Groin and hip pain injectionsOctober 13, 2015 October 13, 2015
A few years back, Dean Reeves MD published research that showed the effectiveness of dextrose prolotherapy in elite male kicking-sport athletes with chronic groin pain. In our practice we see many patients that are diagnosed with chronic pelvic pain, groin pain and sometimes sports hernias. While chronic pelvic pain is more common in women, especially after pregnancy, we see chronic groin pain and sports hernia in both women and men. In some cases, we do not know why people develop chronic groin and pelvic pain unless they have an underlying weakness in their connective tissue structure.
Sports hernia is usually referred to when people experience a groin injury from athletics, but in fact, it is truly an upper groin injury similar to osteitis pubis. Athletes are also likely to experience a lower groin injury that is typically from a strain of the origin of the abductor magnus tendon on the pubic bone.
While many athletes will recover, some are recommended for surgery. However, in many cases surgery can be avoided with PRP or stem cell therapy – and fortunately we have many cases to prove this works great, with experience treating high level Olympic and professional football and hockey players.
Unfortunately, we see many women that have search for years to try to cure their chronic pelvic and growing pain. We have seen them diagnosed with problems such as osteitis pubis, pudendal neuralgia, and pelvic congestion syndrome. Often these patients will fail steroid injections, pudendal nerve blocks, pelvic surgery, and maybe recommended for hysterectomy. It is also common that these patients will have MRI confirmed damage to their sacroiliac joints and also to the symphysis pubis – and are told that joint fusion is the only option.
Fortunately, we have been able to help lots of patients sure their chronic pelvic pain and groin pain issues using regenerative orthopedic techniques. We have often found that is the ligaments and tendons structures that holding support the pelvic floor that becomes microscopically injured and strained that need to be repaired, rather than someone having a primary nerve problem. Damage to the pelvic floor and groin can occur either from sports, normal wear and tear, or pregnancy. And my career, I have seen a wide range of issues with patients ranging from low-grade chronic ache to painful urination (which was diagnosed as interstitial cystitis), and I will never forget about the physician who visited me who separated her symphysis pubis after her second pregnancy and was completely unable to walk. By using regenerative orthopedic methods such as prolotherapy, PRP (platelet rich plasma), and stem cells, we have been able to greatly help our patients.
In order to determine if someone is a good candidate for this type of procedure, they need to be fully evaluated by a physician who has significant experience in pelvic pain and groin problems, and has successfully treated patients with regenerative orthopedic techniques such as prolotherapy, PRP, and stem cells. If it is believed that they are a good candidate, patients can experience symptoms in as little as one treatment, but some may take a few months in order to start to experience the benefit of a reduction in pain. In our experience, most patients who have had significant relief of their chronic pelvic and growing pain have experienced the relief for years after the procedure. This is because regenerative orthopedic techniques try to heal we can and damaged tissue and treat the root of the problem, not just block a painful nerve.
Even when patients believe that they are at the end of the line and there is no cure for the problem, we have been able to help them recover and regain a meaningful, pain-free life. Free of pelvic pain and groin pain!
1. Topol GA, Reeves KD, Hassanein KM. Arch Phys Med Rehabil. 2005 Apr;86(4):697-702.Magaziner Center for Wellness
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