During the past 4 weeks
Scoring categories
How would you describe the pain you usually have in your groin?
0. None
1. Very mild
2. Mild
3. Moderate
4. Severe
Have you been troubled by pain from your groin in bed at night?
0. No nights
1. Only one or two nights
2. Some nights
3. Most nights
4. Every night
Have you had any sudden, severe pain—“shooting,” “stabbing,” or “spasms” from your groin?
0. No days
1. Only 1 or 2 days
2. Some days
3. Most days
4. Every day
Have you been limping when walking because of your groin?
0. Rarely/never
1. Sometimes or just at first
2. Often, not just at first
3. Most of the time
4. All of the time
For how long have you been able to walk before the pain in your groin becomes severe (with or without a walking aid)?
0. No pain for 30 min or more
1. 16–30 min
2. 5–15 min
3. Around the house only
4. Unable to walk at all because of the pain
Have you been able to climb a flight of stairs?
0. Yes, easily
1. With little difficulty
2. With moderate difficulty
3. With extreme difficulty
4. No, impossible
Have you had any trouble getting in and out of a car or using public transportation because of your groin?
0. No trouble at all
1. Very little trouble
2. Moderate trouble
3. Extremely difficult
4. Impossible to do
How much has pain from your groin interfered with your usual work, including housework?
0. Not at all
1. A little bi
2. Moderately
3. Greatly
4. Totally
Classification | Characteristics |
|---|---|
Type 1 | Pain after activity only |
Type 2 | Pain during activity, not restricting performance |
Type 3 | Pain during activity, restricting performance |
Type 4 | Chronic, unremitting pain |
Postoperative rehabilitation consists of three separate phases.
21.3.1 Phase I
Phase I occurs during the first week after surgery. Patients are discharged home with full weight bearing using crutches for assistance. The goal is to allow the wound to heal to prevent reattachment of the adductor longus tendon [4].
When a complete tenotomy is performed, some authors advise only regular ice packs 10–20 min several times a day for the first week [14, 15]. We advise a closed-chain adductor strengthening exercise program starting 2 days after surgery. By postoperative day 3, patients are instructed to stretch the legs (without pain) into wide abduction every 2–3 h (Fig. 21.1). Some advise the use of pillows between the legs when sleeping to maintain abduction [4, 16].
