Up to 30% of sports medicine doctor visits are attributed to muscle strains, and groin injuries comprise 2 - 5 % of all sports injuries. Adductor tendinitis and tendinopathy are among the most common causes of groin pain in athletes. A study performed by Renstrom and Peterson who analyzed groin strains in athletes, found that the adductor longus was responsible for 62% of groin injuries, and tends to be the most prone to injury (at the point where the muscle and tendon attach to the femur), followed by an injured gracilis muscle.
Adductor tendinitis is often confused with adductor tendinopathy or tendinosis.
Adductor tendinitis refers to inflammation of the adductor tendon as a result of damage to the tendon, which is generally a result of chronic overloading activities or acute injuries. Adductor tendinitis often leads to adductor tendinosis (tendinopathy) over the long term.
Adductor tendinopathy (adductor enthesopathy) is a chronic tendon injury that involves degeneration of the adductor tendon at its attachment to the pubic bone. This type of tendinosis is a result of excessive tension, effort and/or repetitive use of your adductor muscles and tendons, especially during activities that require running, kicking, twisting, or side-stepping. The initial damage can range from overstretching to partial tearing to complete rupturing of the small fibers that make up your adductor muscles and tendons. If you do not allow your tissues to heal properly, your previous adductor injuries will build upon each other. The inability of your tendon to repair itself encourages the microtears to accumulate faster than they can heal, increasing the degeneration in your tissue and reinforcing your pain and disability.
If you have adductor tendinopathy or tendinosis damage happens at a cellular level - your tendon (which is made up of collagen fibers) becomes weaker and thinner over time as a result of microtears which fray and separate the fibers and connective tissues in and around your adductor tendon. The tendon loses its glistening appearance, and often changes to a soft texture that is yellow or brown in color (mucus-like appearance). Scar tissue (very fibrous tissue that develops in the healing of wounds) or calcific deposits (calcium phosphate) develop around the injured area which can decrease the blood supply to the tissue and cause pain. This condition does not involve inflammation.
Internationally, approximately 10% of all injuries endured by professional hockey players are groin strains (according to the Nicholas Institute of Sports Medicine and Athletic Trauma). Adductor tendinitis or tendinopathy and osteitis pubis often occur together and have very similar symptoms.
Alternate Names and/or related conditions:
Adductor tendinitis, adductor tendinosis, adductor enthesopathy, tendon strain, tendon tear, torn tendon, adductor pull, adductor injury, groin pull, groin strain, osteitis pubis, sports hernia, groin injury, iliopsoas strain, iliopsoas pull, iliopsoas injury, iliopsoas bursitis, iliopsoas tendonitis.
Groin Injury Treatments
If you have a muscle pull or strain in your groin, resting it is recommended. Avoid activities that cause pain or may have caused the injury and begin cold compression treatments as soon as possible.
There are healing tools that can help treat your groin strain and speed up the healing process so you can reduce your pain and get back to daily life. Blood Flow Stimulation Therapy™ (BFST®) will promote blood flow to heal your injury faster and more completely than any other methods available.
Freezie Wrap® Cold Compression Therapy
To decrease inflammation of your muscle pull when the strain first occurs doctor's recommend cold compression therapy. For an acute strain, cold compression therapy within the first 48 - 72 hours and after any restrain is important to limit the amount of damage done to your tissue. Cold compression therapy will relieve pain and swelling as needed and will reduce, or even eliminate, the need for NSAIDs and pain medications.
The Leg/Arm Freezie Wrap® is the cold compression tool you need to treat your groin pain in an effective and convenient way. It is so versatile it can be worn anywhere on your body, wherever you need treatment.
Cold Compression Therapy works by interrupting and slowing nerve and cell function in the injured area and reducing swelling that can block blood vessels. This is important because once blood vessels are blocked or damaged, they can no longer carry oxygenated blood through your muscle and tissue cells begin to break-down. Without cold compression therapy cellular break-down and tissue damage continues as the cells do not get the oxygen they need to survive. By limiting the amount of damage done to your tissue, you also limit the amount of healing that needs to occur. This is a very important step to heal your muscle strain faster and with less pain!
The deep cooling effect provided by the Freezie Wrap® slows cell metabolism thereby reducing cellular break-down and tissue damage. Furthermore, because the cold wraps gently numb the nerves, the wraps also reduce pain!
The Freezie Wrap® uses a supercharged cooling gel pack, that chills in the fridge, not in the freezer like ice or other freezer packs, giving you deep cold therapy without the risk of 'cold burns' or cryoburn.
Once the inflammation of your groin injury has been reduced, nourishing and strengthening the muscle tissue and surrounding area is recommended. Using Blood Flow Stimulation Therapy™ will speed your recovery and heal your muscle fibers more completely preparing them for strengthening exercises. Talk to your doctor or physical therapist to find out which exercises are appropriate for your situation.
Inferno Wrap® Blood Flow Stimulation Therapy™
After severe inflammation and swelling is reduced you can begin to treat your groin with Blood Flow Stimulation Therapy™ (BFST®). BFST® increases the amount of blood that flows naturally to your muscle fibers to nourish your soft tissue which speeds healing.
When you rest your leg and stop moving around because it hurts, the natural blood flow to your muscles is reduced, limiting your body's ability to heal itself.
By treating your groin with BFST® you can increase your body's blood supply to the muscle fibers and increase your body's natural healing power.
The Inferno Wrap® is the tool you need to treat your sore groin because not only does it speed healing, it relaxes all your muscles. With BFST®, tissues are safely and gently stimulated. Your body responds with a rapid increase in blood flow to the area, increasing the supply of oxygen and nutrients to injured tissue cells to promote healing and loosen the tissue. Our Leg/Arm Inferno Wrap® provides effective, non-invasive, non-addictive pain relief and healing with no side effects.
In addition, the improved blood flow whisks away dead cells and toxins that have built up from your groin pull, further reducing tightness and pain. When you stop moving your leg due to pain, your muscles and other tissue can become weaker and dead cells and toxins in the area can cause further tissue deterioration - this can lead to atrophy (muscle weakness and/or deterioration). By clearing the area of toxins and increasing the amount of oxygen and nutrients to your muscle and other tissue, the risk of atrophy is greatly reduced. Keeping your leg muscle tissue as healthy as possible throughout the healing process will allow you to improve leg and hip strength again once your pain has gone and your strain has healed.
With these easy-to-use, home therapies, cold compression and BFST®, you will notice significantly reduced pain and an incredible improvement in your groin pain.
During your recovery, you may have to modify and/or eliminate any activities that cause pain or discomfort in your groin and leg until your pain and inflammation settle. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!