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My patient is a 19 yr old WAFL football player with a 3yr Hx of bilateral groin pain L > R, he only played 12 games last yr. Treatment to date has consisted of massage, dry needling of adductor longus, NSAIDS and cortisone injections; all of which have had little change on his functional status. When i started treating player X at the beginning on pre-season i assessed his lumbopelvic stability and found he had poor control in single limb stance and he had an active lumbar extension pattern with poor TA recruitment. Therefore treatment consisted of glute med/TA retraining in NWB positions which progressed over 2/12 to functional football related postures. I slowly introduced running into his program then progressed distances and speed as well as direction changes etc. When pre-season games started i began him with 10 min a quarter and slowly increased his game time, on monday training he goes to the pool for recovery. Happily he is now playing painfree and dominating in the midfield.

The Manipulator