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Written on October 28, 2010 at 6:06 am, by Eric Cressey
If you’ve had a groin strain (or adductor strain, for the anatomy geeks like me in the crowd) – or would like to prevent one in the first place – read on.
Those of you who check out this website regularly probably already know that I’m a huge advocate of good manual therapy – especially disciplines like Graston and Active Release. One area where we constantly see athletes really “gritty” is the hip adductors (groin muscles) – and it’s one reason why we see so many groin strains in the general population. Note that treatments DON’T have to be this aggressive to yield favorable outcomes; it’s just an extreme example of someone with a pale skin tone that makes it even more prominent:
Soccer and hockey players really overuse the adductors during the kicking motion and skating stride, respectively. And, even outside athletic populations, you’ll see a lot of people who don’t activate the gluteus maximum well as a hip extension – so you have the adductor magnus taking over to help out with this important task. The only problem is that the adductor magnus internally rotates and adducts the hip, whereas the glute max externally rotates and abducts the hip. Movements get altered, one muscle gets overworked and all fibrotic, and the next thing you know you’ve got a nasty “tweak” just south of the frank and beans (or female equivalent).
Really, that’s not the issue, though. Nobody is denying that groin strains occur – but there are different treatment approaches to dealing with this issue on the rehabilitation side of things. Some professionals use manual therapy during their treatments, while others don’t. Can you guess which school of thought gets my backing?
Well, it turns out that the “include manual therapy” side of the argument gets the backing of Weir et al in light of some new research they just published. These researchers found that athletes with groin strains returned to sports 4.5 weeks sooner when they received manual therapy plus stretching and a return to running program as compared to an exercise therapy and return to running program only. It took the average time lost down from 17.3 weeks to 12.8 weeks in those with good long-term outcomes! For a bit more information on the manual therapy discipline utilized in this particular study, check out this abstract.
Need a quick tutorial on how to come back from a groin strain?
1. Find a good physical therapist who does manual therapy.
5. Make sure you’re continuing to foam roll the area and getting the occasional treatment on them with that same manual therapy you had during your rehabilitation. Here’s a great self myofascial release option with the foam roller:
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Written on March 9, 2010 at 12:38 pm, by Eric Cressey
I just got back from speaking at the NSCA Personal Trainers Conference in Las Vegas, so I’m a bit short on content as I play catch-up now that I’m back in Boston. Luckily, Bill Hartman put together an excellent two-part series on femoral anteversion as it relates to hip mobility. Check them out:
Along similar lines, this old video blog of mine might interest you:
Written on November 30, 2009 at 7:13 am, by Eric Cressey
For more mobility exercises, be sure to check out Assess and Correct: Breaking Barriers to Unlock Performance.
Written on November 23, 2009 at 11:07 am, by Eric Cressey
Q: Inspired by your articles on T-Nation, I’ve started to measure IR/ER/Total shoulder rotation deficits using a goniometer. I did have another question, however: you mentioned in an article that Hip Internal Rotation Deficit (HIRD) is a serious problem among baseball pitchers and hitters due to the asymmetrical front leg blocking in both mechanics. I absolutely agree, and I use corrective exercises and stretches to help alleviate these problems. However, I lack a good way to test for this; do you have any suggestions?
A: We check hip internal rotation in the seated position. Basically, you just have the individual sit up tall at the end of a table, and position the hips and knees at 90 degrees. Then, without allowing the hip to hike, you internally rotate the femur. This is one of the many assessments on our new DVD set, Assess and Correct, and it’s featured on page 50 of the tag-along e-manual. Check it out:
For more information on how to correct the problem – and assess for other issues like this, check out www.AssessandCorrect.com.
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