22/10/2025
When is a groin strain not a simple groin strain?
Groin pain can be a challenge to resolve when you don’t understand the source, but when do you get it checked out to identify how to start recovery?
Generally, if your groin pain is severe/worsening, or has been long standing and not responding to rest, maybe it’s causing radiating pain down your leg or causing power loss, or perhaps you’re unable to load through the leg - those a pretty good indicators of when to get it checked out.
Getting a working diagnosis and a treatment plan is crucial.
So what can cause groin pain?
Pain in the groin can come from some many factors and can be diagnosed via a number of clinical assessments (and imaging) but under the DOHA Agreement are categorised as:
➡️ Adductor related
➡️ Inguinal related
➡️ Iliopsoas related
➡️ P***c related
➡️ Groin pain from the hip
➡️ Other causes
The subjective assessment then the actual clinical assessment will give some good indicators as to the cause - assessing ROM, functional movements that cause familiar pain, special tests to further drill down to the cause and also understanding other factors such as previous sports/repetitive work positions, neurological potential impacts, surgical history, urological history, the type of pain (eg pain at rest/night may indicate inflammatory pain) clicking/catching of the hip may indicate cartilage pathology, family history of hip dysplasia etc. There’s also the impact that the lumbar spine causing pain into the groin.
This week in clinic I’ve already had some interesting groin pain patients to manage, from a pesky adductor tendinopathy, a labrum trauma causing pain deep into the groin and also an iliopsoas strain - all of which were referring pain into the same region but from differing causes…never a dull day in clinic!
Rehab programmes clearly differ depending on the patient, their pain perception and restrictions but phase 1 will always be be try to reduce pain and get some positive mobility started.
So don’t ignore the pain….GOOGLE GOD doesn’t always come up with the answer!
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