 |
ECU 2010 James Moore M.Phty (Manips), BSc (Hons) PG Dip App Biomechanics MCSP, CSCS
 |
James Moore has 13 years experience in musculoskeletal physiotherapy. In addition to private practice he has worked throughout the UK, USA & Australia with professional athletes ranging from RFU, NFL, MLB, and Body builders. He was the medical team leader for Gloucestershire County Cricket for two years, and is currently the senior clinician for the English Institute of Sport and UK Athletics in London. He has a Masters in Manipulative Physiotherapy and Biomechanics, has been a certified Strength Coach and Pilates instructor for 10 years, and is currently about to commence a PhD in Hip & Groin injuries |
|
Workshop 1
Session 3C/4C
14.30-18.00 |
Groin Pain: Diagnostic Considerations and the Evidence for Conservative Management
Purpose:
To review and the current evidence on diagnostic paradigms for adductor-related groin pain
To review the current evidence for conservative management of adductor-related groin pain
Relevance:
The diagnosis and management of groin pain remains a major challenge in sports medicine. While recent anatomical and radiological studies are beginning to clarify a poorly understood and confusing region, the pathophysiology of painful groin conditions remains difficult to interpret. The mixture of terminology used in groin conditions has been problematic in both research and treatment. In addition, multiple pathologies have been found to co-exist creating significant management difficulties. Despite research intensifying in recent years, there are few basic science studies and the clinician is provided with only limited evidence to guide assessment, investigation and management.
This presentation will critically appraise some of the key research papers recently published, and look to interpret the implications of these papers for the busy clinician.
The term osteitis pubis should now be described as a pubic symphysis joint injury that can be associated with injury to the rectus abdominis-adductor common aponeurosis.
Key references:
Bradshaw, C. J., Bundy, M., & Falvey, E. (2008). The diagnosis of longstanding groin pain: A prospective clinical cohort study. Br J Sports Med, 42(10), 551-554.
Falvey, E. C., Franklyn-Miller, A., & McCrory, P. R. (2009). The groin triangle: A patho-anatomical approach to the diagnosis of chronic groin pain in athletes. Br J Sports Med, 43(3), 213-220
Holmich, P., Uhrskou, P., Ulnits, L., Kanstrup, I. L., Nielsen, M. B., Bjerg, A. M., et al. (1999). Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes: Randomised trial. Lancet, 353(9151), 439-443.
Holmich, P. (2007). Long-standing groin pain in sportspeople falls into three primary patterns, a "Clinical entity" Approach: A prospective study of 207 patients. Br J Sports Med, 41(4), 247-252; discussion 252.
Verrall, G. M., Henry, L., Fazzalari, N. L., Slavotinek, J. P., & Oakeshott, R. D. (2008). Bone biopsy of the parasymphyseal pubic bone region in athletes with chronic groin injury demonstrates new woven bone formation consistent with a diagnosis of pubic bone stress injury. Am J Sports Med, 36(12), 2425-2431. |
|
|
|
