Adductor - Groin 

Adductor Strain








What is it?      

A groin injury is a layman’s term for a muscle strain of the adductor muscles. A strain is a stretch or tear of a muscle or tendon. 

What does it feel like?

  • Bruising or swelling of the inner thigh

  • Pain when a person raises their knee

  • Pain when a person closes or opens their legs

  • The groin or inner thigh may feel warmer than usual

  • Muscles feel weak or tight

  • Limping or difficulty moving the leg

  • Pain can range from a dull ache to sharp pain. The pain will often be worse when walking or moving the leg.

  • A person may also experience spasms in the inner thigh muscles.

Why does this happen?

  • Groin strains are common amongst athletes who compete in sports that involve repetitive twisting, turning, sprinting and kicking.

  • Direct blunt trauma: An acute injury, typically a direct injury to the soft tissues resulting in muscle hematoma.

  • Forceful contraction: The most common groin injury in athletes is muscle and tendon strain of the adductor muscle group.

  • Change of direction and kicking have been described as the main actions resulting in adductor longus injury. 

  • Microtrauma by repetitive injury: musculotendinous injuries to the groin are mainly a consequence of cumulative microtraumas (overuse trauma, repeated minor injuries) leading to chronic groin pain.

Psoas Referral Pain







What is it?      

The iliopsoas is a muscle that runs from your pelvis and lower back down to your femur. Too much tension in this muscle group can cause pain in the lower back as well as the anterior thigh.


What does it feel like?

The most obvious symptom of a tight psoas is a restriction in the hip socket.1 The psoas literally moves over the ball of the femur head so when it is tight, it constrains rotation in the socket. Discomfort, pain, and aches in the front of the hip socket are symptoms of a tight lower psoas.

  • Anterior Thigh Pain

  • Appendicitis-like Pains

  • Groin Pain

  • Iliosacral Pain

  • Lumbar Pain

Why does this happen?

- Overuse or noted increase in training loads

- Weakness or muscle imbalances around the pelvis

Osteoitis Pubis

What is it?      

Osteitis pubis is a debilitating overuse syndrome characterizing by pelvic pain and local tenderness over the pubic symphysis commonly encountered in athletes often involved in kicking, twisting and cutting activities in sports such as soccer and rugby and to a lesser degree distance running. It is a common source of groin pain in elite athletes attributable to pubis sympysis instability as the result of microtrauma caused by repetitive muscle strains on pubic bones.


What does it feel like?

  • Anterior and medial groin pain

  • Exacerbated by walking, pelvic motion, adductor stretching, abdominal muscle strengthening exercises

  • Movement from a seated to a standing position may radiate into the lower abdominal muscles, perineum, inguinal region, scrotum or medial thigh.

  • Local pubis symphysis and pubic ramus tenderness and painful adductor muscle spasms

Why does this happen?

  • Decreased hip range of motion

  • Muscle tightness

  • Weak adductor strength

  • Previous injuries.

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