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Groin pain

The patient may complain of a mild ache in the sacroiliac joint, which may worsen when performing particular movements, therefore limiting sporting activity. Sometimes the patient may also complain of a “click”or “cluck” noise coming from the hip.

Usually there is evidence of an acute trauma or microtraumas over time, responsible for a painful contracture that simulates an articular problem on the hip or a visceral pain, that which leads the patient to undergo a series of internistiche consultations. Pain can irradiate up to the groin.

In sportsmen the iliopsoas muscle and tendon are commonly responsible for many cases of groin pain. The ileopsoas is an internal muscle of the hip that flexes, abducts and externally rotates the head of femur. It originates from the lateral facets of the first four lumbar vertebrae and from the iliac joint, and inserts on the lesser trochanter of the femur. This is a bilater postural muscle which is typically under greater tension amongst individuals with accentuated lumbar lordosis.

The diagnosis is usually clinical, and is based on muscular tests to determine resistance and palpation. Sometimes, additional examinations are required to exclude a possible muscular injury (MRI scan) or the involvement of the coxo-femural articulation (X-ray).

Treatment is universally conservative and it is based on specific myofascial massage in addition to relaxing muscle massage on the other muscular districts that are usually involved, postural and stretching exercises, selective tonification of the psoas and synergistic muscles.

It is also very important to integrate therapies in the gym with a vertebral manipulation that can address possible failures in the articulation of the pelvis.

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