Skip to main content
SpringerLink
Log in
Book cover

Sports Hernia and Athletic Pubalgia pp 183–187Cite as

Ancillary Modalities in the Treatment of Athletic Groin Pain: Local Anesthetics, Corticosteroids, and Orthobiologics

  • Chapter
  • First Online:

  • 1351 Accesses

Abstract

Athletic groin pain is a complex entity with a multitude of varying subtypes. It is important to best understand the anatomic structures that are affected in each particular situation and devise a treatment plan based on the affected structures. While it is certainly true that most elite athletes with chronic unremitting pubalgia will ultimately require a surgical solution, there are some who may respond favorably to conservative treatment. We have found injection therapy to be an important part of our conservative treatment algorithm and recommend that the type of injection be considered on a case by case basis.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Gerhardt MB, Brown JA, Giza E. Occult groin injuries: athletic pubalgia, sports hernia, and osteitis pubis. In: Johnson, Pedowitz, editors. Practical orthopaedic sports medicine and arthroscopy. Philadelphia: Lippincott, Williams & Wilkins; 2007.

    Google Scholar 

  2. Nam A, Brody F. Management and therapy for sports hernia. J Am Coll Surg. 2008;206:154–64.

    Article  PubMed  Google Scholar 

  3. Ekberg O, Persson NH, Abrahamsson PA, et al. Longstanding groin pain in athletes. A multidisciplinary approach. Sports Med. 1988;6:56–61.

    Article  CAS  PubMed  Google Scholar 

  4. Lynch SA, Renstrom PA. Groin injuries in sport: treatment strategies. Sports Med. 1999;28:137–44.

    Article  CAS  PubMed  Google Scholar 

  5. O’Connell MJ, Powell T, McCaffrey NM, O’Connell D, Eustace SJ. Symphyseal cleft injection in the diagnosis and treatment of osteitis pubis in athletes. AJR Am J Roentgenol. 2002;179:955–9.

    Google Scholar 

  6. Foster TE, Puskas BL, Mandelbaum BR, Gerhardt MB, et al. Platelet-rich plasma: from basic science to clinical applications. Am J Sports Med. 2009;37: 2259–72.

    Article  PubMed  Google Scholar 

  7. Hall MP, Band PA, Meislin RJ, et al. Platelet-rich plasma: current concepts and applications in sports medicine. J Am Acad Orthop Surg. 2009;17:602–8.

    PubMed  Google Scholar 

  8. Sánchez M, Anitua E, Orive G, et al. Platelet-rich therapies in the treatment of orthopaedic sport injuries. Sports Med. 2009;39:345–54.

    Article  PubMed  Google Scholar 

  9. De Mos M, van der Windt AE, Jahr H, et al. Can platelet-rich plasma enhance tendon repair? A cell culture study. Am J Sports Med. 2008;36:1171–8.

    Article  PubMed  Google Scholar 

  10. Engerbretsen L, Steffen K, Alsousou J, et al. IOC consensus paper on the use of platelet-rich plasma in sports medicine. Br J Sports Med. 2010;44:1072–81.

    Article  Google Scholar 

  11. Sampson S, Gerhardt M, Mandelbaum B. Platelet rich plasma injection grafts for musculoskeletal injuries: a review. Curr Rev Musculoskelet Med. 2008;1:165–74.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Akita K, Niga S, Yamato Y, et al. Anatomic basis of chronic groin pain with special reference to sports hernia. Surg Radiol Anat. 1999;21:1–5.

    Article  CAS  PubMed  Google Scholar 

  13. Muschawek U, Berger L. Minimal repair technique of sportsmen’s groin: an innovative open-suture repair to treat chronic groin pain. Hernia. 2010;14: 27–33.

    Article  Google Scholar 

  14. DeChellis D, Cortazzo H. Regenerative medicine in the field of pain medicine: prolotherapy, platelet-rich plasma and stem cell therapy – theory and evidence. Tech Region Anesth Paoin Manag. 2011;15: 74–80.

    Article  Google Scholar 

  15. Linetsky F, Botwin K, Torres F, et al. Position paper of the Florida Academy of Pain Medicine on regenerative injection therapy: effectiveness and appropriate usage. Pain Clin. 2002;4:38–45.

    Google Scholar 

  16. Banks AR. A rationale for prolotherapy. J Orthop Med. 1991;13:54–9.

    Google Scholar 

  17. Aneja A, Karas SG, Weinhold PS, et al. Suture plication, thermal shrinkage, and sclerosing agents: effects on rat patellar tendon length and biomechanical strength. Am J Sports Med. 2005;33:1729–34.

    Article  PubMed  Google Scholar 

  18. Liu YK, Tipton CM, Matthes RD, et al. An in situ study of the influence of a sclerosing solution in rabbit medial collateral ligaments and its junction strength. Connect Tissue Res. 1983;11:95–102.

    Article  CAS  PubMed  Google Scholar 

  19. Jensen KT, Rabago DP, Best TM, et al. Response of knee ligaments to prolotherapy in a rat injury model. Am J Sports Med. 2008;36:1347–57.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Rabago D, Best TM, Beamsley M, et al. A systematic review of prolotherapy for chronic musculoskeletal pain. Clin J Sport Med. 2005;15:376–80.

    Article  PubMed  Google Scholar 

  21. Topol GA, Reeves KD. Regenerative injection of elite athletes with career-altering chronic groin pain who fail conservative treatment: a consecutive case series. Am J Phys Med Rehabil. 2008;87:890–902.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Sports Medicine, Santa Monica Orthopaedic and Sports Medicine Group, Institute for Sports Sciences, Cedars-Sinai Medical Center, 2020 Santa Monica Blvd., 4th Floor, Santa Monica, CA, 90404, USA

    Michael B. Gerhardt

  2. Santa Monica Orthopaedic and Sports Medicine Group, Institute of Sports Sciences, Santa Monica, CA, USA

    Bert R. Mandelbaum

  3. Department of General Surgery, Pacific Coast Hernia Center, St. John’s Health Center, Santa Monica, CA, USA

    William B. Hutchinson

Authors
  1. Michael B. Gerhardt
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Bert R. Mandelbaum
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. William B. Hutchinson
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michael B. Gerhardt .

Editor information

Editors and Affiliations

  1. Alfred R. Shands Professor of Orthopedic Surgery, Head Orthopedic Team Physician, Director, Sports Medicine Fellowship Program, University of Virginia School of Medicine, Charlottesville, Virginia, USA

    David R. Diduch

  2. Team Surgeon, St. Louis Blues, Professor of Surgery, Department of Surgery, Section of Minimally Invasive Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

    L. Michael Brunt

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Gerhardt, M.B., Mandelbaum, B.R., Hutchinson, W.B. (2014). Ancillary Modalities in the Treatment of Athletic Groin Pain: Local Anesthetics, Corticosteroids, and Orthobiologics. In: Diduch, D., Brunt, L. (eds) Sports Hernia and Athletic Pubalgia. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7421-1_16

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-7421-1_16

  • Published:

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7420-4

  • Online ISBN: 978-1-4899-7421-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation