What is the Treatment for Adductor Related Groin Pain (Tendinopathy or Tear)
When looking for treatment of adductor related groin pain what should you consider?
This is the type of injury that is best assessed and managed as soon as possible – early treatment of adductor related groin pain is best. Your Hip Pain Professional can provide a thorough examination and look for reasons underlying your condition. They will then develop a personalised recovery plan for you and put strategies in place for minimising the chances of reinjury.
Treatment almost always begins with some good advice and a targeted exercise program. Most people will get an excellent outcome with this approach. Early treatment is likely to lead to more rapid and complete recovery. For those that do not recover with education and exercise, there are extra options.
If you want to know more about what Adductor related groin pain is, its usual symtoms and possible causes make sure you check out our first in this two part blog series “What is Adductor Related Groin Pain and What is the Cause (Adductor Tendinopathy, Adductor Tear).” Click here to read more.
Key components in the Treatment of Adductor Related Groin Pain
Gaining an understanding of what the problem is and how to stop provoking it, is the first important step. This is often called ‘load management’. Your Hip Pain Professional can identify specific aggravating factors and provide individualised advice. Things you do regularly may be making the situation worse. For example, stretching for adductor tendinopathy is usually not recommended.
A specific and individualised exercise program is the other main aspect of treatment. Improvements can occur quickly, particularly if you have caught the problem early. If you have had the condition for a long time, progress may be slower. In either case, it is a good idea to continue an exercise program for at least 3-6 months. This will allow time to see the full effect of treatment. A slowly progressive loading program can be undertaken for not only the adductor muscles, but to improve strength and control around the whole hip and pelvis and throughout the lower limbs. As the pain reduces and strength improves, more sport-specific or demanding drills are introduced.
An exercise program can have many benefits such as:
- improving health and coordination of the hip and thigh muscles
- changing certain movement patterns to avoid excessive loads on the groin region
- improving ability of your muscles to better share physical loads
- improving tendon health and ability to tolerate physical loads
- reducing pain
- improving ability to perform normal daily tasks
- increasing confidence in your ability to do things
- returning to activity and sport
- improving quality of life
Cortisone (corticosteroid) injections usually only provide short term relief. Cortisone, particularly repeated injections, may also reduce health of non-bony structures such as tendons. So, it is usually best to commit to an education and exercise approach first. Injections are rarely useful in isolation. Results are usually best when combined with load management and exercise.
Surgery is a last resort and is usually only considered after 12 months of other treatments.
A recent review found there is only low-quality evidence that surgery is superior to non-surgical treatment (rehabilitation) and a high risk of bias (i.e., potential for the information to be misleading) amongst papers looking at surgery (King). When studies have looked at whether athletes get back to sport more quickly after surgery compared to rehabilitation without surgery, there is little difference in the timeframes. This means that non-surgical rehabilitation should always be the first option for treatment of adductor-related groin pain.
Visit our Pain Locator Map to learn more about soft tissue related pain in different regions around the hip and pelvis, or other causes of groin pain.
Need Help? How Can A Hip Pain Professional Help?
Your Hip Pain Professional can:
- provide a thorough assessment of all the soft tissues in the groin and inner thigh region
- refer you for the most appropriate scans, if required
- provide or refer you for rehabilitation of this area,
- provide advice and/conditioning for successful return to sport / activity
- refer you to a surgeon or provide surgery (if your HPP is a surgeon) – this is rarely required but may be necessary with more severe hernias or abdominal tendon tears.
Search For A Hip Pain Professional Here.
- Grimaldi, A. (2017). Understanding tendinopathies of the hip & pelvis. Iliopsoas and adductor related groin pain (Vol. 4).
- King et. al. (2015). Athletic groin pain: a systematic review and meta-analysis of surgical versus physical therapy rehabilitation outcomes. British Journal of Sports Medicine, 49, 1447-1451.
- Weir et. al. (2015). Doha agreement meeting on terminology and definitions in groin pain in athletes. British Journal of Sports Medicine, 49(12).
- Whittaker, J. et. al. (2015). Risk factors for groin injury in sport: an updated systematic review. British Journal of Sports Medicine .
Check Out More You Can Read on this Area at HipPainHelp:
- What is Adductor Related Groin Pain and What is the Cause (Adductor Tendinopathy, Adductor Tear). What do these terms mean, what structures are involved, what are the symptoms and the causes
Adductor Muscles, Adductor Related Groin Pain, and Inguinal Related Groin Pain: Learn more about the specific muscles in this region including of the inner thigh and lower abdominals and their involvement with pain in the area.
Pubic Symphysis Pain, Pubic Related Groin Pain and Pelvic Girdle Pain learn what these terms mean and about the structures involved and how can a health professional can help.
- Groin Pain Groin pain is pain this experienced in the groin region and the inside of the upper thigh. There are many potential causes for groin pain. Understand more about the anatomy of the area and things that may go wrong
- Hip Pain Explained Explore more about possible causes of pain throughout the hip and pelvis region.