Adductor Tendinopathy

Pathophysiology

The adductors are a group of muscles on the inside of the upper leg and groin area which help to stabilise the pelvis. It is a common site of injury in activities with high running loads, kicking and rapid changes of direction.

Symptoms

  • Gradual onset which is usually related to increased load
  • Pain in one or both pubic bones and adductors but can also be felt in the lower abdominal region and may radiate down the muscle
  • Pain presents after activity and is accompanied by stiffness
  • Pain on passive stretching
  • Pain on activation- squeezing legs together
  • Weakness on pushing the legs apart, loss of acceleration when running, loss of long kicking distance and vague discomfort with deceleration

Management

  • Activity modification
  • Ice or heat
  • Pain relief
  • Physiotherapy including range of movement exercises and a graded strengthening programme

Investigations

  • Generally not indicated

Helpful Documents

Exercises to try:

e

Side Bridge

Begin lying on your side, propping yourself up on your elbow

Push through your feet and lift your hip up off the bed or floor

Hold for a few seconds then return to starting position and repeat

Adductor

Pillow Squeeze

Lying on your back with your knees bent and feet flat on the bed

Place a pillow or football in between your knees

Squeeze tightly together and hold for 10 seconds, relax and repeat

e

Elevated Pillow Squeeze

Lying on your back with your knees bent and feet elevated off the bed

Place a pillow or football in between your knees

Squeeze tightly together and hold for 10 seconds, relax and repeat

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