Hip and groin pain are among the more common problems I see in my practice.
‘Sports hernia’, sacroiliac joint dysfunction, adductor muscle strain, hip osteoarthritis and impingement syndrome are all common diagnosis patients present with. Before presenting to me some patients have tried cortisone shots, platelet-rich plasma (PRP) injections, stem cell injection, physical therapy and exercise.
It is not unusual to find the pain or symptoms in the hip and groin pain being referred pain from the lumbar spine, lower abdomen, and pelvis 1, 2, 3. Figuring this out is all part of making the proper diagnosis.
I will sit and talk to my patients and get a good history, provide a quality physical examination, identify pain causing generators, and come up with a working diagnosis.
Here is what the research tells us:
• The pain at the front of the hip and groin pain is commonly associated with osteoarthritis and hip labral tears.
• Rear hip pain is associated with piriformis syndrome, sacroiliac joint dysfunction, lumbar radiculopathy, and less commonly ischiofemoral impingement and vascular claudication.
• Lateral hip pain occurs with greater trochanteric pain syndrome.4
• Patients may also have hip and groin back from a herniated disc without back pain.5
• I often see tight hips that cause low back pain 6
The beneficial effects of Acoustic therapy for the above conditions are often experienced after only 3-6 treatments. Acoustic therapy is safe and non-invasive.
Please call the office at 310-444-9393 for more information.
1 Tan EW, Schon LC. Mesenchymal Stem Cell-Bearing Sutures for Tendon Repair and Healing in the Foot and Ankle. Foot Ankle Clin. 2016 Dec;21(4):885-890. doi: 10.1016/j.fcl.2016.07.015.
1 St-Onge E, MacIntyre IG, Galea AM. Multidisciplinary approach to non-surgical management of inguinal disruption in a professional hockey player treated with platelet-rich plasma, manual therapy and exercise: a case report. The Journal of the Canadian Chiropractic Association. 2015;59(4):390-397.
2. McSweeney SE, Naraghi A, Salonen D, Theodoropoulos J, White LM. Hip and groin pain in the professional athlete. Can Assoc Radiol J. 2012 May;63(2):87-99.
3. Holmich P, Dienst M. Differential diagnosis of hip and groin pain. Symptoms and technique for physical examination. Orthopade. 2006 Jan;35(1):8, 10-5.
4. Wilson JJ, Furukawa M. Evaluation of the patient with hip pain. Am Fam Physician. 2014 Jan 1;89(1):27-34.
5. Oikawa Y et al. Lumbar disc degeneration induces persistent groin pain. Spine (Phila Pa 1976). 2012 Jan 15;37(2):114-8. doi: 10.1097/BRS.0b013e318210e6b5.
6. Suarez JC, Ely EE, Mutnal AB, Figueroa NM, Klika AK, Patel PD, Barsoum WK. Comprehensive approach to the evaluation of groin pain.J Am Acad Orthop Surg. 2013 Sep;21(9):558-70. doi: 10.5435/JAAOS-21-09-558.