Inguinal related pain

• Inguinal related pain - Symptoms:

  • Inguinal pain worsening with activity
  • Can occur with coughing, sneezing or sitting up in bed
• Inguinal related pain - Most likely presents with complaint of:

  • Pain with resisted abdominal or adductor testing
• Inguinal related pain - Inguinal Hernia:

  • Can be caused by posterior abdominal wall weakness
  • Results in bulging of the posterior abdominal structures compressing onto branches of the genitofemoral nerve
  • Can be in sporting and non-sporting populations
• Inguinal related pain - Sportsman Hernia:

  • Sharp groin soreness
  • Overuse of the external obliques and transverse abdominus
  • Causes shearing forces at the hemipelvic region
  • Common in sports involving: twisting, turning and kicking
• Inguinal Hernia - Clinical presentation:

  • Pain whilst palpating the inguinal canal
  • Pain on a resisted sit up
  • Pain with the Valsalva manoeuvre
  • +/- palpation of present hernia
• Inguinal related pain - Key Impairments:

  • As per adductor pain:
  • Decreased playing performance and ability to change direction at speed, kick with force etc.