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Strain of Adductor Muscle and Tendon

Inj/adductor Musc+tendon/thigh


Presentation

  • Chronic adductor pain is often bilateral and is characteristically present in patients with underlying hip stiffness (e.g. Femoroacetabular impingement); often concomitant stiffness of the hamstrings is also present.[hipandgroinclinic.ie]
  • After 6 weeks several calcifications were present in immediate relation to the insertion of the adductor longus tendon.[bmcresnotes.biomedcentral.com]
  • Paresthesias were rarely present. Diagnosis can be made by electromyogram (if symptoms are present longer than three months) where a denervation pattern of the adductor longus and brevis is seen.[aafp.org]
  • Training: review your training program and any sudden changes that may have precipitated or caused the present condition.[twinboro.com]
  • THE SITE IS NOT RESPONSIBLE FOR ANY ACTIONS OR INACTION ON A USER’S PART BASED ON THE INFORMATION THAT IS PRESENTED ON THE SITE. Please note that as an Amazon Associate I earn from qualifying purchases.[drdavidgeier.com]
Swelling
  • Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens. A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone.[icdlist.com]
  • If the swelling hasn't come down after three days, see a doctor. 3 Use a Compression Wrap to Minimize Swelling Maria Fuchs / Getty Images Applying an elastic compression wrap can help reduce pain and keep the swelling down.[verywell.com]
  • It is important to spend time laying down with your leg slightly elevated above your heart to reduce swelling and aid circulation. Once the swelling, heat, and bruising begin to subside it is time to alternate cold and warm treatments.[thewellnessdigest.com]
  • Use a bag of ice or cold compress to help reduce swelling. This should be done as soon as possible after the injury and then three or four times a day for 20 to 30 minutes at a time until the swelling and pain are gone. Compress.[kidshealth.org]
  • Bruising and swelling will usually develop over the next few days but this may not be visible to the naked eye.[sportsinjuryclinic.net]
Falling
  • Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.[icdlist.com]
  • Falling, sprinting, quickly changing direction, or kicking or doing the splits (unintentionally in a fall) can result in these injuries. Groin injuries can cause pain into the groin and pain that radiates down the thigh.[rjphysio.co.nz]
  • Useful Rehabilitation Exercises Lunge With a dumbbell in each hand resting at your sides, step forward with one foot while letting your opposite knee fall almost to the ground.[nielasher.com]
  • Hip fractures almost always occur from a fall or a direct blow to the side of the hip. A patient with a broken hip will experience pain over the outer upper thigh or in the groin.[northcypresssportsmedicine.com]
  • Although sports are the most common cause, a groin strain can also occur from: falling lifting heavy objects other types of exercise, such as resistance training Any overuse of a muscle can lead to a long-term strain.[healthline.com]
Difficulty Walking
  • Beyond Home Remedies: When To Call Your Doctor If the pain is severe to the point that you have difficulty walking, contact your physician.[healthcommunities.com]
  • They can include: pain (usually felt in the inner thigh, but located anywhere from the hip to the knee) decreased strength in the upper leg swelling bruising difficulty walking or running without pain snapping sound at the moment of injury Groin strain[healthline.com]
  • You will generally experience pain, along with swelling, decreased range of motion and strength, as well as difficulty walking or running. Your groin muscles will often be painful when you touch them.[aidmymuscle.com]
Soft Tissue Swelling
  • Delayed ecchymosis and soft tissue swelling may also occur.[physiotherapy-treatment.com]
  • In injuries involving a partial or complete tear of the muscle or tendon, they complain of soft tissue swelling and bruising in the medial thigh. Chronic injuries may hurt only during physical activity or sports participation.[clinicalgate.com]
Thrombosis
  • Problems in your veins in your legs can lead to varicose veins or deep vein thrombosis.[icdlist.com]
  • Adductor Magnus Muscle Pain and Symptoms Can Be Similar To, Contribute To, and Be Affected By These Medical diagnoses: Groin pull Obturator or Genitofemoral nerve entrapment Inguinal Hernia L2 L3 or L4 radiculopathy Iliac or femoral thrombosis Pubic stress[thewellnessdigest.com]
Venous Insufficiency
  • insufficiency (Medical Encyclopedia) [ Read More ] Sprains and Strains A sprain is a stretched or torn ligament.[icdlist.com]
Ulcer
  • Medical Encyclopedia) Femoral nerve dysfunction (Medical Encyclopedia) Femur fracture repair - discharge (Medical Encyclopedia) Foot, leg, and ankle swelling (Medical Encyclopedia) Iliotibial band syndrome -- aftercare (Medical Encyclopedia) Ischemic ulcers[icdlist.com]
Muscle Strain
  • Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.[icdlist.com]
  • What is a Muscle Strain? A muscle strain is damage caused by over-stretching of muscle tissue.[physioroom.com]
  • Most adductor muscle strains respond to conservative treatment. Initial treatment includes activity modification, which may temporarily include crutches. Ice and anti-inflammatory medication are appropriate for acute muscle strains.[wosm.com]
  • Muscle Tightness and Strain Because swimming involves a lot of kicking in the water, the chance of developing muscle strain in the groin area is high.[livehealthy.chron.com]
  • Strain of hamstring muscles Strain of quadriceps tendon Strain of tendon of adductor longus Strain of tendon of medial thigh muscle ICD-9-CM Volume 2 Index entries containing back-references to 843.8 :[icd9data.com]
Muscle Spasm
  • Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle. At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines.[icdlist.com]
  • Often muscle spasm can be totally cured with different approaches of treatment. Pain can be felt for several weeks if it is caused by muscle tear or tendon tear.[diseasespictures.com]
  • Massage is used to promote effective scar formation and reduce muscles spasm associated with pain. Exercises to stretch and strengthen the adductor muscles are an important element of rehabilitation.[sportscarephysio.com.au]
  • Control of muscle spasms is important for rehabilitation. Spasms may be alleviated with medication and/or modalities (eg, ice, electrical muscle stimulation).[emedicine.medscape.com]
  • A severe, "grade 3" strain is a complete rupture of the adductor muscle and can result in severe pain, swelling, bruising, muscle spasms and the inability to move your leg.[livestrong.com]
Muscle Swelling
  • Other symptoms may include: Increased pain when you use the muscle Swelling Limited range of motion Muscle weakness Many hip strains will improve with simple home treatment. Mild strains can be treated with the RICE protocol.[orthoinfo.aaos.org]
  • The acute phase in all injuries is characterized by tissue damage that elicits an inflammatory response in the muscle.[stevenlow.org]
Tendon Disorder
  • A comprehensive review of tendon disorders is given and modern criteria of management outlined to form the basis of effective clinical management of this group of patients.[books.google.com]
Tendon Disorder
  • A comprehensive review of tendon disorders is given and modern criteria of management outlined to form the basis of effective clinical management of this group of patients.[books.google.com]

Workup

Muscle Calcification
  • AR 1 (6 weeks): Distracted muscle, Calcification, Fluid. AR 2 (6 weeks): Calcifications, Fluid. AR 1 (10 weeks): Distracted muscle, Calcification, Fluid. AR 2 (10 weeks): Calcifications. AR 1 (18 weeks): Calcification.[bmcresnotes.biomedcentral.com]

Treatment

  • At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.[icdlist.com]
  • The MRI scan will help stage the injury and decide which treatment is required.[ernestschilders.com]
  • This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.[nielasher.com]
  • Once the swelling, heat, and bruising begin to subside it is time to alternate cold and warm treatments. Start with cold treatment for 20 minutes then 1-2 hours later apply a warm treatment. Alternate treatments throughout the day.[thewellnessdigest.com]
  • The timing of investigations depends on the risks of the problems and whether treatment is altered because of the investigation findings.[numovesphysio.com.au]

Prognosis

  • Reactive Tendinopathy Normal tissue adaptation phase Prognosis: Excellent. Normal Recovery! 2. Tendon Dysrepair Injury rate Repair rate Prognosis: Good. Tissue is attempting to heal.[physioworks.com.au]
  • Long-Term Prognosis Long-term problems are seldom seen with tendinitis of the adductor muscles after treatment. If pain and limited mobility in the hip persists, additional investigations may be required from a sports medicine specialist.[nielasher.com]
  • In case of major surgery you should follow the instructions by surgeon/doctor for better prognosis which can take 2-3 months after surgery, depending on the nature of injury.[diseasespictures.com]
  • As defined by The Guide to Physical Therapist Practice, interventions are the skilled and purposeful use of physical therapy methods and techniques to produce changes consistent with the diagnosis, prognosis and the patient or client’s goals.[twinboro.com]
  • Prognosis of a groin strain With appropriate management, patients with minor groin strains can usually recover in one to three weeks. With larger tears, recovery may take four to six weeks or longer, depending on the severity.[physioadvisor.com.au]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Compression etiology in tendinopathy. Clin Sports Med. 2003;22:703–10. PubMed CrossRef Google Scholar 3. Armfield DR, Hyun-Min Kim D, Towers JD, Bradley JP, Robertson DD. Sport-related muscle injury in the lower extremity.[link.springer.com]
  • Table of Contents Strain etiology, assessment, and grading Rehabilitation — Acute/Inflammator Phase Rehabilitation — Repair and Remodeling Phase Conclusion Strain etiology, assessment, and grading Strains, pulls, tears, and ruptures are different names[stevenlow.org]
  • Background and Etiology The hip joint is one of the largest joints in the body. It is composed of one osseous (bony) joint. The hip is built for weight bearing and movement in several different planes.[twinboro.com]
  • The 5- or 10-km Marikenloop Run: A Prospective Study of the Etiology of Running-Related Injuries in Women. J Orthop Sports Phys Ther. 2016 Jun;46(6):462-70. doi: 10.2519/jospt.2016.6402.[caringmedical.com]

Pathophysiology

  • The most common sports that put athletes at risk for adductor strains are football, soccer, hockey, basketball, tennis, figure skating, baseball, horseback riding, karate, softball, and cricket. [1], [2] Pathophysiology In general, groin injuries make[sjosm.org]

Prevention

  • View All Injury Prevention Articles...[bodybuilding.com]
  • How to Prevent a Groin Pull? The basis of prevention comes down to two simple factors. A thorough warm-up and physical conditioning, ie: strength & flexibility.[stretchcoach.com]
  • Your groin strain may prevent you from engaging in the activities you enjoy. Proper warm-up, stretching and conditioning of the muscles may prevent the injury.[lehighvalleychiropractic.com]
  • The goal of physical therapy in adductor strain is to restore the range of motion, to prevent atrophy, and to regain strength, flexibility, and endurance.[physiotherapy-treatment.com]
  • Strengthening the adductors and stretching the opposing abductors will help prevent this injury from recurring. Rehabilitating all groin pulls and other hip injuries completely will also prevent problems with the adductors.[nielasher.com]

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