Physiotherapy Approaches for Preventing and Treating Groin Pain in Football Players


Groin pain is a common and often debilitating issue for football players, stemming from the intense physical demands of the sport. The repetitive twisting, turning, and sprinting movements inherent in football significantly strain the muscles, tendons, and ligaments of the groin area. Without proper intervention, this can lead to chronic pain and prolonged time away from the game.
Sports physiotherapy Edmonton offers a range of approaches to prevent and treat groin pain, ensuring that players perform at their best. 

Groin Pain in Football: What Every Player Needs to Know

Groin pain in football players typically arises from overuse injuries, acute strains, or sports hernias. The most common culprits include adductor strains, iliopsoas-related pain, and inguinal-related pain. These injuries occur due to sudden changes in direction, overstretching, or direct impact during play. If not adequately managed, groin pain can become a chronic issue, leading to long-term discomfort and a decrease in performance.

Physiotherapy Treatments for Groin Pain

When groin pain does occur, sports physiotherapy in Edmonton plays a crucial role in treatment and recovery. The focus is on reducing pain, restoring function, and preventing recurrence. Here are some of the critical physiotherapy treatments for groin pain in football players:

Pain Management

  • Electrotherapy: Electrotherapy, particularly Transcutaneous Electrical Nerve Stimulation (TENS), is a crucial physiotherapy technique for managing groin pain in football players. It uses electrodes on the skin to deliver mild electrical impulses that block pain signals and reduce pain perception. 
  • Pulsed Electromagnetic Field Therapy (PEMF): PEMF therapy utilizes pulse electromagnetic fields to stimulate cellular repair and reduce inflammation. By applying these fields to the groin area, PEMF enhances the body's natural healing processes, reduces pain, and improves tissue repair at a cellular level, offering relief for chronic or persistent groin pain.

Manual Therapy

Manual therapy is a cornerstone treatment for groin pain in football players. This hands-on approach involves various techniques to alleviate pain, enhance mobility, and restore proper function in the affected area. For groin pain, two main manual therapy techniques are,

  • Soft tissue massage: Soft tissue massage is crucial for addressing groin pain in football players by applying targeted pressure to the muscles, tendons, and connective tissues. Football's repetitive movements often lead to muscle tightness, inflammation, and scar tissue in the groin. This massage technique effectively relieves tension by breaking down adhesions and knots while enhancing blood circulation, reducing inflammation, and speeding up healing, which lowers the risk of re-injury.
  • Joint mobilization: Joint mobilization is another essential physiotherapy technique for groin pain, especially when linked to limited hip mobility. The physiotherapist gently moves the hip joint to reduce stiffness and improve function. This technique enhances hip flexibility for dynamic football actions, decreases stiffness contributing to groin pain, and realigns the joint, reducing muscle strain and alleviating discomfort.

Dry Needling

Dry needling is an effective treatment for groin pain in football players. Due to repetitive strain, football players often experience muscle tightness and spasms in the groin. Dry needling targets these issues by releasing trigger points—hyper-irritable spots within muscle fibres that cause referred pain. By disrupting the contraction cycle, dry needling helps to alleviate pain, reduce involuntary muscle spasms, and promote muscle relaxation.

Shockwave Therapy

Shockwave therapy uses acoustic waves to stimulate healing in targeted tissues of groin pain. The therapy can break down calcifications, enhance collagen production, and improve the regenerative capacity of tissues, which is particularly beneficial for chronic groin pain. A typical shockwave therapy session lasts about 15-20 minutes. The physiotherapist applies a gel to the groin area and then uses a handheld device to deliver the shockwaves. Patients might feel discomfort during the treatment, but it's usually well-tolerated. The number of sessions varies depending on the condition's severity but typically ranges from 3 to 6. It's effective for chronic groin pain or when soft tissue injuries have become persistent and resistant to healing.

Progressive Exercise therapy

Once the acute pain has subsided, a gradual return to activity is essential. This phase involves progressive strengthening exercises tailored to the player’s specific needs. These exercises help rebuild muscle strength while ensuring the groin will heal before returning to full play. Key exercises include:

Strengthening the Adductors

The adductor muscles are crucial for stabilizing the pelvis and controlling leg movements during the quick changes of direction and acceleration common in football. Weakness in these muscles may lead to increased strain on the groin area, making players more susceptible to injuries. 

  • Copenhagen Adduction Exercise: It is effective for football players. It involves lying on the side with one leg supported on a bench or elevated surface while the other hangs freely. Lifting the free leg to meet the supported leg activates and strengthens the adductors. This exercise mimics the lateral movements and stabilization required during football matches.

Dynamic Stretching and Warm-Ups

Dynamic stretching and proper warm-up routines are crucial for football players to prepare their muscles and joints for the game's physical demands. These activities increase blood flow, improve flexibility, and reduce the risk of injury in the groin area. Effective dynamic stretches for football players include:

  • Leg Swings: This exercise involves swinging the leg forward and backward or side to side, mimicking the kicking and lateral movements in football. Leg swings loosen up the hip joints and stretch the adductor muscles, preparing the groin area for the explosive actions required during a match.

Play Pain-Free with Sports Injury Physiotherapy

Groin pain is a common challenge for football players, but proper sports physiotherapy in Edmonton can effectively prevent and treat it. Football players struggling with groin pain or looking to avoid injuries should consult with the experts at Turning Point Physiotherapy Clinic. Our team of physiotherapists helps them achieve optimal performance and long-term health.

Players can take control of their game with the support of professional sports physiotherapists, particularly those specializing in athletic physiotherapy.

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