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Inguinal Sprain Treatment


Injury to the inguinal region in everyday life is not uncommon. Given the anatomical features of the structure of the groin in men and women, for the first, any sharp mechanical influences in this area of ​​the body cause severe piercing pain, while women can certainly have a bruise or injury to the inguinal region, but it is less painful.

Groin injuries can occur during fights, brawls, car crashes, falls, sports, especially team sports.

The danger of such injuries for men is that, in addition to pain, hematoma, bruising, damage to the testicles and penis, and tearing of the urethra can result. For women, injuries are no less dangerous and can lead to serious consequences.

Groin injuries - manifestations and types

The main source of injury to the inguinal zone is a direct hit. It is known that it is the groin for men that is the most painful area. Women who are trained in defense against rapists are taught how to strike in the groin, and men who fight each other often follow an unspoken “code of honor”, ​​avoiding adversaries getting into the area of ​​external genitalia, because they know from their own experience how painful it is.

The anatomical feature of the device of the male organism determines the location of the sensitive external genitalia in the groin - one of the most vulnerable places on the body. In this place there is a huge number of nerve endings and blood vessels, so the consequences of the strike can be very dangerous for the victim.

Why does inguinal damage occur? The most common causes are hitting the ball, falling on the perineum, animal bites, bumps, forced sexual intercourse or actions related to pulling the penis at the base, horse riding.

The danger of injuring this part of the human body for a man is obvious - as a result, temporary infertility for up to 9 months may appear, which is quite capable of developing into permanent. The patient may develop hormonal imbalance due to a decrease in testosterone production. The resulting testicular atrophy subsequently forms tumors. In rare cases, even deaths from pain shock are known. As a result of mechanical action on the nerve endings, located in large quantities in the groin, a person feels a sharp blinding pain.

A significant group of all groin injuries in medicine is divided into two main subgroups: testicular and penile injuries. Both those and others can be open and closed. Closed injuries of the inguinal zone:

  • bruise of the penis and testicle,
  • protein rupture,
  • penis infringement,
  • dislocation of the penis and testicles,
  • member fracture
  • torsion and crushing testicles.

Open wounds: gunshot, stab wounds, burns and frostbite, traumatic amputation of the penis, tear and separation of the scrotum.

Characteristics of the most common inguinal zone herbs

A bruised scrotum is a condition that forms after a strong blow or fall. As a result, there is soreness, bruising, bruising. A bruise can be with a violation of the integrity of the testicle shell, or without it. Violations of this type can cause the development of temporary or permanent infertility, impotence.

Testicular dislocation occurs if a traumatic effect moves the testicle into the inguinal or pelvic canal, under the skin, or in another location not typical of it. The reason why the appearance of such an injury is possible is the high testicular mobility in the scrotum cavity. This also includes damage to the testicles, which, in essence, are a state of change in their normal shape, structure and integrity - crushing, contusion, rupture of the protein membrane, inflammation, hemorrhage in the testicle, atrophy and heart attack. The testicles placed outside the skeletal protective "frame" are not protected from external influences, except for a thin sac - the scrotum, and their location next to the pubic bone only enhances the traumatic factor. In severe cases, the affected organ must be amputated.

Post-traumatic orchitis can develop after the injury and its initial healing. The victim's body temperature rises, the scrotum swells, and severe pain appears.

Twisting the spermatic cords leads to a turn of the testicle. If the rotation angle in this case is more than 180 degrees, blood circulation is disturbed in the testicle and tissue necrosis may begin.

In some cases, injury to organs in the groin area is accompanied by damage to the urethra, interruption of its integrity or even its rupture. The urination process is disturbed, a person feels severe pain.

Open wounds and groin injuries are often accompanied by heavy bleeding - it can be both external and internal.

This condition can contribute to filling the penis with a large volume of blood, since it resembles a sponge in its internal structure, and also causes large blood losses.

We must not forget about the possible stretching of the muscles and tendons in the groin. It can occur during sports (football, freestyle, swimming, cycling), due to sudden forced movements, jerks.

In this case, the victim is difficult to move his legs, take them to the side, he feels a strong pain, which does not become less.

First Aid Rules

It is imperative to call an ambulance, or take urgent measures to transport the patient to a medical facility. A person needs complete peace, he must not walk and move. It should be laid on its back on a hard, even surface.

Cold is placed on the site of injury or injury - it can be an ice bubble, or a bottle of cold water. If you are using foods from the freezer, they must first be wrapped in a towel. Cold can be applied for no more than 2 hours, holding it for 40-50 minutes with breaks of 10-20 minutes. In winter, it is not recommended to keep cold at the site of injury for more than an hour.

The edges of an open wound must be treated with an antiseptic, for example, iodine solution, while the cotton wool or bandage soaked in the preparation moves in the direction from the edges of the wound. The wound is covered with a sterile gauze napkin, over which a wound site is ligated.

If the patient has bleeding, it must be stopped. For this, a tourniquet or pressure bandage is applied. If there is no way to dress the victim, you need to stop the blood flow by clamping the inguinal artery with your fist.

Damaged genitals are lifted with a sterile bandage, and pressed to the stomach.

Usually, doctors, giving recommendations for first aid, are advised not to give the victim any medications inside, so as not to worsen his state of ignorance. However, in case of groin injuries, a person can take pain medication. The fact is that the pain from injuries of the inguinal zone can be so severe that the patient may develop pain shock. In the most difficult cases, even the death of a person from shock to the arrival of an ambulance is possible. It should be noted that simple Ibuprofen, most likely, will not help - Ketanov or Tramadol are administered to the affected person by intramuscular injection.

Damage associated with fractures requires maximum immobilization of the wounded. If the location of the fracture is determined, before transporting it to the hospital, the affected area must be immobilized by applying a splint or bandage bandage.

Groin injuries can be obtained at home, in the gym, and during routine activities like driving a car. Unpleasant for women, for the male half, strokes and mechanical effects in the groin area are critically painful and dangerous. As a result, a person may lose the external genitalia, or even die from pain shock. First aid for groin injuries aims to help the victim wait for the arrival of doctors, and to prevent deterioration of his condition.

It should be noted that even if the previous bruise seemed insignificant and the person is already on the path to recovery, he should still seem to the urologist after a groin injury.

How does sprain in the groin?

Doctors call the stretch of the groin a condition in which a tendon stretches of the long adductor muscle, which is attached to the femur. Stretching can occur at the site of attachment of the ligament to the pubic bone.

In fact, when stretched in some section of the connective tissue cords, collagen fibers break. The greater the number of such fibers is torn, the more serious the injury. In some cases, a complete rupture of the tendon.

The cause of inguinal distension is the same: during the powerful bringing of the leg inward, a strong and rapid contraction of the long adducting muscle of the thigh occurs.

Who is most at risk of getting an inguinal sprain?

Most often, such injuries are faced by athletes involved in certain sports, which are characterized by strong movements with bringing the foot inward.

Usually this is football, hockey and other similar sports, where you need to run fast, stop and change direction dramatically.

What are the symptoms of an inguinal sprain?

The first and main symptom of sprain in the groin is a sharp pain, coinciding with a significant physical effort to bring the legs inward. Sometimes, if the strain is small, and the person is passionate about competitions, the pain may be moderate, but it will manifest itself later. Also, pain will intensify when trying to deflect the leg inward.

Also, some time after the injury, a swelling appears in the inguinal region. Its size will depend on the severity of the stretch. In some cases, subcutaneous hemorrhage may occur.

If the stretching is strong, and in addition to the ligament the muscle is torn, a feeling of deformation in the area of ​​injury is possible. With a complete rupture of the ligament, deviation of the leg inward becomes impossible.

First aid for groin sprain

In order for the treatment of inguinal sprain to be successful and take less time, it is important to provide first aid correctly. To do this, two basic rules must be observed: rest for the injured area and cold at the place of stretching.

Something cold (preferably ice) should be applied to the injury site for 15-20 minutes, with breaks of an hour or two, approximately. The maximum effectiveness of local application of cold is in the first 10-15 minutes after an injury. It is better to apply ice through a towel or napkin to avoid damage to the skin.

It is also important to provide rest for the injured area. Since bandages or cuffs on the groin area are impractical, it is necessary to move as little as possible, especially you should try to spare the muscle that leads the thigh inward. Naturally, any training should be completely stopped. You can not reduce their effectiveness, reduce the load, hoping for recovery. This will only lead to additional ligament ruptures and increase treatment time.

Therefore, in the first days after the injury (2-3 days) bed rest is desirable, especially if the damage is severe. To reduce the formation of edema in the injured area, the leg should be kept in a slightly elevated position. To achieve this, you can put pillows or blankets under it, twisted in the form of rollers.

Inguinal Sprain Treatment

Medications can also be used to treat sprains in the inguinal region. Usually it is a variety of ointments and gels. It is advisable that the doctor prescribe these drugs, since they have different specifics of action. Some can be used in the first days after stretching, others in 2-5 days.

For example, in the first 1-2 days they use drugs that reduce pain and inflammation, improve venous outflow (venoruton, lyoton, troxevasin, heparin ointment). From 2-5 days, drugs with anti-inflammatory and absorbable effects (fastum gel, indomethacin and butadione ointments) can be used. And already from 5-7 days it is possible to use special warming raster.

Recovery after inguinal sprain

Treatment of inguinal sprain should include mandatory rehabilitation after injury. You can start recovery exercises after a few days, after the pain has disappeared. Before this, you need to conduct a diverting massage, but this should not be earlier than after 6-7 days.

  • The first stage of physiotherapy exercises includes exercises for warming up and stretching the muscles.
  • The second group of exercises begins to be applied when the movements are restored in full, but there is no pain. These exercises may include walking, light running, swimming.
  • The third group of exercises is carried out already with weight and a small load. They can also imitate the movements used in the sport that the athlete is engaged in, but performed without a full load, not of such intensity and pace. They can be done not only in the gym, but also in the pool, so such exercises are also less traumatic.

In order for the treatment of inguinal stretching to be successful, it is necessary to follow all the recommendations of the doctor, as well as the instructor for exercise therapy. If you do everything accurately, do not rush and do not overload the muscles, sprains in the groin can be cured quickly enough, successfully recover from an injury and continue to engage in the chosen sport.

The main causes of sprains in the groin

Stretching the muscles in the groin is not a pleasant trauma. But it is she who is most common, and its consequences are rather painful. Anyone is at risk. Even those who have been involved in sports for a long time, due to exceeding the amplitude of movement or the sharpness of the joint, may face stretching of the inguinal muscle. The following factors for injury are:

  1. Violations or errors in the technical performance of a physical exercise
  2. Predisposition to injuries of the hip joint by nature
  3. Existing diseases of the hip joint (arthritis, arthrosis, osteoarthrosis)
  4. Inflammation of the tendon

To get injured in the groin, it is enough to fall, turn around sharply or perform exercises at high speed. But by nature, the ability of ligaments to restore is quite high. Therefore, even when they are stretched or completely torn, they themselves can grow together and return to shape.

Classification of inguinal sprains

Inguinal stretching is an injury to the muscles or tendons connecting the femoral part to the trunk. It may vary in severity. This classification is represented by three degrees:

  1. The first is mild: the damage is mild and causes minor discomfort in the affected area. The movement of the human body is not limited and not constrained.
  2. The second is average: the person who pulled the inguinal region feels a slight pain and is slightly limited in movement by its presence. Some physical exercises are no longer available to him (swings, jumps, running). Swelling and blueness of the injured area may be noted.
  3. The third is severe: characterized by the presence of severe pain that accompanies walking and even being at rest. Stretching is associated with muscle spasms, swelling, and bruising. In severe stretching, complete rupture of the ligament may occur.

By the nature of the course, damage can occur in acute, subacute and chronic form.

Signs of sprain in the groin

The main sign of a stretch in the groin area is a characteristic crunch and a sharp sensation of pain. Further trauma is accompanied by:

  • Cramps
  • Puffiness
  • Sealing the injury site
  • Hematoma
  • An increase in the temperature of adjacent tissues
  • Limited mobility

Symptoms are developing quite rapidly. The pain is pronounced and may differ in the radius of the lesion: narrow or wide. In the first case, a pain spasm directly accompanies the site of damage, and in the second, it additionally captures the surrounding surface.

The external manifestation of stretching becomes noticeable after a day. Some of the symptoms may appear only after a few days. Also in the middle of the ligament is the inguinal ring, which is associated with the work of the reproductive system of women and men. Therefore, getting a similar injury adversely affects this area of ​​the body.

The characteristic sound of stretching and sharp pain in the inguinal zone are already grounds for starting treatment.

Symptoms of stretching of the inguinal muscles

Both men and women can pull muscles in the groin equally. A child can get a similar injury, for example, when playing soccer. At the site of injury, a lump or cavity appears within 24 hours. В это время там начинается процесс разрыва располагающихся в непосредственной близости сосудов, по которым движется кровь. Поэтому на коже над растянутой мышцей появляется синяк. Но не следует забывать, что кроме внешних проявлений, разрушительные изменения происходят внутри тканей и сосудов.

When a muscle ruptures in the groin, muscle strength is significantly reduced. Convulsions occur, indicating the presence of certain problems.

If you do not resort to medical care on time, then complete immobilization of the legs may occur.

Diagnosing groin sprain

If you get injuries of this nature, you should contact a traumatologist or orthopedist. When diagnosing the resulting stretch, he establishes all the circumstances of the incident. This technique allows you to recognize damage, to be able to judge its shape and degree of complexity. For this purpose, a survey of the patient.

For the final diagnosis and the appointment of a course of treatment, an examination can be carried out using diagnostic equipment. It can be:

  • Ultrasonography
  • CT scan
  • Magnetic resonance imaging
  • Roentgenography

Based on the results of the results, a final diagnosis is made. Depending on the severity of the injury and the age of the patient, the most appropriate course of treatment is prescribed.

First aid for sprains in the groin

The main condition, the implementation of which will give the patient quick relief - cold. For this, ice, a bottle of cold water, something frozen should be applied to the injured area in a place where the ligaments are sore. After that, a tight tourniquet is applied to the injured leg. At the time of its fixation, it is necessary to abandon movement and ensure complete peace of the joint.

After first aid, you should proceed to a full course of treatment, which will allow the joint to return to its former elasticity and painless mobility. For the duration of therapy, from an active lifestyle, and even more so from sports, you will have to refuse.

The main method of treatment

Sprain in the inguinal region is treated with medication. The following group of drugs can be prescribed by a doctor:

  1. Analgesics
  2. Anti-inflammatory drugs
  3. Hormonal drugs

The appointment of the latter group is carried out only as a last resort, when other drugs do not have the desired effect. In severe stretching, accompanied by rupture of the ligament, surgical intervention may be required. Muscles can be restored using ultrasound or a laser.

During treatment, it is recommended to fix the mobility of the joint with a special bandage worn between the legs, or a cut. It is also possible to support and make the joint motionless with the help of teip - fabric adhesive tape resembling a medical adhesive plaster.

Ointments for sprains

The best effect in the treatment of tendon sprain in the groin is ointments that have a warming effect. But their prolonged use by doctors is not recommended, since it can cause disorders in the gastrointestinal tract. During the use of medicines, the patient should remain calm.

It lasts an average of 4 to 6 days.

In this case, one should not forget about applying cold every 3 hours.

Not earlier than a week later, subject to improvement of well-being, rehabilitation physical education is allowed. But strictly after the permission of the doctor and very carefully.

You can do at home or go to the clinic. The total duration of the course of treatment is individual in each case. In this case, the degree of severity of the injury is of no small importance.

Tensile tapping

A popular technique for supportive therapy in stretching is taping. Gluing on the affected area of ​​the teip allows the muscle to relax and at the same time supports it. This ensures the stability of the ligamentous apparatus. The procedure is performed in compliance with some rules:

  1. The skin should be prepared (cleaned and dried)
  2. Teip overlays without tension
  3. Its activation occurs by grinding

When the ligaments are stationary, the injury heals faster. Taping is also used in the rehabilitation period after surgery and for preventive purposes.

Rehabilitation and preventive measures

The duration of treatment for groin sprains depends on the correctness of the patient’s actions, on the drugs used and on the severity of the damage. The key to a quick recovery is complete peace and lack of physical activity.

To restore the work of the ligaments should begin no earlier than 1-2 weeks.

Rehabilitation should begin with exercise therapy and massage. This will help improve blood circulation and reduce the size of the resulting tumor.

To further prevent injury to the inguinal region, simple preventative recommendations should be followed:

  • Do warm-up before the main workout
  • Lead a more active lifestyle outside the hall
  • Avoid prolonged sitting position
  • Provide the body with the necessary amount of carbohydrates

Inguinal sprain most often occurs in men, so they need to be doubly careful. Observance of elementary rules will help to maintain health and avoid painful injury to the groin area.

Despite the high regenerative properties of the muscles and ligaments of the inguinal region, precautions should be observed when playing sports. To get a similar injury in everyday life is almost impossible. A painful and sometimes long-term restoration of health negatively affects the quality of life of the injured. The prognosis for the treatment of ligaments is mostly positive.

Tapping ligaments. Is this an effective treatment method?