Adductor Tendonitis

The adductor muscle group consists of:

• Adductor longus
• Adductor brevis
• Adductor magnus
• Gracilis
• Pectineus

These muscles play a key role in:

• Hip stabilization
• Controlling lateral leg movement
• Providing strength for activities like running, cutting, and kicking

When excessive stress is placed on the adductor tendons, microtears and inflammation can develop, leading to adductor tendonitis.

Several factors can contribute to adductor tendonitis, including:

1. Overuse and Repetitive Movements

• Common in sports like soccer, hockey, running, and basketball.
• Repetitive kicking or sudden direction changes can strain the adductor tendons.

2. Muscle Imbalances and Weak Core Stability

• Weak glutes and core muscles can place excessive strain on the adductors.
• Poor biomechanics may lead to hip instability, increasing tendon stress.

3. Improper Warm-Up and Flexibility Issues

• Lack of dynamic stretching before exercise increases the risk of tendon strain.
• Tight hip flexors and hamstrings can alter movement mechanics.

4. Sudden Increase in Activity or Training Load

• Rapid increases in running mileage, weightlifting, or intensity can overload the adductor tendons.
• Insufficient recovery between workouts can contribute to chronic inflammation.

5. Previous Hip or Groin Injuries

• A history of groin strains, hip impingement, or pelvic misalignment increases susceptibility to adductor tendonitis.

Symptoms can range from mild discomfort to significant pain, affecting mobility and performance. Common signs include:

• Pain and tenderness in the groin and inner thigh (worsened with activity).
• Discomfort when squeezing the legs together (resisted adduction).
• Swelling or stiffness near the adductor tendon attachment.
• Pain while running, kicking, or changing direction.
• Discomfort during prolonged sitting or standing.

A healthcare provider will conduct a thorough evaluation to confirm adductor tendonitis. The diagnostic process includes:

Physical Examination:

• Palpation of the adductor tendons to identify tenderness.
• Resisted adduction test (pain with squeezing legs together).
• Range of motion tests to assess hip mobility and muscle imbalances.

Imaging Studies:

• Ultrasound: Identifies inflammation and microtears in the adductor tendon.
• MRI: Used for severe or chronic cases to assess soft tissue damage.
• X-rays: Rule out hip joint abnormalities or bone-related conditions.