Groin Injury

Overall, there is limited high quality evidence for the effectiveness of manual therapy in the treatment of groin injury. Currently the best available evidence suggests that exercise therapy improves short-term outcomes and return to sports compared with physiotherapy consisting of passive modalities.

There is moderate evidence for the efficacy of surgical treatments in both sportsman’s hernias and adductor-related groin pain.

ESSENTIAL LITERATURE

 
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STUDY QUALITY ON GROIN INJURY MANAGEMENT REMAINS LOW: A SYSTEMATIC REVIEW ON TREATMENT OF GROIN PAIN IN ATHLETES
Serner et. al. 2015 
Conclusion:
Only 6% of publications were high quality. Low-quality studies showed significantly higher treatment success and study quality has not improved since 1985. There is moderate evidence for the efficacy of conservative treatment (active exercises and multimodal treatments) and for surgery in patients with adductor-related groin pain. There is moderate evidence for efficacy of surgical treatment in sportsman’s hernia.

CLINICAL EFFECTIVENESS OF MANUAL THERAPY FOR MANAGEMENT OF MUSCULOSKELETAL CONDITIONS
 Christine Clar et. al. 2014 
Conclusion:
Overall, there was limited high quality evidence for the effectiveness of manual therapy. Most reviewed evidence was of low to moderate quality and inconsistent due to substantial methodological and clinical diversity. Areas requiring further research are highlighted.

CONSERVATIVE INTERVENTIONS FOR TREATING EXERCISE-RELATED MUSCULOTENDINOUS, LIGAMENTOUS AND OSSEOUS GROIN PAIN.
Almeida et. al. 2013 
Conclusion:
The available evidence from the randomized trials is insufficient to advise on any specific conservative modality for treating exercise-related groin pain. While still low quality, the best evidence is from one trial which found that exercise therapy (strengthening of hip and abdominal muscles) in athletes improves short-term outcomes (based primarily on pain measures) and return to sports compared with physiotherapy consisting of passive modalities. Given the low quality of the available evidence from both included trials, further randomized trials are necessary to reinforce their findings.