Adductor tendinopathy affects the tendon attachments of the adductor muscles to the pelvic bones.
There are five hip adductor muscles. The main function of these muscles is to pull the legs together, but they also play a role in stabilising the hip in the stance phase of running and changing directions.
They are used quite a lot in sprinting, playing football, horse riding and hurdling.
Tendon injuries (tendinopathies) are common. They can occur through overuse or as a result of a previous injury such as a groin strain.
I Think I Have Adductor Tendinopathy – What Does It Feel Like?
If you have an Adductor Tendinopathy, you will most likely have:
Pain in the groin at the top of the adductor muscles that can radiate down the leg.
Pain when lying on your back and trying to pull your knee to your chest with your hand on your knee (resisted hip flexion)
Pain at the point where the muscles attach to the bone in the groin.
Pain when you try and squeeze your fist between your knees
Have pain with running, especially sprinting and changing directions
Your Leading Edge Physiotherapist can confirm your diagnosis and commence the correct treatment at your initial appointment.
What Else Could Be Causing My Groin Pain?
Being such a complex interaction of muscles and joints, injury to the groin region is common in sport, but also in the normal population. Unfortunately, it is a sometimes difficult area to diagnose and treat, due to the myriad of conditions that can exist and co-exist at the same time.
Other common conditions in the groin region are: (hyperlinks to injury specific pages)
Why Do I Have Adductor Tendinopathy?
Injury up high in the adductor muscles (ie. a groin strain) will often lead to inflammation of the groin or a tendinopathy after the initial injury has healed.
It is not unusual to have a combination of adductor tendinopathy and the other similar injuries listed above (groin muscle strain, hernia, osteitis pubis etc).
Accurate assessment and appropriate management of your groin injury is vital in preventing long term, debilitating groin pain.
How Can Physiotherapy Help Adductor Tendinopathy?
Physiotherapists are well positioned to accurately diagnose the source of groin pain.
Each of the conditions that can lead to groin pain have a specific set of signs and symptoms that can used to help provide a diagnosis. Leading Edge Physios have been highly trained in special assessment techniques that can determine, for example, if you have a groin strain or an adductor tendinopathy, or both.
An accurate diagnosis is essential to ensure that the correct management plan is put in place.
Management usually follows the following pathway:
An initial period of rest to allow the irritated adductor tendon structures to “calm down”
During this period of rest, special exercises are prescribed to address the root cause of the adductor tendinopathy
A strengthening program is implemented to ready the body for return to sport
A graduated return to sport program is provided, including a detailed running program
The injury is then monitored during the return to sport to prevent recurrences
I Think I’ve Got Adductor Tendinopathy – What Do I Do Now?
As soon as possible, and for 72 hours after injury, use the RICE method:
Rest Take it easy and only move within your limit of pain.
Ice As soon as possible, and for 20 minutes every two hours, apply ice or a frozen gel pack wrapped in a damp towel. This helps to control bleeding and pain and reduces secondary tissue damage.
Compression of the injury (if appropriate – ie skins). This helps to control swelling.
Elevation As much as possible, elevate your injury higher than the level of your heart to reduce swelling.
If you are not sure if you need an assessment, you can ENTER YOUR DETAILS HERE and one of our physios will give you a call back to discuss your problem and work out the next step in your recovery.