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7 Signs You May Have A Groin Injury & How to Wrap It

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hi folks I'm Bob Shrum physical

therapist throughout Hynek physical

therapist we have the most famous

physical therapist on the internet you

know opinion of course Bob got Sam the

skeleton here today with us - Brad

mother believe it they wouldn't talk

about seven signs you have a groin

injury we like to you know a lot of

times people start getting pain or

wondering what what the cause of it is

and we're gonna go over those signs but

we're also going to show you how to wrap

it if you have a groin injury sure yeah

and this is a device a brace I guess I

know a wrap that works quite well right

you could improvise with it but I'll

show you it's actually made for probably

use an ace wrap right do the same thing

you just wall the same pathway I mention

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appreciation soldier so now when you

have a groin injury a lot of times you

know I used to hear that as a kid I was

like you know what did I tear down there

right or what was is a growing that yeah

right kind of one of those words that

you no one really knows what is but we

all know where it hurts yeah it's kind

of a garbage can term but generally when

in the sports world or in the athletic

world or in the medicine world when they

see a groin they mean one of the muscles

that Ducks the hip you want to show what

reduction is Brad right so if your leg

gets goes this direction towards the

midline or towards the other leg those

are your groin muscles that are

contracting if you get that motion the

opposite ones go this way that's your

adductor there's a different set of

muscles the and this set of muscles

pulls it in and you show how when you go

out that way it actually stretches the

ad

good point out this is if you're doing

an activity that you're going right to

left these muscles get used an

incredibly amount if you're going in a

straight line not as much but they're

still obviously pretty act well one of

the common things would be the soccer

kick Brad sure you're kicking this way

that's all hip adductors right um you

know in football just you're doing a lot

of lateral movement to it certainly also

if you're riding a horse you know your

legs are spread apart that ends at all

and and those muscles are tightening to

help hold you onto the horse you don't

fall off so these are some of the

muscles here we don't have them exact

anatomically but we got the adductor

Magnus the adductor brevis the adductor

longus and that pectineus a pectineus

right so we've got we got them laid here

I'll blend in together here but Brad's

gonna show you how what you know when

you bring the leg out how that muscle

actually stretches all right so here

we'll go we've got some nice kinesio

tape that stretches and you could see

the muffy that muscle stretching yep so

if that if these muscles contract they

pull that leg in towards the center and

then we go about and again ranch today

without this myself we worry for this is

lateral movement so anytime you go side

to side they're working a little extra

hard so you're a lot of times a groin

injury you know it's quite often from an

athletic event sure and and the number

one sign first off that people often say

they hear they hear a popping sound or

maybe even just like a snapping sound

right and that can be the muscle tearing

actually and in fact the tear can happen

in the muscle itself or it can happen

where the muscle narrows up and becomes

a tendon and attaches to the bone right

it could have you know the tear can

happen actually where it attaches to the

ball sure or where the muscle attaches

to the tendon I mean any three of those

spots all right or maybe a little bit of

each here we've got the pubic bone

attaches there and then along the femur

right inside part of the femur so

there's basically the second thing

you're gonna feel you know the second

sign that you look for is some amount of

pain if it's extreme pain you know and

if you actually ruptured it so

a rupture would be it actually lets

loose somewhere sure

or it could be down here the muscle

could be tear for all the way across the

muscle belly or the fibers rip so if you

have extreme pain and you have 100% tear

you're also gonna the muscle is gonna be

weak like you can't even push the legs

together I mean it's just not gonna have

anything you're gonna try and nothing

happens yeah you could like take a ball

or pillow put it between your legs and

you're gonna squeeze and that's using

almost all a doctor or groin muscles and

if you do that and that immediate starts

pain in that area it's a good sign

either in Janette possibly tore it to

what degree you know it's hard to say

particularly if you're not from where

there but well if you're not able to

move at all it's probably rupture if

it's pretty bad pain moderate pain this

is number three it's a partial tear

anyway if you tour anywhere from 25 to

95% of the muscle that's a partial tear

okay and and if you have like minor pain

you know like it hurts kind of when you

move it but it doesn't hurt when you

don't move it that's probably less than

25% of a tear sure so that one's not

gonna hurt as much sure it's gonna

obviously heal a lot quicker too you bet

so so we're already up to that was

already number one through five Brad are

number four because we went through the

three types of pain that you might have

sure number five is bruising if the more

bruising you have you're gonna find

bruising along the inner thigh right and

after a while sometimes it kind of

migrates down the leg because it's it's

settling down right it's from when the

muscle actually tears it bleeds inside

your leg in that we call it you know

ecchymosis or that bruising comes out it

can be blue a little purplish and that's

coming out to the surface in the body

you know eventually reabsorbs that I

call it dead blood and yeah like more

bruising you have generally the worst

injury is that's good that's almost with

most injuries sure you can kind of look

at that as a kind of an indicator

you're gonna often have swelling on the

inner thigh and it's gonna be tender I

mean very you can find what you can find

often where the muscle tear is right and

we often recommend we did do a video on

how to treat a groin injury and we did

talk about doing

massage you want to cross-fiber massage

over those muscles kolpak obviously is

pretty gym you know yeah always the

standard right or treating this and

that's exactly what you want to start

for any part of the body Brandon already

alluded to this really the the big

number one way to determine if it's a

groin injury is to

you could try to squeeze your legs

together you could take a ball and

squeeze it together and it's going to

immediately give you pain in the inner

thigh and that's a pretty good sign that

you have a groin injury so now we're

doing it seated but probably you know

our standing may be a better test

because your body is in a little bit

different position so the muscles

contract especially if you injured it in

the upright position which you probably

did probably running or in an activity

like that so now with the wrap what

you're gonna want to do a you're trying

to one get a little compression over the

muscle it's just gonna feel better and

about two you're trying to prevent the

leg from going out because that's where

it stretches and it hurts yes we need a

little support yeah you want to heal so

brace ability has this groin strain

application it's a hip and groin wrap

you can actually use this for a hip

flexor injury too sure you wrap it a

little bit differently than that

instance but what we're gonna do we're

gonna start with down here and hopefully

this will show off okay and your face

that way about me all right I'll hold

that for you there around there I'm

coming around and this is right here I

wanna get that this is where it's

pulling it over it's stopping that hip

from coming out right so it's real

simple

and you could again could do this with

an ace wrap you could wrap around a

couple times race and then come around

this works a little better this has got

some rubber or silicone probably grippy

this so it sticks to your skin in it

yeah this works really easy actually

it's I think I got no I got a ride

thinking I had it wrong but there we go

yeah so you can see it might not show

real good but you know Bob doesn't wear

white pants to work so he got to go to

work after this but yeah I think you can

see what's going on this is sense you

can clear yeah so again it's stopping it

from pulling out this way and it's

giving compression sure you actually

have a friend that you're gonna have try

this right yeah his son is a field goal

kicker sure and he's having problem on

football season's over with but he's

still feeling pain yeah it's gonna give

him a good option and there's no

negative effect if I can walk around

with this I imagine you could put it

under your clothes oh yeah and then you

could also I don't know if you could do

a sport with this I think you actually

could I mean it's very we're gonna find

out you know we're gonna find out itself

he plays hockey too

oh he does yeah you can put this on for

this hockey yeah sure so all right

thanks everybody for watching enjoy

you