Nonsurgical Management of Adductor-related groin pain with Ultrasound-Guided Platelet-Rich Plasma Injection and Physical Therapy in a Competitive Soccer Player: A Case Report.
Giorgio Zeppieri, Micheal S Smith, Ryan P Roach
PMID 38966832WHAT IT FOUND
A 17-year-old soccer player with adductor-related groin pain returned to sport at six weeks after an ultrasound-guided injection of platelet-rich plasma with lidocaine and Depo Medrol, plus physical therapy.
This is a case report, not proof the injection caused the improvement.
Key findings
01The player returned to full sport at six weeks after the injection and physical therapy program.
02His self-reported hip and groin function and lower extremity function improved by amounts the paper reports as clinically important.
03He achieved his patient-specific goals of kicking, pivoting while running, and competing without pain or limitation.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
This is a case report, so it describes what happened to a patient and cannot show that the treatment works. The patient received platelet-rich plasma, lidocaine, Depo Medrol, physical therapy, and scheduled orthopedic follow-up at the same time, so the contribution of any single component cannot be separated. The authors state that physical therapy alone or tissue healing time could produce similar outcomes. Outcomes were measured only at initial evaluation and discharge, so longer-term durability is not shown. The patient was a 17-year-old competitive soccer player, so the result may not apply to other ages, sports, or causes of groin pain.
The easy way to misread this
Do not read this as proof that platelet-rich plasma injection causes return to sport for adductor-related groin pain. The player received platelet-rich plasma with lidocaine and Depo Medrol plus physical therapy, and the authors state that physical therapy alone or tissue healing time could produce similar outcomes.