Friday, 16 June 2017

Treatment for Adductor Muscle Strain in Malaysia


Physiotherapy and chiropractic treatment can be commenced as soon as possible when an acute adductor strain in the hip is present. Patients normally present with inner thigh pain or groin pain near the inferior pubic bone. The strained adductor muscle can be very tender upon palpation and stretching of the adductor muscle can reproduce the pain. The initial treatment approach is to reduce swelling and bleeding at the injured site. Therapeutic modalities that help to promote soft tissue healing can be used.

Active pain-free exercises and gradual strengthening exercises for the adductor muscle can be commenced with care after the first 48 hours of injury. Functional strengthening that involves more aggressive movements such as stationary bike, pool running, jogging or swimming can be part of the treatment in the later stage. Once the full passive and active range of motion of the injured hip returns to normal and with full strength, the athlete can return to progressive sport-specific training that involves sudden and rapid change of direction.

Exercises such as running in a straight line or figure of eight and kicking should be avoided in the early stages of rehabilitation. Early return to these exercises without sufficient rehabilitation may predispose the athlete to recurrent adductor muscle strain. The treatment for adductor muscle strain should include management of the associated low back pain or pelvic imbalance at the same time in order to prevent chronic recurrent pelvic and hip injuries. 

Sunday, 11 June 2017

Adductor Muscle Strain in Malaysian Athletes


Adductor muscle strains are very common among athletes whose running involved sudden changes of direction. The location of the pain is usually very easy to identify as the pain usually present at the belly of the adductor longus at the inner thigh or near the origin on the inferior ramus. The pain normally will start immediately after the injury. Physiotherapy and chiropractic care can help to increase the healing rate and reduce the time required to get back to sports. Stretching of the adductor muscle with passive hip abduction can cause the pain. Resisted adduction will cause active contraction of the muscle can cause pain at the injured site too.


PRICE regimen for acute injury should be initiated within 48 hours after the injury to reduce the swelling and bleeding at the injured site. PRICE regimen includes protection, relative rest, ice, compression and elevation. Early stretching of the adductor muscle is not recommended for treating acute muscle strain as this may cause chronic tendinopathy of the adductors in the future. Progressive strengthening exercises such as pain-free range of motion (adduction and abduction) can be commenced after the first 48 hours if there is no other re-injury of the adductor muscle. Resisted adduction/flexion of the hip with a resistance tube or light weight can be included if active abduction and adduction are not causing any pain. Stabilising exercises such as pulleys with other leg and one leg squat is recommended to strengthen the core muscles and the adductor muscles at the same time. 

Tuesday, 6 June 2017

Hip and Groin Pain in Athletes


Sudden onset of hip pain is quite common in athletes who are involved in sports that require a lot of twisting, turning and kicking. Athletes who are actively involved in soccer and Australian football are at a higher risk of sudden hip and groin pain due to musculoskeletal injuries. The presenting symptoms may vary according to the structures that are damaged. Adductor muscle strain is a very common cause of inner thigh pain. Injury to the hip joint, such as labral or chondral tear, can lead to severe hip and groin pain. Injury of the muscles and bursae associated with the hip joint can co-exist with a hip joint injury.

The location of the pain is the most useful sign to localise the area abnormality. Differential diagnosis can be made based on the location of the pain. The adductor muscle, iliopsoas and rectus femoris are the more commonly strained muscles. A strain of the above-mentioned muscles can cause pain at the inner thigh or groin region.


There are some more severe causes of hip and groin pain that should not be missed by the health care practitioners. Intra-abdominal abnormality such as appendicitis or urinary tract abnormality can sometimes refer pain to the inner thigh and hip region. Rheumatological disorders such as ankylosing spondylitis can cause hip and groin pain as there are extensive tightness in the hip flexors. 

Thursday, 1 June 2017

Posterior Thigh Pain and Hamsting Muscle Strains in Malaysia


Hamstring is a group of muscles located in the lower part of the buttock and it extends all the way down into the back of the knee. It plays a main role in extending the hip, bending the knee and rotating the leg. These actions are involved in several activities of daily living such as running, walking and jumping. Therefore, hamstring muscle strain is a very common injury among sprinters, hurdlers, long jumpers, footballers, Australian football and field hockey players. These activities normally involve a lot of high speed running and forceful kicking. Hamstring strain can have severe impact on the performance of the athlete and absence days of training can be quite high too. Recurrent injury of the same muscle or associated muscles can happen as a result of inadequate post-injury physiotherapy and rehabilitation.


Biceps femoris of the hamstring muscle group is the most commonly injured muscle. The musculotendinous part of the biceps femoris is at a higher risk of injury especially during sprinting. This injury normally present as a non-contact injury. The hamstrings are likely to reach its point of failure during the terminal swing phase just prior to foot strike as this is the point of maximum eccentric contraction. During the terminal swing phase, the hamstrings are undergoing eccentric contraction to decelerate the swinging tibia while extending the knee to prepare for heel strike. During the initial stance phase, the hamstrings are now working concentrically to extend the hip joint.