Groin/Inguinal pull

[enveem]

Hi all

I have a client who gave birth about 5 months ago & says during the birth in amongst all the activity her left leg slipped off the table/trolley. She has since then had intermittent groin discomfort that catches her. I've tried some gentle psoas work & softening of the pectineus & inguinal ligament area & MET to the adductors. Can anybody give me any other ideas on how to treat this problem with gentle techniques. I have a feeling it may be more related to her hip/pelvis alignment as I know that women are more hypermobile in the pelvis area during/after child birth due to relaxin hormone.

Any thoughts??
Thanks
Oz

 

[Pompal 09.]

I have a client whose groin/inguinal pain was actually caused by hypertonicity in her piriformis. That could be worth a try?

 

[Ima LittLe Teapot]

Do you know the kind of pain?
if its sharp, Id say give it some tigerbalm or any other hot treatment.
If its dull try just some soothing lotion and tell the cleint to sit on an ice pack.

 

[Danielle B]

Might be quite uncomfortable to use tiger balm or an ice pack on the groin...

Without further detail and assessment, it's hard to say, but if the problem is spasmed adductors, assuming you can feel lots of hypertonicity at the upper attachments...

You can try doing MET or PIR type stretches for the groin. I have a technique I do on healed but still painful groin pulls where the tendons have stayed tight. It's adapted from Dalton's techniques for the SCM, and works best with a thin layer of fabric between your fingers and the skin.

Have the client lay legs slightly spread and slightly bent. A large bolster under the knees helps. Hook all four fingers of your upper hand around the adductor tendon, as close to the groin (pubic bone) as you can get. Put your other hand on the inside of the knee, same side. Have the client press her knee into your hand with a small amount of pressure. At this point you should feel the tendon "jump" up into your hand. Maintain pressure on the knee and the tendon and ask the client to increase knee pressure slightly. Hold for an 8-10 count, then release the press, maintaining a hold on the tendon. As the client relaxes, you will pull slightly on the tendon and press down very slightly on the knee to stretch the adductor.

This is not a particularly comfortable technique, but very effective for loosening chronic tightness from injury. One of my clients calls it "quick and dirty." : (Cracks me up because Dalton calls some of his techniques the "dirty dozen.")

Another suggestion that would accomplish a similar thing, (again assuming this is her problem) would be to send her for thai massage. They are NOT afraid to get in there and stretch out those adductors! Ouch! :shock: [/i]