Adductor Tear, Osteitis Pubis and an Inguinal Hernia!

I've been lurking on these boards for a few months now, so finally decided to post up.

I play a fair bit of soccer, indoor 2-3 times a week and outdoor + training during the season in addition to free weights. Late last season my left groin started pulling up sore after around 30mins of a game which progressed into quite a sharp pain once I had cooled down but after a nights sleep walking was pain free. So I pushed through and continued to play for awhile.

I started off at a Physio who originally suspected an adductor tendon issue, but eventually changed his mind to osteitis pubis. I got the shits with a physio as he seems to have a "technique of the day" that he performed on all patients and felt that he was just making the sessions longer for cash. After that I booked into a sport physician who put me through a course of anti-inflams and instructions to rest up.
So I finished the course of drugs and went back, still had some pain so a MRI was booked. and the result is

- Adductor Longus Tendon torn
- Osteitis Pubis
- Internal Inguinal Hernia

As a result running is out for a while and I will be focusing on lifting and cardio. While squats and deads where my favorite lifts, they now have to take a rest as they aggravate the injuries. guess its time to get my upper body into shape and matching all the leg work i seem do .

has anyone else continued a cut down traiing routine while recovering from similar injuries? Haven't had a crack at swimming yet but its on my lift to try.

-josh

talk to PTC, he fixes footballers with osteitis pubis all the time

good luck with your recovery

and can you post the recommendations please

jzpowahz said:

and can you post the recommendations please

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Been doing the following based on some brief info in one of the posts Markos. Started quite lite on a couple due to the tendon tear and will see how it goes.

Ukranian Deadlift - 20 x 40kg. 1 set.
Bent Knee Good Morning - 10 x 20kg. 3 set
Stiff legged deadlift - 10 x 40Kb. 3 set.
hip abduction using elastic bands - 15 reps 3 sets
Leg raises (lying down, bring knees upto chest and back). Just body weight at the moment. 15reps 3 sets.

I haven't had a chance to contact Markos yet and to be honest I don't know if he wants some random forum dude hitting him up for more advice.

I have had less pain in the groin/hip area and it all feels a bit tighter since the first session on Sunday.

jzpowahz said:

and can you post the recommendations please

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Spoke to Markos and he recommended to add some squats. Apart from that the routine was good.

Sent from my Nexus One

Hmm...I know I can't squat or Ukranian deadlift just about any weight without pain. I'm off to physio on Monday and doctor's next week to sort out an MRI.

Oh and thanks for that

well mine just got far worse. stretched legs too far doing bjj and now VERY sore. THis was 3 days ago. Previous MRI said basically, it should sort itself out but this was before this incident. Back to the doctor's today and probably have to get another MRI.

Currently hurts groin when I tense ab muscles or sneeze or anything so I am thinking there is something seriously wrong

Had to quit football at the end of last season because of osteitus pubis. My problem was running on hard surfaces and having weak core and leg development.
If it is OP, i suggest you stop all hard physical exercise and only do swimming and cycling. Once pain free, slowly improve your core and leg muscles.
Did your doc check your hip alignment?

Previous MRI said no labral tear in groin. (3 weeks ago)

Just went for ultrasound then. They couldn't finish it cause I couldn't take the pain. Just the light pressure from the ultrasound machine basically right at the leg to pubic area was absolutely crazy painful. Have to get referral for another MRI now instead. I just hope they don't ask to do the injection of whatever it was into the hip like they did last time as I don't think I could take it. From the reading I've been doing, I suspect it could be an inguinal hernia. I will not be doing anything at all, I can't even walk properly.

Just went and saw hip specialist.


He did some tests (hurt) and basically reinforced the fact that I have torn the tendon off the hip bone. But explained how the tendon attaches and it isn’t only at one point. It’s basically centrally connected and with a whole heap of muscle fibres surrounding it and those fibres are still attached (otherwise I would have no control of that part of leg basically).

He said because of the sport I do that he wouldn’t recommend surgery because A) require full flexibility in the long run (sideways splits style) B) recovery time would be similar in both cases (as they have to chop a tendon and then it has to regrow in between)

Said to basically wear compression pants 24/7 to increase blood circulation (for healing). Also, the hip joint has a lot of blood flow anyway (good for recovery as opposed to say a tendon in the wrist) which is why I am still very swollen.

Keep taking anti-inflammatories. Work with sports doctor (Peter Welsh) and physio to get some sort of recovery program.

If I’m not happy with progress in about 2 months, go back to see specialist and they may give me some injections to speed up tendon growth.

Expected full recovery time is 6-9 months.

jzpowahz said:

Just went and saw hip specialist.......Said to basically wear compression pants 24/7 to increase blood circulation (for healing).....

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Hope you cut a hole for your nuts man, could get a bit uncomfortable after a while . That recovery time sucks. What sport do play that requires the side stepping?


I'm now three weeks post surgery for the hernia. Pain has subsided substantially with just a small amount at the peak of a "squeeze test". so off to see the sports physician again for an update. but with any lucky i'll be running within 4 weeks.

I do mma so it's more the full sideways splits flexibility that is quite often required.

Also, re these exercises.

Ukranian Deadlift - 20 x 40kg. 1 set.
Bent Knee Good Morning - 10 x 20kg. 3 set
Stiff legged deadlift - 10 x 40Kb. 3 set.
hip abduction using elastic bands - 15 reps 3 sets
Leg raises (lying down, bring knees upto chest and back). Just body weight at the moment. 15reps 3 sets.

Can you do them now or was this before surgery?

I'm still having trouble lifting my leg or anything so there is absolutely no way I could do any of them.

Bumping this up.

5 months post injury now and I can now squat and deadlift again and do "most" things. What I'm having an issue with is that I can still feel the tightness in my groin when I try and sprint. I cannot take any sort of decent length stride. I've only just started to do some hip flexor stretching again as I was scared to do it basically. I will do some more groin stretches also.

I was doing PTC beginners program exercises for ages so incorporating SLDL's and they are all good and back to the weight I was pre injury so I don't think it is a strength thing as much as a ligament/tendon length thing.

I can throw head kicks again so I have the same flexibility there but if I try and do a vertical leap test I can't do shit. Feels bad.

Any advice as to how I get my flexibility/explosiveness back? (will also be seeing physio tomorrow for advice)

jzpowahz said:

Bumping this up.

5 months post injury now and I can now squat and deadlift again and do "most" things. What I'm having an issue with is that I can still feel the tightness in my groin when I try and sprint. I cannot take any sort of decent length stride. I've only just started to do some hip flexor stretching again as I was scared to do it basically. I will do some more groin stretches also.

I was doing PTC beginners program exercises for ages so incorporating SLDL's and they are all good and back to the weight I was pre injury so I don't think it is a strength thing as much as a ligament/tendon length thing.

I can throw head kicks again so I have the same flexibility there but if I try and do a vertical leap test I can't do shit. Feels bad.

Any advice as to how I get my flexibility/explosiveness back? (will also be seeing physio tomorrow for advice)

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Nothing in the beginners program is going to strengthen your adductors if they are the problem.

It was predominantly hip flexor avulsion off pelvis bone but also minor tear in adductor. SLDL's were listed for this and I've been doing them (as well as UDL's lately). I'll try and add some more of the recommended exercises from above.