adductor injury 
The groin injury is a nuisance very common among footballers,
distance runners and basketball players, but also observed in practitioners of riding.
The injury is caused by inflammation of the adductor muscles
(
see picture) thigh at its junction with the pubis. This muscle group has a common point of insertion with muscles of the lower abdomen, and whose function is flexion of the hip and thigh lift, an exercise that is repeated in the aforementioned sports.
The adductor tendonitis, and osteopathy of pubis inguinocruralgias are one of the most common causes of groin pain in athletes, although not the most frequent as previously believed.
Differential diagnosis is the shock
femoro-acetabular , today recognized as the cause of pain in hip and groin pain more common in athletes. Moreover, many cases of femoro-acetabular collision course with shrink-shortening of the abductor tendon.
adductor muscles and abdominal muscles act like the horns of a mill whose axis is the symphysis pubis. Any imbalance (muscular imbalance of the muscles listed above, repetitive use of wet footballs-heavy, sudden changes in training, improper training, ...) will cause an alteration of the forces, shear effect on the symphysis pubis and therefore local pathology that will result in pain and functional disability in the patient.
The frequency of use of the adductors usually cause fatigue and therefore suffering, and a predominance by volume with respect to the abdominal muscles, causing an imbalance
which is the main cause of pain in the pubic area, this factor must be added improper techniques of kicking and stretching enough.
Apart from the pain in the lower abdomen and groin, the athlete reported difficulty and pain for the changes in speed and direction, powerful kick or long (gameplay changes), and joint actions as coughing or to get out of bed.
Three
adductor muscles or approximators throw from the hip, the femur of a leg inward crossing it and bringing it to the other, while the abductors or separators
, away or separate the thigh from the midline.
If you run uphill or climb stairs, the adductors work to pull the thigh when the leg moves forward, to achieve greater economy of movement. Therefore, excessive repetition stride can cause a great overhead forced these muscles
In fact, tend to show a degree of hardness overhead when our support pedis or running form is not correct. It happens that when we had an injury or discomfort in the leg, try stepped on or run naturally varying career, consciously or unconsciously . The result is often adductor contracture which, if maintained for several days, can lead to severe discomfort that eventually limiting our stride and let us run it will make them uncomfortable.
The adductors are muscles that need to be "heard in time." With minimal discomfort they will take the necessary conservative measures, from reduced time and distance of our filming in rather soft ground, to rest for several days if the discomfort does not subside. Therefore
between THE CAUSES that can lead to this pathology, we have:
.- Intrinsic factors
shortening of the lower hip dysplasia
hyperlordosis
lumbar spondylolysis
Deficiencies of the abdominal wall and / or inguinal. Extrinsic
sports field quality (heavy and slippery ground) Depletion
sports or overtraining
programming error
training
dangerous practice of certain movements
To qualify the degree of fitness of the individual , identifying three classes:
Good fitness, with specific work the abdominal muscles and proper stretching exercises. Mal
fitness, the individual trains regularly, however, is misdirected training which does not recognize the importance of the affected muscle chains or perform adequate stretching. Null
fitness, the individual does not train specifically for the sport. This is a sport practiced sporadically subject without a training routine throughout the competition.
DIAGNOSIS is mainly clinical, the broker referred pain in the pubis in association with sport. Physical examination causes pain in the groin to the approximation of the leg against resistance of the examiner, the median adductor tendon is tender to palpation, and even the inguinal ring may appear painful and long.
Other diagnostic tests that can confirm the existence of the injury and help inform us about its evolutionary status and treatment, however, would be secondary, because for us the diagnosis is purely clinical. Anteroposterior pelvic X-ray standing in support unipodal bipodal and where we could assess pelvic instability, Lateral radiograph of the pelvis and anteroposterior and lateral lumbar radiographs, assessing structural alterations that may contribute to injury. Adductor muscle ultrasound, scintigraphy, magnetic resonance imaging, and more useful from our point of view is:
isokinetic dynamometry enabling us to assess possible muscle imbalances in the pelvis and do the job compensation for treatment and prevention of groin injury.
Differential diagnosis should rule out other conditions such as appendicitis, inguinal hernias, muscle tears, dynamic osteopathy of pubis, kidney disorders, osteoarthritis of the hip, or sciatic epiphysitis symptomatic similarity.
STRETCHING FOR Adductor
In the following pages you can see the difference between abductors , technically known as pelvitrocantéreos , which lie deep in the back of the pelvis and, give more data, often are involved in pathologies associated with the sciatic nerve:
Stretching the groin
you can see here
And
adductors, which are what we are studying, you can see here
and with the help of a rope
. Finally, yet another, this time on the ground
Apart from those described on the page indicated, repeat and / or add the following:
1 - This exercise is performed with the buttocks resting on the wall. Place your elbows on the inside of the knees and push the legs to the ground. The back should always be straight.
2-At the same initial position as last year, is catching the ankles or feet and buttocks are pushed. Exhale and bow forward, back straight, trying to lower your chest toward the floor.
3 - Lying on your back with knees bent, keep the heels and soles of feet together as they head to buttocks. Breathe out and separate the knees all you can, keeping the soles of the feet in contact.
4 - Down to 'planes' on the ground about 30 inches apart and the toes slightly turned out, put your elbows on the inside of thighs, exhale, and push the legs outward with your elbows.
5 - Sitting on the floor with your legs as wide as you can, let fall his arm and raise the other over the head. Breathe out, the trunk and flexionadlo rotad forward, tilting the top of the corresponding leg.
6 - Sitting on the floor with your legs as wide as you can, breathe out, CIRAD trunk, and slowly extendedlo on one leg holding the corresponding footnote. Concentrate on keeping your lower back and legs extended, and heels against the floor.
NOTE: In all these stretches should remain the position for 20 or 30 seconds. These exercises, performed before and after our training, can help prevent problems in the adductors.
to stretch these muscles Eye: The degree of concentration of the session of "stretching" should be maximum, because the overstretched slight tension around the table can feed back to increase the severity of the injury. It is very advisable to do so analytical, sensing and locating autoelongación ("isolating") groin area that has been bothering us. it is more important to make stretching a couple of times a day make for a long time or many times.
EXERCISES:
Lying on your back, slowly bring the heel of the injured leg (knee bent) to the buttocks, making several stops to take the opportunity to perform painless stretch of at least twenty seconds.
Seated in stand-Buddha " try to open both legs gently to the slight resistance of the elbows, we focus on the affected leg repeating the same technique without hurt and no 'bounce' .
When isometric exercises can be performed without pain work by pressing a ball or ball (the size of a handball) between the knees and between the feet, keeping ten or twelve seconds, even without pain. These exercises can be done using a tight rubber ankles or knees, to create some resistance band.
The joint mobilization of the hip and knee, pain-free arcs of flexion, extension, external and internal rotations, separation and approach will facilitate the recovery of the adductor muscles, integrating quickly in their proper kinetic chain.
If the above measures were not enough, should consult, without delay, to a sports doctor to guide the diagnosis and apply the appropriate treatment, which will settle the inflammation and pain without forgetting the correction of the possible causes of injury .
therapeutic massage adductors is a complicated set of maneuvers that have nothing to do with the unfortunately becoming more common, consisting download massage "put a lot of fingers" (leaving sometimes marked "bruises"). If any areas need to be exact, at the location palpated manual techniques and muscle congestion, is in the groin.
decoaptación maneuvers of pubic rami are necessary if the pelvic block is the origin of adductors syndrome.
taping Applying in groin requires also an exquisite knowledge not only of the location of the muscles, it is also necessary to know accurately the passage of vessels and nerves groin.
The anti-inflammatory drugs is reduced to the first three days of acute, then falls very effective. It discourages the use of relaxants muscle, being more convenient defatigantes homeopathic muscle type as "Rendimax"
The local infiltration of anesthetic and steroidal anti-inflammatory treatment may be overkill for what little they can solve the long term. While the short term reduce symptoms improving the picture, side effects, ultimately, are not negligible.
Text taken from Gilo Francisco's Blog
Well, that following the advice of Oberon Clinic when I did my stress test, I recommend that if templates had better put aside Pronator shoes and bought me a neutral because the otherwise made to work the body 2 times, we corrected it 2 times, once in the template and the other by the shoe. So this afternoon I approached Bikila Madrid (Avenida San Sebastian. Metro Sales / El Carmen), the truth is a shop in Madrid that gives pleasure to shop, had ordered it and today I went for them so I'll see if this weekend I have hollow and taste a bit if I am allowed my hamstring! 
I have also and I bought a pair of these cords for triathlete, I will try to see how it works in my other shoes and if I like the change to new, I'll tell you. 
