Groin pull area: what to know

Symptoms often begin during sprinting, kicking, jumping, a sudden change of direction or a forceful stretch. Tenderness may sit along the inner thigh or near the pubic attachment. Walking, climbing stairs, spreading the legs or bringing them together can reproduce discomfort. A groin strain is one possible explanation for groin pain; hip and abdominal problems can feel similar.

A clinician checks the timing of the injury, strength, hip movement and tenderness. The assessment can help distinguish a muscle injury from a joint or other source and set an appropriate activity level.

Stop the movement that caused the pain and use comfortable, easy movement rather than repeatedly testing the muscle. Avoid sprinting, kicking and forceful stretching while these provoke symptoms. Once everyday movement is settling, exercise therapy can build strength and control progressively.

Return to sport should follow function: walking, gentle strengthening, direction changes and sport-specific drills should be comfortable before full-speed play. A return-to-sport programme or sports physiotherapy can help sequence these steps and reduce a rushed comeback.

Arrange prompt assessment if there was a pop, marked bruising, major swelling, inability to walk normally, a visible gap, severe weakness or pain that is not settling. Seek urgent help for a painful groin bulge, severe abdominal symptoms, fever or rapidly worsening pain.

Ask: Which adductor area is affected? What level of walking and strengthening is suitable now? What tests should I pass before running, cutting or returning to sport?