Hip Adductor Tendinopathy

Hip Adductor Tendinopathy

John Miller Physiotherapist

Article by John Miller

Treating Hip Adductor Tendinopathy


Hip adductor tendinopathy, commonly characterised by groin pain, is a condition involving the inflammation or degeneration of tendons in the hip region. This article, written from a physiotherapist’s perspective, aims to educate the general public about the condition, its symptoms, diagnosis, and the latest treatment options, including physiotherapy.

What is Hip Adductor Tendinopathy?

The hip adductor muscles play a pivotal role in hip joint movement and stability, particularly during lateral movements. These muscles include the pectineus, adductor brevis, and adductor longus (short adductors), as well as the gracilis and adductor magnus (long adductors). They are responsible for pulling the legs together and stabilising the hip joint.

When these tendons become inflamed or degenerate, typically due to overuse or previous injuries like a groin strain, it results in what we refer to as hip adductor tendinopathy.

Identifying Symptoms

If you’re experiencing groin pain, especially near the top of your adductor muscles, it’s a sign that you might be dealing with hip adductor tendinopathy. This pain often radiates down the leg and intensifies during activities like running or when resisting hip flexion. Tendons can suffer injuries at various points, leading to such discomfort.

Physiotherapist treating patient with hip adductor tendinopathy
A Physiotherapist Treating A Patient’S Hip Adductor Tendinopathy

Diagnosis and Treatment

Physiotherapists play a crucial role in diagnosing and treating hip adductor tendinopathy. Through a detailed medical history and physical examination, they can assess your condition. Advanced imaging techniques like ultrasound scans or MRIs may be employed for a more precise diagnosis.

The treatment plan usually includes rest, ice, physiotherapy, anti-inflammatory medications, massage, and exercises. Recent advancements in treatments like extracorporeal shockwave therapy or platelet-rich plasma injections offer new avenues for recovery. In severe cases, surgery might be considered.

Phases of Tendinopathy

Tendinopathy progresses through four phases:

  1. Reactive Tendinopathy: The normal tissue adaptation phase. Minor tendon damage due to overuse or injury results in pain and inflammation. Proper management can lead to a full recovery.
  2. Tendon Dysrepair: The tendon’s repair rate falls behind the injury rate. The tissue quality starts deteriorating, but timely treatment can reverse this phase.
  3. Degenerative Tendinopathy: Tendon cells begin to die, and tissue quality drops significantly. Preventing this phase is crucial, as full recovery becomes difficult.
  4. Tendon Tear or Rupture: The tendon breaks down completely. Surgery often becomes the only solution.

For the best outcome, seek medical advice from a physiotherapist at the first signs of tendinopathy. Early diagnosis and treatment enhance the chances of a full recovery.


Hip adductor tendinopathy can significantly impact your mobility and quality of life. However, with early intervention and the right physiotherapy treatment, recovery is highly probable. Always prioritise your health and consult a physiotherapist at the first signs of discomfort.

What to Do?

If you suspect you have hip adductor tendinopathy, it’s crucial to consult a physiotherapist or doctor. They can provide a personalised treatment plan to aid your recovery.

Related Articles

  • Hip & Groin Pain Guide: This page provides an overview of common causes of hip and groin pain, including trochanteric bursitis, various types of groin pain (adductor-related, osteitis pubis, iliopsoas-related), and other muscle strains.
  • Hip Flexor Injuries: Focuses on hip flexor injuries, often leading to groin pain.
  • Groin Strain: Covers the causes, symptoms, and treatment of groin strains, which occur due to overstretched or torn muscles in the groin area.
  • Groin Pain Management: Provides physiotherapist advice on managing groin pain, emphasising the role of muscle control in recovery and prevention.
  • Hip Labral Tear: Explains the causes, symptoms, and treatment options for labral tears in the hip joint.

Introduction to Hip & Groin Pain

Hip and groin pain affects a wide array of individuals, from athletes to the elderly. Understanding the common causes and treatments of this pain is vital for maintaining overall well-being and mobility.

Common Causes of Hip Pain

hip & groin pain
Hip &Amp; Groin Pain Causes &Amp; Treatment

Lateral Hip Pain and Its Causes

Groin Pain: Different Types and Causes

Other Muscle-Related Pain

Systemic Diseases Affecting the Hip

Referred Pain Sources

  • Sciatica: Pain radiating along the sciatic nerve, which runs from the lower back through the hips and down the legs.
  • Lower Back Pain: Can refer pain to the hip area.
  • Pinched Nerve: Nerve compression in the spine or hip area.

Hip Surgery: A Solution for Severe Cases

What's New in Hip & Groin Pain Research?

Recent studies suggest the importance of tailored exercise programs in managing hip and groin pain. Physiotherapy techniques focusing on strengthening and stabilising the deep hip rotators and core muscles have shown significant improvements in pain management and mobility.

What to Do? Seeking Professional Advice

If you're experiencing hip or groin pain, it's crucial to consult with a physiotherapist or doctor.

They can assess your condition, provide a personalised treatment plan, and guide you through exercises tailored to your specific needs.


Hip and groin pain can significantly impact your quality of life. However, with the right knowledge and professional guidance, managing and overcoming this pain is achievable.

Related Articles

  1. Groin Pain Management - Expert advice on managing groin pain, covering causes such as adductor tendinopathy and femoroacetabular impingement​​.
  2. Hip, Groin & Buttock Pain FAQs: Symptoms, Causes, Treatments - Answers to frequently asked questions about hip, groin, and buttock pain, including symptoms, causes, and treatments​​.
  3. Hip Labral Tear - Information on hip labral tears, their symptoms, and treatment options​​.
  4. Piriformis Syndrome - Understanding & Physio Treatment Tips - Insight into piriformis syndrome, a condition causing buttock pain and how physiotherapy can help​​.
  5. Trochanteric Bursitis - Hip Bursitis: Causes & Treatments - An article explaining the causes of hip bursitis and offering treatment solutions​​.
  6. Groin Strain - Discusses groin strains, their symptoms, causes, and treatment methods​​.
  7. Gluteal Tendinopathy: Causes, Symptoms, And Treatment - Offers insights into the causes and treatment of gluteal tendinopathy​​.

Hip, Groin, Buttock Pain FAQs

Welcome to our comprehensive FAQ section, designed to address your concerns about hip, groin, and buttock pain. Here, we aim to provide clear, accessible information to help you understand the potential causes of your discomfort and the various treatment options available. Our physiotherapy experts have compiled a series of questions and answers to guide you through common issues, from hip impingement to sciatica, and everything in between. For more in-depth exploration, we've linked to related articles on our website, allowing you to delve deeper into each topic.

Hip, Groin, Buttock Pain
Hip, Groin, Buttock Pain Faqs

Hip Pain FAQs

Dealing with hip pain can be challenging, impacting your mobility and quality of life. Explore our detailed articles for insights on diagnosis, treatment options, and the importance of hip core muscles in maintaining joint health.

Lateral Hip Pain FAQs

Lateral hip pain, including conditions like gluteal tendinopathy and hip bursitis, requires targeted treatment strategies. Discover effective physiotherapy approaches to manage and alleviate your pain.

Groin Pain FAQs

Groin pain can significantly affect your ability to perform daily activities. Learn how to recognise serious symptoms and find effective relief methods through our expert advice.

Buttock Pain FAQs

Buttock pain, including conditions like SIJ pain and sciatica, can be debilitating. Our articles offer insights into symptoms, causes, and comprehensive treatment options to help you recover.


Our FAQ section is designed to be your go-to resource for hip, groin, and buttock pain. Whether you're dealing with a temporary discomfort or a chronic condition, understanding your symptoms and knowing the best treatment options is crucial. Remember, while our website provides valuable information, consulting a physiotherapist for a tailored diagnosis and treatment plan is always recommended. Explore our related articles for more in-depth knowledge and take the first step towards a pain-free life today.

Related Articles

  1. Greater Trochanteric Pain Syndrome (GTPS) - Readers can learn about the causes and management of pain near the greater trochanter, which is closely related to lateral hip pain.
  2. Trochanteric Bursitis - Hip Bursitis: Causes & Treatments - This article explains the causes of hip bursitis and offers treatment solutions, relevant to those experiencing lateral hip pain.
  3. Gluteal Tendinopathy: Causes, Symptoms, And Treatment - Offers insights into the causes and treatment of hip tendinitis, a condition linked to lateral hip pain.
  4. Hip Adductor Tendinopathy - Effective Physio Solutions - Focuses on groin pain caused by inflammation or degeneration of tendons in the hip region, directly relevant to the groin pain FAQ.
  5. Hip Flexor: Iliopsoas Groin Pain: Causes And Treatment - Provides detailed information on hip flexor issues, which can cause groin pain, making it highly relevant to readers of the original article.
  6. Hip & Groin Pain Guide: Causes, Treatment, Physio Advice - A comprehensive guide on hip and groin pain, covering common causes and treatments that align with the article's topics.
  7. Piriformis Syndrome - Understanding & Physio Treatment Tips - Discusses piriformis syndrome, a condition causing buttock pain, which is directly related to one of the SEO keywords.
  8. What Is Hip Impingement? - Explains hip impingement, a condition causing hip and sometimes groin pain, providing valuable insights into potential causes of the reader's discomfort.
  9. Sacroiliac Joint Dysfunction (SIJ) Causes, Relief, Treatment - Relevant for readers experiencing buttock pain, as it covers SIJ pain, a topic mentioned in the original article.
  10. Hip Arthritis - While not directly mentioned in the FAQ sections, hip arthritis can be a source of hip pain, making this article useful for readers wanting to understand more about hip conditions and pain management.
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