Adductor injuries
An adductor injury can develop into enthesitis due to a chronic inflammatory process. Initially, an injury to the adductor muscles, such as a tear or overuse, causes microtrauma to the muscle fibers and their insertion into the bone. If not managed properly, these injuries can trigger persistent inflammation at the muscle-tendon junction (enthesis).
Factors such as overuse, inadequate rehabilitation, or lack of rest can exacerbate inflammation, promoting degenerative changes in the tissue and contributing to the development of enthesitis. This clinical picture is characterized by pain, stiffness, and tenderness in the enthesis, often associated with physical activity or direct pressure.
With well-designed physical therapy focused on individual needs and eliminating harmful stimuli, it is possible to achieve efficient and lasting recovery. Furthermore, when combined with harnessing the body’s natural regeneration processes, balanced nutrition, and a functional and integrative approach, well-being and quality of life are further enhanced.
Bibliographic References
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- Cook, J. L., & Purdam, C. R. (2009). Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. British Journal of Sports Medicine, 43(6), 409–416.
- Rees, J. D., Stride, M., & Scott, A. (2014). Tendons–time to revisit inflammation. British Journal of Sports Medicine, 48(21), 1553–1557.
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- D’Agostino, M. A., Olivieri, I., & Ferri, F. (2003). Entheseal involvement in spondylarthropathies. Clinical and Experimental Rheumatology, 21(3), 345–350.
- Khan, K. M., & Cook, J. L. (2000). Overuse tendon injuries: where does the pain come from? Sports Medicine, 29(3), 207–211.
- Biedert, R. M., & Warnke, K. (2001). Correlation between the tightness of the iliotibial band and patellofemoral pain syndrome. International Journal of Sports Medicine, 22(5), 331–336.
- Loppini, M., & Grassi, A. (2019). Current concepts in the management of tendon disorders. Journal of Orthopaedic Surgery and Research, 14(1), 58.
- Scott, A., Backman, L. J., & Speed, C. (2015). Tendinopathy: Update on Pathophysiology. Journal of Orthopaedic & Sports Physical Therapy, 45(11), 833–841.
- van der Heijden, R. A., Zwerver, J., & Bierma-Zeinstra, S. M. A. (2017). Tendinopathy and sports. Journal of Orthopaedic & Sports Physical Therapy, 47(5), 359–369.