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Groin injuries and treatments in skiing

Sports

Common ski injuries

 

Skiers may develop groin pain as a result of the twisting and turning motions associated with skiing. The groin is quite complex with the adductor tendons (muscles that bring the upper legs together), rectus muscle (six-pack muscles) and inguinal canal all inter-related with the pubic bone and any tension or excessive ‘pulling’ in this area can give rise to groin pain.


The pain is usually focused around the groin area and can radiate down to between the scrotum (in men) as well as higher up into the abdomen. The pain is rarely controlled with pain killers and relies on rest and physiotherapy as the mainstay of treatment.
 

Advice and treatment options

 

If you experience groin pain it is best to rest and not ski, as further skiing can make the groin worse. Stretching the groin area and/or gentle massaging can help to alleviate the symptoms at the time.

If groin disruption is suspected, the initial recommended treatment is rest and physiotherapy. Physiotherapy relies on improving core strength, stretching and adductor rehabilitation. The adductor tendon and the inguinal canal are inter-related, so any improvement in these muscles/tendon groups will have a positive impact on recovery. A careful examination is required to make this diagnosis as well as magnetic scans and possible ultrasound of the groins. In a small percentage of patients surgery is required which can be undertaken by either keyhole or open techniques.

Andy Renshaw, former Head of Physiotherapy, Liverpool FC

"I was diagnosed with groin pain disruption and was advised to see Prof Sheen. He made a speedy diagnosis and after pre-surgery physiotherapy I underwent keyhole surgery to repair my groin. I was able to run symptom-free for over 20mins inside a fortnight after the repair and have skied several consecutive days on three separate occasions in the 18months since my repair as well. I genuinely feel stronger after the operation and subsequent rehab."

Professor Aali Sheen

Professor Aali Sheen

Consultant Hernia and Groin Surgeon
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