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

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

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Bibliographic Details
Published in:Journal of the Canadian Chiropractic Association 2015-10, Vol.59 (4), p.390-397
Main Authors: St-Onge, Eric, MacIntyre, Ian G, Galea, Anthony M
Format: Article
Language:English
Subjects:
Athletes
Care and treatment
Case Report
Complications and side effects
Development and progression
Exercise
Health aspects
Hernia
Hockey players
Manipulative therapy
Medical diagnosis
Pain management
Patient outcomes
Strategic planning (Business)
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Summary: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. A professional hockey player with recurrent groin pain presented to the clinic after an acute exacerbation of pain while playing hockey. 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. This case demonstrated the importance of a multidisciplinary team and the need for advanced imaging in athletes with groin pain. 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.
ISSN:0008-3194