Tuesday, November 3, 2009
Groin pain and the Femoral Sheath
Last week, one of the bobsled athletes I take care of complained of some pinching pain on hip flexion, with some sharper adductor pain as well. Checking the adductor group, I couldn't really find any tightness or adhesions in the muscles themselves that would make me think that it was a concern. While there was a feeling of pinching on hip flexion it wasn't sharp and alignment of the hip/pelvis was good. Thinking the sharp adductor pain could be referral pain, I started checking structures around the pinching site in inguinal triangle. I finally found that the femoral sheath wasn't sliding under the inguinal ligament. After several passes of Active Release Technique to free up the sheath under the ligament, hip flexion was now much less irritated and upon a few strides the adductor had no pain. This was the first time I had ever felt this. Thought this was an interesting case to share. Again this shows how the site of the pain is very rarely the site of the problem.