Home >Groin > Bone Related Conditions
Fractured Neck of Femur
Fractured neck of femur is only common in the elderly, especially in women suffering from osteoporosis. This fracture will occur as a result of a fall onto or blow to the hip. It is possible for younger individuals to sustain this injury as a result of a fall on the hip during sports such as ice skating or cycling. The injured leg may appear shortened and rotated outwards following injury.
Hip Joint Osteoarthritis
Acute inflammation or long-term degeneration (osteoarthritis) of the hip joint, in the middle aged to elderly, may cause hip pain and/or referral of pain to the groin region. Pain will be a continuous ache in the hip and groin aggravated by loading of the hip joints such as with jumping, running or walking or during hip joint movement especially with backward movement of the leg. There may also be intermittent locking of the hip joint.
Osteitis pubis, or inflammation of the pubic bone, is one of the most prevalent overuse injuries of the groin to which footballers are now subject. This inflammation is usually due to excessive movement of the pubic bones associated with repetitive and frequent kicking such as in football, sprinting, changing direction during running or excessive abdominal muscle contraction such as during sit-ups.
Symptoms include pain over this joint in the central groin region as well as pain when pulling the leg inwards against resistance. Unfortunately, as pain can also be felt around the abdomen, hip or thigh, Osteitis Pubis can commonly be confused with other musculo-skeletal conditions
The most common treatment of gradual-onset groin injuries resulting from overuse is conservative, as opposed to surgical management Mild cases of osteitis pubis, if diagnosed early, will require two to three weeks rest. More serious cases can have dire consequences; up to six weeks without running with another six getting back to light training, and another four to eight before function is improved enough to consider playing.
Medical management of this condition will frequently include analgesics and Non-steroidal anti-inflammatory drugs (NSAIDs). These drugs help decrease the pain and inflammation associated with Osteitis Pubis. In addition, some doctors use corticosteroid injections. Unfortunately, these kinds of treatments will not address the cause of the condition; they will only decrease the symptoms.
Emerging active treatments for Osteitis Pubis are focussed on improving the function of small abdominal stabilising muscles such as the ‘transversus abdominis’. Improved function of these muscles is said to provide increased stability to the region and help resist shearing forces on the pubic symphsis, the joint at the front of the pelvis. This retraining involves a progression from simple exercises in static positions, to incorporating contraction of the muscles into more functional activities including running, changing direction and kicking.
Early Injury Management
For approximately the first 72 hours following an injury, the RICE regime should be followed to ensure control of inflammation and pain relief.
R - Rest
I – Ice
C - Compression
E – Elevation
Rest from aggravating activity.
Ice should be applied in the first 72 hours or when inflammation persists. Ice should be applied for 15 to 20 minutes at a time. Ice should not be applied directly to the skin, but through a wet towel or cloth.
Compression can be achieved with an elastic bandage.
Elevation is used to help swelling to return to the heart through the blood stream.
The injured area should be elevated above the level of the heart.
Strengthening programs should only be commenced when:
Exercises should be 3 sets of 8-12 repetitions.