Adductor Tendinopathy

  • The adductor group helps to stabilise the pelvis and connect the pelvis to the femur 
  • This is a common injury in activities with high running loads, rapid change of direction and kicking 
  • There can often be multiple clinical entities driving the pain

 

Image showing adductor muscle anatomy

Image showing adductor muscle anatomy

 

Subjective Examination:

  • Insidious onset, usually related to increased load
  • Usually felt in one or both pubic bones and adductors but can be centred on the lower abdominal or inguinal regions.
  • Pain presents following activity and is accompanied by stiffness 
  • It is important to establish the patients full training history where possible
  • May describe a history of recurrent adductor strains 

Objective Examination:

  • Localised medially in the groin, may radiate down the adductor muscle 
  • There will be pain on passive stretching 
  • Pain on palpation of the adductor tendon insertion
  • Pain on resisted adduction (squeeze test)
  • Weakness is also common 

Early signs to look out for:

  • Tightness/stiffness during or after activity with little relief from stretching 
  • Loss of acceleration when running
  • Loss of max sprinting speed
  • Loss of long distance kicking when running
  • Vague discomfort with deceleration

Treatment :

If you feel that your patient is suffering with an adductor tendonopathy then refer to a physiotherapist and we can work with the patient to get them back to sport through:

  • Pain free exercise
  • Identifying and reducing sources of load on the pelvis 
  • Improving lumbopelvic stability
  • Strengthening  local musculature 
  • Progressing to return to play level
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