Groin

Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Musculoskeletal, ligamentous and osseous groin injuries are common in athletes and may result in a delay of several months to resume sports. Even then, this may not be at the former level of sport activity. The treatment of exercise-related groin pain is mainly conservative (non-surgical), using interventions such as exercises, electrotherapy, manual therapy and steroid injections. OBJECTIVES: To assess the effects (benefits and harms) of conservative interventions for treating exercise-related musculotendinous, ligamentous and osseous groin pain.

Author(s): 
Almeida, Matheus O.
Silva, Brenda N. G.
Andriolo, Régis B.
Atallah, Alvaro N.
Peccin, Maria S.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Musculoskeletal, ligamentous and osseous groin injuries are common in athletes and may result in a delay of several months to resume sports. Even then, this may not be at the former level of sport activity. The treatment of exercise-related groin pain is mainly conservative (non-surgical), using interventions such as exercises, electrotherapy, manual therapy and steroid injections. OBJECTIVES: To assess the effects (benefits and harms) of conservative interventions for treating exercise-related musculotendinous, ligamentous and osseous groin pain.

Author(s): 
Almeida, Matheus O.
Silva, Brenda N. G.
Andriolo, Régis B.
Atallah, Alvaro N.
Peccin, Maria S.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To present a case of symptomatic, expansile L1 vertebral hemangioma. CLINICAL FEATURES: A 46-year-old man presented with progressive neurologic changes and insidious onset of low back pain. INTERVENTION AND OUTCOME: After a trial of 3 visits of conservative chiropractic care, no improvement was noted. Magnetic resonance imaging was obtained, revealing an expansile hemangioma with extra-osseous component compromising the conus medullaris at the level of the L1 lumbar vertebra. Neurosurgical intervention resulted in clinical improvement.

Author(s): 
Rich, Jeffrey A.
Donahue, Thomas C.
Mick, Timothy J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To present a case of symptomatic, expansile L1 vertebral hemangioma. CLINICAL FEATURES: A 46-year-old man presented with progressive neurologic changes and insidious onset of low back pain. INTERVENTION AND OUTCOME: After a trial of 3 visits of conservative chiropractic care, no improvement was noted. Magnetic resonance imaging was obtained, revealing an expansile hemangioma with extra-osseous component compromising the conus medullaris at the level of the L1 lumbar vertebra. Neurosurgical intervention resulted in clinical improvement.

Author(s): 
Rich, Jeffrey A.
Donahue, Thomas C.
Mick, Timothy J.
Publication Title: 
Journal of Bodywork and Movement Therapies

BACKGROUND: Pain pressure thresholds (PPT) have not been investigated when Active Release Techniques (ART(®)) is directed at treating soft tissue injuries. AIM: To investigate the immediate effects of ART(®) employed in the management of adductor muscle strains to modulate pain threshold. METHODS: Patients were administered ART(®) commensurate with the extent and nature of their adductor muscle injury. The outcome measureused was PPT over the adductor muscle strain which was assessed pre-intervention and 2min post-intervention.

Author(s): 
Robb, Andrew
Pajaczkowski, Jason
Publication Title: 
Journal of Bodywork and Movement Therapies

OBJECTIVE: To detail the progress of 2 high-level soccer players and 1 recreational soccer player with chronic groin pain that was exacerbated by participation in sports and relieved by rest. The patients under went a conservative treatment plan featuring manual therapy, therapeutic modalities, and plyometric training. CLINICAL FEATURES: The most important examination findings were palpable tenderness over the internal oblique fascia and anterior pubic tubercle, pain with resisted hip adduction, and pain with a resisted abdominal curl-up.

Author(s): 
Yuill, Erik A.
Pajaczkowski, Jason A.
Howitt, Scott D.
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