The Trail Blazers did not have their leading bench scorer for  Game 4 of their Western Conference semifinal series against San Antonio.  Mo Williams originally injured his left groin in Game 6 against Houston, then re-aggravated it in Game 2 against the Spurs.  He is questionable for Game 5 tonight. Mo williams

A groin pull is an injury to the muscles of the inner thigh. The groin muscles, called the adductor muscle group, consists of six muscles that span the distance from the inner pelvis to the inner part of the femur (thigh bone). These muscles pull the legs together, and also help with other movements of the hip joint. The adductor muscles are important to many types of athletes including sprinters, swimmers, soccer players, and football players.

A groin pull is an injury to the adductor muscles called a muscle strain.  When a muscle is strained, the muscle is stretched too far. Less severe strains pull the muscle beyond their normal excursion. More severe strains tear the muscle fibers, and can even cause a complete tear of the muscle. Most commonly, groin pulls are minor tears of some muscle fibers, but the bulk of the muscle tissue remains intact.

groin

 Groin pulls are usually graded as follows:

  • Grade I Groin Strain: Mild discomfort, often no disability. Usually does not limit activity.
  • Grade II Groin Strain: Moderate discomfort, can limit ability to perform activities such as running and jumping. May have moderate swelling and bruising associated.
  • Grade III Groin Strain: Severe injury that can cause pain with walking. Often patients complain of muscle spasm, swelling, and significant bruising.

The injury appears to be related to factors including hip muscle strength, preseason conditioning, and previous injury. Because of this, proper conditioning is of utmost importance to prevent the occurrence of a groin strain injury. Athletes  should incorporate adductor strengthening,  pelvic stabilization, and core strengthening into their workouts to prevent the occurrence of a pulled groin.

The initial management of an adductor injury should include protection, rest, ice, compression, and elevation (PRICE). Painful activities should be avoided. The use of crutches during the first few days may be indicated to relieve pain.

The athlete  should not be advanced to quickly back to his/her sport, as the injury may become a chronic condition. Acute strains easily can become chronic strains if proper time is not allowed for healing. Chronic strains are much more difficult to manage. Surgery is indicated in acute strains only when there is rupture and in select chronic strains that are refractory to conservative treatment.

Provided by the Primus Sports Medicine Staff-OB