02/01/2023
Groin Pain!
Great post by :
"👉 The Doha agreement meeting classification system of groin pain in athletes is a clinical classification system based on patient reported injury history and clinical examination findings. https://pubmed.ncbi.nlm.nih.gov/26031643/
👉 The classification system addressed the problem of heterogenous terminology for the diagnosis of longstanding groin pain in athletes and was the result of an agreement meeting among 24 international groin experts.
👉The structured clinical examination consists of pain provocation tests, including palpation, resistance testing, and stretching of the hip adductors, hip flexors, and abdominal muscles. Hip range of motion and hip impingement tests, such as the flexion-adduction-internal rotation (FADIR) and flexion-abduction-external rotation (FABER) tests are also performed. The pain reported by the athlete during the tests has to correspond to the athlete’s self-reported groin pain experienced during participation in sport.
💡 Overview of the Doha agreement classification
👉 Adductor-related groin pain :
📍 Adductor tenderness and pain on resisted adduction testing.
👉 Iliopsoas-related groin pain
📍 Iliopsoas tenderness. More likely if there is pain on resisted hip flexion and/or pain on hip flexor stretching.
👉 Inguinal-related groin pain
📍 Pain in inguinal canal region and tenderness of the inguinal canal. No palpable inguinal hernia is present. More likely if aggravated by abdominal resistance or Valsalva/cough/sneeze.
👉 Pubic-related groin pain
📍 Local tenderness of the p***c symphysis and the immediately adjacent bone. No particular resistance tests suggested to provoke symptoms related to p***c-related groin pain.
👉 Hip-related groin pain
📍 Clinical suspicion that the hip joint is the source of groin pain, either through history (e.g. mechanical symptoms of locking or catching) and/or clinical examination (e.g. painful and limited range of motion of the hip)."
If you want to learn about groin pain, check out the new lecture at by groin expert Andy Franklyn-Miller! 🙂👍
www.trustme-ed.com/lectures