{"id":10134,"date":"2022-03-08T17:58:25","date_gmt":"2022-03-08T16:58:25","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=10134"},"modified":"2022-03-08T17:58:25","modified_gmt":"2022-03-08T16:58:25","slug":"groin-pain-classification","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/groin-pain-classification\/","title":{"rendered":"Groin Pain Classification"},"featured_media":10136,"template":"","class_list":["post-10134","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":10136,"background_image_alt_text":"Groin Pain"},"heading":"Groin Pain Classification in Athletes | Doha Agreement | Groin Assessment","subheading":"Hip Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":"","button_anchor":"","button_url":"","button_file":null,"label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":null},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Groin Pain Classification in Athletes | Doha Agreement | Groin Assessment<\/h2>\nGroin pain in athletes is a common occurrence with groin injuries in male club football accounting for 4\u201319% of all injuries and 2\u201314% in women. Across different sports, males tend to have greater injury incidence than females.\nThe aim of the DOHA meeting was to find a consensus on the definition of groin pain and its classifications.\nThe classification system has three major subheadings of groin pain in athletes.\nthe defined clinical entities for groin pain are adductor-related, iliopsoas-related, inguinal-related, and pubic-related groin pain.\nFor all of these four entities, the athlete should report pain in the affected region that worsens on exercise during your history taking. To categorize athletes into these entities, palpation, resistance testing, and stretching of the affected muscle groups are used. It\u2019s important to note that the pain upon resistance testing should be felt in the affected structure. As an example, pain during resisted adduction should be felt in the adductor group and not in, say, the inguinal region, as this would not signify adductor-related groin pain. So let\u2019s look at the four entities in detail.\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=pDaTliU76dE[\/embed]\n\n<\/div>\n<h6><em>Number 1:<\/em><\/h3>\n<strong>Adductor-related groin pain:\u00a0<\/strong>\n\nAs previously mentioned pain felt in the adductor group during resisted adduction testing and tenderness over the adductor group signifies adductor-related groin pain.\n\n<strong>Iliopsoas-related groin pain:<\/strong>\n\nIndicators for this entity are Pain upon resisted hip flexion and hip-flexor stretching. Iliopsoas tenderness will be shear impossible to palpate.\n\n<strong>Inguinal-related groin pain:<\/strong>\n\nLocalized pain in the inguinal canal region AND tenderness of the inguinal canal with no palpable inguinal hernia present plus aggravation during resistance testing of the abdominal muscles OR on pressure increase such as during Valsalva\/cough or sneeze signify inguinal-related groin pain.\n\n<strong>Pubic-related groin pain:<\/strong>\n\nIt was agreed upon that local tenderness of the pubic symphysis and the immediately adjacent bone signify pubic-related groin pain.\n\n&nbsp;\n<h6><em><strong>Number 2: Hip-related groin pain.<\/strong><\/em><\/h3>\nThe members of the committee agreed that pain from the hip joint should always be considered as a possible cause of groin pain, especially if there is a suspicion through history or clinical examination.\n\nThis includes assessments for conditions such as femoroacetabular impingement or labral tears for which you can find a playlist in the top right corner.\n\n&nbsp;\n<h6><strong><em>And 3. Other causes of groin pain in athletes.<\/em><\/strong><\/h3>\nNext to the previous two subheadings, there may be other causes of groin pain namely other orthopedic, neurological, rheumatological, urological, gastrointestinal, dermatological, oncological, and surgical causes. These should be considered during your screening and history-taking process. A collection of conditions can be seen in this table.\n\nIf you are interested in rehab options, the <a href=\"https:\/\/www.physiotutors.com\/wiki\/copenhagen-adduction-exercise\/\">Copenhagen adduction exercise<\/a> has shown to be a valuable prevention tool for adductor-related groin pain.\n\n[cta]\n<h6><\/h3>\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26031643\/\" target=\"_blank\" rel=\"noopener\">Weir A, Brukner P, Delahunt E, Ekstrand J, Griffin D, Khan KM, Lovell G, Meyers WC, Muschaweck U, Orchard J, Paajanen H. Doha agreement meeting on terminology and definitions in groin pain in athletes. British journal of sports medicine. 2015 Jun 1;49(12):768-74.<\/a>\n\n<a href=\"https:\/\/bjsm.bmj.com\/content\/38\/4\/446\" target=\"_blank\" rel=\"noopener\">H\u00f6lmich P, H\u00f6lmich LR, Bjerg AM. Clinical examination of athletes with groin pain: an intraobserver and interobserver reliability study. British Journal of Sports Medicine. 2004 Aug 1;38(4):446-51.<\/a>"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the latest research<\/li>\n \t<li>Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t<li>And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our shop","button_style":"button-two","button_internal_link":4464,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""},{"acf_fc_layout":"review-slider","heading":"WHAT CUSTOMERS HAVE TO SAY ABOUT THE ASSESSMENT E-BOOK","image_shortcode":"","image":"","image_alt_text":"","shortcode":"[wprevpro_usetemplate tid=\"2\"]","button_type":"internal_link","button_label":"","button_style":"button-one","button_internal_link":"","button_anchor":"","button_url":"","button_file":null},{"acf_fc_layout":"cta-full-width-v2","logo":{"logo_image":22443,"logo_image_alt_text":""},"heading":"<strong>Download<\/strong> the free Physiotutors app now!","content_editor":"","download_image":{"download_image_image":22444,"download_image_image_alt_text":""},"mobile_download_image":{"mobile_download_image_image":22445,"mobile_download_image_image_alt_text":""},"download_image_link":"https:\/\/onelink.to\/6dtzk5","mockup_image":{"mockup_image_image":22447,"mockup_image_image_alt_text":""},"mobile_mockup_image":{"mobile_mockup_image_image":22446,"mobile_mockup_image_image_alt_text":""}}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Groin Pain Classification in Athletes | Doha Agreement | Groin Assessment<\/title>\n<meta name=\"description\" content=\"Groin pain classification in athletes according to the 2016 Doha Agreement is divided into 3 main categories. 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