

It is very common for these patients to present with pain and stiffness generally in the pelvic girdle (which is functionally interwoven with the spine) which contributes to dysfunction and disability.

In most cases patients respond very well to education and rehabilitation which principally involves groin, hip and pelvic mobility and avoiding deep flexion (eg deep squats and lunging).  In some cases where pain is severe or an athlete wishes to return to activity rapidly CT guided injections into the hip can help.

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