Groin Rehab

Groin rehab

Groin Injury Rehab

Rehabilitation for groin injuries

A groin injury is one of the most complex injuries we see at Sports Physio Ireland. It’s location and anatomy is one of the main reasons for this. This area consists of the adductor longus, magnus, brevis and gracilis, all of which insert to the underside of the pelvis.  The primary role for these group of muscles as a whole is the stabilisation of the pelvis during motion (running, jumping, cutting). These muscles also play a role in swinging the leg when turning and twisting during movement in scenarios such as game play.

When designing a rehabilitation program, it’s important not to only focus on the area of pain. You have to look at the overall balance between both groin areas, left and right. Tension or restriction of movement in one can directly effect the forces and pressures on the other side.

It is also important to assess and analyse the areas above and below the injured groin. Lack of ankle balance or stiffness can cause an overload in the groin when cutting or tackling. Quite often I see groin injuries in players who have had a history of bad ankle sprains or achilles injuries in the past. Strength in the core muscles above the area of pain and stiffness in the hip also have a huge impact on the cause and the design of the rehab program at SPI.

It is for this reason that we choose whole body movement exercises to rehab groin injuries. By doing so, you improve your overall movement and offload any imbalances that have contributed to developing the injury. The key thing with exercises such like side lunges, squats or single leg deadlifts is the attention to detail. I see many players performing these exercises in a rushed environment which can actually just compound the imbalances that are already there.

 

Key Messages

  • The groin has multiple roles for an athlete.
  • Don’t focus on the pain, look at the overall movement pattern.
  • Find your imbalances.
  • Attention to detail with your rehab.

 

Joey Boland,

Head Physiotherpaist

www.sportsphysioireland.com

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Speed For GAA Players

Speed is defined as the rate at which someone moves.  We can divide speed into an explosive phase and a knee drive phase. A lot of GAA players spend far too much time developing muscles to move slowler, simply because this is an easier way to train during a gym session. We have to look at the relationship between gym sessions and the game played. GAA involves a lot of acceleration and deceleration, but many gym programs don’t reflect the two patterns.

There is a huge role for both strength and hypertrophy in athletic development but speed is often ignored. Reasons for this include;

It’s Time Consuming

In order to train absolute speed it can take up to 40 minutes to properly warm up and activate the muscles and patterns required. This can be slow and tedious. Quite often this part is skipped or sped up in order to get to ‘the good stuff,’ such as sprinting. Athletes can be resting for up to 4 minutes between exercises which can result in sessions lasting up to 2 hours . These sessions are regularly omitted from training plans because of an already busy schedule.

It Is Perceived As A Light Session

There is a ‘if its not hard its not worth doing’ mentality in GAA. Quite often coaches would rather see teams out of breath rather than doing a pure speed session. Athletes don’t get their heart rates up too high or break a sweat. For coaches and some athletes the temptation to work hard can be too much. Working smarter is better for athletic development.

Too Tired After Heavy Training Loads

Heavy weights, long training sessions and matches make it hard to fit speed work into a training regime. You need to prioritise it in your training week for when you are at your freshest. Typically GAA matches are on a Sunday so a speed session would be optimum on a Wednesday. Pitch sessions and gym sessions are regularly prioritised ahead of this, with pitch sessions regularly on a Tuesday and Thusday and gym sessions on Mondays and Wednesdays.

Joey Boland,

Head Physiotherpaist

www.sportsphysioireland.com

Check out our social media

https://www.facebook.com/sportsphysioireland

https://twitter.com/sportsphyirl


MCL Injuries

We recently seen Karl Lacy tog out and play against Mayo with heavy taping on his leg to protect a recent Medial Collateral ligament (MCL) injury.

The medial collateral ligament is a band of tissue that connects the thighbone to the lower leg and helps prevent the knee from buckiling inwards. It can be injured when twisting or landing or when a standing leg is tackled from the outside forcing it to buckle inwards.

Initial management should be

  • Compress with a bandage
  • Use crutches to take the weight off
  • Apply ice pack

What are the symptoms?

  • Swelling.
  • Pain.
  • Local tenderness on the inside of the joint.
  • Bruising.

Specific tests and scans can diagnose the extent of the damage and the length of time the player will be out of action for. In Karl’s case, he obviously needed more time to regain 100% confidence in his ability the twist and turn to make those turn overs he has been famous for over the past few seasons.

Mild or Grade 1 injuries usually get better in 1 to 3 weeks and may only needhome treatment along with using crutches for a short time.

Moderate or Grade 2 injuries usually get better in about a month. You may need to wear a hinged knee brace and limit how much weight you put on your leg.

Severe or grade 3 injuries may require wearing a hinged brace for a few months, and limiting weight on the leg for 4 to 6 weeks.

 


Phase One Meniscal Tear Rehabilitation

 

When the knee suffers a meniscal and osteochondral fracture injury, it’s ability to absorb forces produced from stepping, running and cutting is diminshed. It’s essential to slowly and progressively load bear the joint in movements that simulate and compliment the movement patterns of the sport.

See the video of Sports Physio Ireland client, Ciaran, week one with Thomas, one of our Physiotherapists and Strength and Conditioning Specialists going through his initial rehabilitation.

 

 

 

 


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