Comparative analysis of treatment strategies for groin injuries in athletes: Effects on successful recovery and recurrence of sports conditions – A systematic review

Core muscle injuries, characterized by pubic region pain from muscle and tendon damage, present challenges in athletic recovery. Treatment for pubic pain in athletes often involves a combination of clinical approaches and surgical interventions, typically requiring long recovery periods. This study...

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Main Authors: João Vitor de Castro Fernandes, Andre Pedrinelli, Jacobo Ángel Rubio-Arias
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Apunts Sports Medicine
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666506925000057
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author João Vitor de Castro Fernandes
Andre Pedrinelli
Jacobo Ángel Rubio-Arias
author_facet João Vitor de Castro Fernandes
Andre Pedrinelli
Jacobo Ángel Rubio-Arias
author_sort João Vitor de Castro Fernandes
collection DOAJ
description Core muscle injuries, characterized by pubic region pain from muscle and tendon damage, present challenges in athletic recovery. Treatment for pubic pain in athletes often involves a combination of clinical approaches and surgical interventions, typically requiring long recovery periods. This study systematically reviews the treatment methods for groin pain in athletes and evaluates the return to sports outcomes. A total of 86 studies were reviewed, with 30 included in the qualitative analysis. The findings suggest a stepwise approach starting with conservative treatments, such as shockwave therapy, manual therapy, and exercise. If no improvement is observed within 3 to 6 months, surgery is considered. Procedures like adductor tenotomy and selective release have shown effectiveness in facilitating return to sports. Core muscle injuries require personalized treatment plans, with promising outcomes from conservative methods and effective surgical options for severe cases, leading to safe and complete recovery in most athletes. Level of evidence: 1
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series Apunts Sports Medicine
spelling doaj-art-a97494bcf01f4e6a9319221851abda3b2025-02-08T05:01:19ZengElsevierApunts Sports Medicine2666-50692025-07-0160227100481Comparative analysis of treatment strategies for groin injuries in athletes: Effects on successful recovery and recurrence of sports conditions – A systematic reviewJoão Vitor de Castro Fernandes0Andre Pedrinelli1Jacobo Ángel Rubio-Arias2Sports Division, Institute of Orthopedics and Traumatology, Faculty of Medicine, Hospital das Clínicas, IOT HCFMUSP, University of São Paulo, São Paulo, Brazil; Facultad de Ciencias de la Actividad Fisica y el Deporte, Universidad Europea de Madrid, Spain; Corresponding author at: Department of Physical Medicine and Rehabilitation, School of Medicine, Complutense University of Madrid. Pl Ramón y Cajal, Pabellón 6, Planta 5ª, Madrid 28040, Spain.Sports Division, Institute of Orthopedics and Traumatology, Faculty of Medicine, Hospital das Clínicas, IOT HCFMUSP, University of São Paulo, São Paulo, BrazilFacultad de Ciencias de la Actividad Fisica y el Deporte, Universidad Europea de Madrid, Spain; Education Department, Universidad de Almería, SpainCore muscle injuries, characterized by pubic region pain from muscle and tendon damage, present challenges in athletic recovery. Treatment for pubic pain in athletes often involves a combination of clinical approaches and surgical interventions, typically requiring long recovery periods. This study systematically reviews the treatment methods for groin pain in athletes and evaluates the return to sports outcomes. A total of 86 studies were reviewed, with 30 included in the qualitative analysis. The findings suggest a stepwise approach starting with conservative treatments, such as shockwave therapy, manual therapy, and exercise. If no improvement is observed within 3 to 6 months, surgery is considered. Procedures like adductor tenotomy and selective release have shown effectiveness in facilitating return to sports. Core muscle injuries require personalized treatment plans, with promising outcomes from conservative methods and effective surgical options for severe cases, leading to safe and complete recovery in most athletes. Level of evidence: 1http://www.sciencedirect.com/science/article/pii/S2666506925000057PubalgiaGroin injuriesConservative therapiesSurgical interventionAthlete recovery
spellingShingle João Vitor de Castro Fernandes
Andre Pedrinelli
Jacobo Ángel Rubio-Arias
Comparative analysis of treatment strategies for groin injuries in athletes: Effects on successful recovery and recurrence of sports conditions – A systematic review
Apunts Sports Medicine
Pubalgia
Groin injuries
Conservative therapies
Surgical intervention
Athlete recovery
title Comparative analysis of treatment strategies for groin injuries in athletes: Effects on successful recovery and recurrence of sports conditions – A systematic review
title_full Comparative analysis of treatment strategies for groin injuries in athletes: Effects on successful recovery and recurrence of sports conditions – A systematic review
title_fullStr Comparative analysis of treatment strategies for groin injuries in athletes: Effects on successful recovery and recurrence of sports conditions – A systematic review
title_full_unstemmed Comparative analysis of treatment strategies for groin injuries in athletes: Effects on successful recovery and recurrence of sports conditions – A systematic review
title_short Comparative analysis of treatment strategies for groin injuries in athletes: Effects on successful recovery and recurrence of sports conditions – A systematic review
title_sort comparative analysis of treatment strategies for groin injuries in athletes effects on successful recovery and recurrence of sports conditions a systematic review
topic Pubalgia
Groin injuries
Conservative therapies
Surgical intervention
Athlete recovery
url http://www.sciencedirect.com/science/article/pii/S2666506925000057
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AT andrepedrinelli comparativeanalysisoftreatmentstrategiesforgroininjuriesinathleteseffectsonsuccessfulrecoveryandrecurrenceofsportsconditionsasystematicreview
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