Groin pain Part 4c (causes ): Trigger Points in adductors and pectineus

Groin pain / Friday, July 31st, 2009

This is part 4 of a series on groin pain. If you missed the beginning, go back to Part 1,

addbrevlongtrpscrp1Adductor brevis and longus: Pain from the adductor longus and brevis goes deep into the groin above and below the crease of the thigh.

addmagtrps1Adductor magnus Trigger Points are deep in the groin and inner thigh, but go farther into the pelvis. These deeper pains are described as internal pelvic pain, but sometimes referrals are felt in the pubic bone, vagina and rectum. Occasionally patients even describe bladder pain.

pecttrpcrp3Pectineus pain is similar to the short adductors but referring pain mostly below the inguinal ligament as well as deep into the groin. Pain can feel as if it were in the hip joint itself.

Next is Trigger Points in the iliopsoas, gracilis, sartorius tensor fasciae latae and quadriceps.

3 Replies to “Groin pain Part 4c (causes ): Trigger Points in adductors and pectineus”

  1. Hello Gordon,
    My blog has self-treatment notes that are designed to help those who can’t find a therapist. In medicine, a Physiatrist or Osteopath would be your best bet. You would be best finding a very knowledgeable Neuromuscular Therapist or Trigger Point therapist. London has Westminster College and the USA has trained Neuromuscular Therapists. There are two training centers in the US that have practitioner listings. and The Upledger Institute may have some guidance. If that doesn’t lead you to someone, interview deep tissue massage therapists for someone who is knowledgeable and experienced. Let me know how you do.

  2. Christina,
    I have had chronic groin and butt pain for 2 years since a running injury. The doctors can’t seem to diagnose it (i have 3 screws in my ischial tuberosity so the MRI images get distorted around that area. This pain is very deep and seem to “wrap around” from my anterior groin through to my inner butt area. Do you think this could be the adductor magnus? I’m beginiing to think it might be, and possibly a tear isn’t showing up due to distortion of the MRI.

    1. There’s a deep muscle that may have been affected by the screws. The obturator has both “internus” and “externus” portions that attach to the ischium, covering the obturator foramen on both sides. It’s one of the “deep six” lateral rotators that work with the piriformis and hard to get at because it’s deep. As for the adductor magnus, it could be the minimus portion that runs horizontally rather than diagonally. Since the add. mag. attaches to the ischium, that definitely could be involved. Check for a Trigger Point above Hunter’s Canal down toward the knee that refers up into the crotch and deep pelvis.

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