The complex diagnosis and treatment of groin pain in athletes requires a multidisciplinary treatment approach, discussed in detail in this review. Groin pain has a variety of causes, usually trauma, overuse, inflammation, and infection. History and clinical findings do not guarantee a correct or a complete diagnosis. Plain radiography, ultrasound, CT, MRI, herniography, and scintigraphy are useful measures in the diagnostic procedure. Physical therapy, anti-inflammatory drugs, and, in a few conditions, local cortisone injections are the primary treatments of choice. In patients whose groin pain is caused by evident herniae, posterior weak inguinal walls, tendon injuries, or nerve entrapment, surgery is recommended.
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