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Suggest Treatment For Pain Due To Groin Pull

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Posted on Mon, 28 Jul 2014
Question: I am a very healthy 57 y.o. female, active intermittently but too much sitting working as a prison psychologist for 10 hr. shifts 4 days a week. The others days I am active swimming laps and doing yoga and riding a motorcycle. About two or three months ago I pulled the ligament in my groin, on the left side, when I was looking at the side of my motorcycle and then it slowly fell over onto me. I tried to keep it upright (to no avail) and that is how I pulled the groin ligament - I wasn't strong enough to keep it upright after it had fallen too far for me to rescue myself from being pinned. Getting up was not easy, my husband had to lift it off me. It was not immediately painful but there was some radiating burning into my left glute. It has remained painful but has been slowly diminishing. Then this past Wednesday, I rushed toward an exterior door at the prison that was being blown closed to avoid a long walk to another entrance. I felt a searing pain that caused my left knee to buckle. This was puzzling because I had no knee pain prior to that but it felt like I lost sudden complete control of the leg, but somehow managed to stumble out of it before hitting the pavement and then I was in some pain that day. It diminished and was getting better. Today I swam about thirty laps in an Olympic size pool. Later, around dinner time, I got up and could barely walk. This has persisted for about two hours. I took a hot bath in epsom salts - no relief. I iced the back of the knee area for 20 minutes - no relief. I have pain that feels like ongoing burning and combo feeling like a spasm, it seems to be emanating from my knee. It is almost impossible to ambulate. Actually it is almost excruciating - but only when I move. I am lying in bed, trying not to move. The pain is now also continuing up to the groin right where I had the "groin pull" that has been so slow in healing over the last few months. I think I must admit I have an injury. What should I do?
doctor
Answered by Dr. T Chandrakant (33 minutes later)
Brief Answer:
Clinical evaluation and MRIs, ASAP

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate: 57 years healthy female- pulled the ligament in my groin, on the left side - Getting up was not easy, my husband had to lift it off me- radiating burning into my left glute- past Wednesday- searing pain that caused left knee to buckle- Today I swam about thirty laps in an Olympic size pool- ongoing burning and combo feeling like a spasm-almost excruciating - but only when I move- continuing up to the groin right where I had the "groin pull".

After re-reading my thoughts are::
The previous injury at the groin area was overlooked, it took a long time to heal. This means it was not diagnosed what it was. The pain for a long time allows the body to get weakening of that part, allowing other injuries as you had on the knee on the same side.

I think a good clinical examination by an Orthopedic Surgeon and a Physiotherapist will know about the power of the muscles, internal injury of the hip joint and knee joints and the injury to the nearby areas, ligaments , soft tissues and muscles ( power and all).
Insist on MRI of both hips and left knee to confirm the clinical diagnosis.
This will help plan the further management.
In the meantime you can have Ibuprofen just to reduce the pain. Try avoiding any movement of the lower limbs
Since both the joints are very important for a normal functioning , do not take any chance.
You should get your MRI of the hips the same day you had a problems as the impacted fractures of the neck femur and such things can be absolutely painless and do not cause much functional loss.
Well, there is no point thinking about the past, better to go ahead with faster and best diagnosis to get the best possible treatment so that you can continue to have the same fit and fine life at your age.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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Suggest Treatment For Pain Due To Groin Pull

Brief Answer: Clinical evaluation and MRIs, ASAP Detailed Answer: Hi. Thanks for your query and an elucidate history. To recapitulate: 57 years healthy female- pulled the ligament in my groin, on the left side - Getting up was not easy, my husband had to lift it off me- radiating burning into my left glute- past Wednesday- searing pain that caused left knee to buckle- Today I swam about thirty laps in an Olympic size pool- ongoing burning and combo feeling like a spasm-almost excruciating - but only when I move- continuing up to the groin right where I had the "groin pull". After re-reading my thoughts are:: The previous injury at the groin area was overlooked, it took a long time to heal. This means it was not diagnosed what it was. The pain for a long time allows the body to get weakening of that part, allowing other injuries as you had on the knee on the same side. I think a good clinical examination by an Orthopedic Surgeon and a Physiotherapist will know about the power of the muscles, internal injury of the hip joint and knee joints and the injury to the nearby areas, ligaments , soft tissues and muscles ( power and all). Insist on MRI of both hips and left knee to confirm the clinical diagnosis. This will help plan the further management. In the meantime you can have Ibuprofen just to reduce the pain. Try avoiding any movement of the lower limbs Since both the joints are very important for a normal functioning , do not take any chance. You should get your MRI of the hips the same day you had a problems as the impacted fractures of the neck femur and such things can be absolutely painless and do not cause much functional loss. Well, there is no point thinking about the past, better to go ahead with faster and best diagnosis to get the best possible treatment so that you can continue to have the same fit and fine life at your age.