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J Can Chiropr Assoc. 2015 Dec;59(4):390-7.

Multidisciplinary approach to non-surgical management of inguinal disruption in a professional hockey player treated with platelet-rich plasma, manual therapy and exercise: a case report.

Author information

1
Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, M2H 3J1; Sports Sciences Resident, Division of Graduate Studies.
2
Private practice, Etobicoke, Ontario, Canada.

Abstract

in English, French

OBJECTIVE:

To present the clinical management of inguinal disruption in a professional hockey player and highlight the importance of a multidisciplinary approach to diagnosis and management.

CLINICAL FEATURES:

A professional hockey player with recurrent groin pain presented to the clinic after an acute exacerbation of pain while playing hockey.

INTERVENTION:

The patient received a clinical diagnosis of inguinal disruption. Imaging revealed a tear in the rectus abdominis. Management included two platelet-rich plasma (PRP) injections to the injured tissue, and subsequent manual therapy and exercise. The patient returned to his prior level of performance in 3.5 weeks.

DISCUSSION:

This case demonstrated the importance of a multidisciplinary team and the need for advanced imaging in athletes with groin pain.

SUMMARY:

Research quality concerning the non-surgical management of inguinal disruption remains low. This case adds evidence that PRP, with the addition of manual therapy and exercise may serve as a relatively quick and effective non-surgical management strategy.

KEYWORDS:

PRP; athletic pubalgia; chiropractic; inguinal disruption; platelet-rich plasma; sports hernia

PMID:
26816415
PMCID:
PMC4711326

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