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3 Exercise Tips for Runners with Adductor Tendinopathy

Updated: Oct 27

Adductor tendinopathy is a common cause of groin pain in runners. In this article I discuss what three exercises may not be useful during the early stages of your rehab. These are exercises that are commonly prescribed by physios but often just end up making the pain worse. Check out the video below if you would like more detailed advice about the treatment and rehabilitation of adductor tendinopathy.


This video will provide you with a detailed description of the treatment of adductor tendinopathy:



Exercise nr 1: Side Lying Adduction



This exercise is, in my opinion, a pretty useless one to do and extremely likely to make your pain worse. I wish therapists would stop prescribing this for adductor injuries. Here’s why I say this:

  1. When you have an injury in your adductor tendons (like adductor tendinopathy) it usually hurts when you compress your groin e.g. when your leg crosses the mid-line of your body. These patients will usually report pain with crossing their legs while sitting, or if they sleep at night and the injured leg is on top or if they sit in soft chairs that allow their hips to flex a lot. This exercise takes the leg into that position and then also contracts the adductors which increases the compression even more. It’s like pressing on a bruise – the more you do it, the more sensitive the bruise (tendons) becomes and the worse your pain gets.

  2. It’s a very low load exercise so you won’t be getting much strength gains from it. There are plenty of other low load exercises to choose from during the early rehab stages.

  3. It works the muscle in a position that we actually want to avoid in sport – excessive adduction of the leg has been linked to all sorts of injuries. There are plenty of other exercises where you can work the adductors in more functional positions.

Exercise nr 2: Adductor Squeezes


This can be a useful exercise, but I find that patients can make themselves worse if they either squeeze too hard or bring the legs together so that their groins compress. If you do want to do this as an exercise make sure that you:

  1. Start by placing an object between your legs that will keep them either in neutral or in slight abduction when you squeeze. A football works well.

  2. Don’t squeeze as hard as you can. Start off by just squeezing at 60 to 70% of maximum and slowly build the intensity over time.

I tend to use progressive side planks instead of this exercise – I explain how this works in the video.



Exercise nr 3: Adduction With Bands



Again, this is a useful exercise which I use often but I find that it is better to add it into the programme during the later stages of the rehab process. During the first few weeks of a rehab programme I find that doing any exercise that really isolates the adductor muscles tend to flare them up. In my experience it works much better if you do global exercises, that work the adductors in combination with the hamstrings or quads, and then add in more targeted work once the tendons have calmed down a bit.


This is a brilliant exercise for when your tendon has calmed down a bit as it not only works the adductors when you pull the band in, but it also works the adductors of the leg that is supporting you. So make sure you do it on both legs!


Need more help with your injury? You’re welcome to consult one of the team at SIP online via video call for an assessment of your injury and a tailored treatment plan.

Best wishes

Maryke


About the Author

Maryke Louw is a chartered physiotherapist with more than 15 years' experience and a Masters Degree in Sports Injury Management. Follow her on LinkedIn, ResearchGate, Facebook, Twitter or Instagram.




References:

  1. Yousefzadeh, A., et al. (2018). "The Effect of Therapeutic Exercise on Long-Standing Adductor-Related Groin Pain in Athletes: Modified Hölmich Protocol." Rehabilitation research and practice 2018.

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