Adductor Tendonitis is an inflammation of the tendonds associated with the adductor
muscles. There are five adductor muscles, the pectineus, adductor brevis and adductor
longus (called short adductors) go from the pelvis to the thigh bone and the gracilis and
adductor magnus (long adductors) go from the pelvis to the knee.
Causes of Adductor Tendonitis
Injury to the hip adductors most commonly occurs following forced
push-off (side-to-side motion). An extreme amount of stress is placed on the adductor
tendons when, because of the athlete's momentum, a large amount of force is applied to one
side in the sagittal plane and the adductor muscles must contract rapidly to shift the
force to the opposite direction. Other causes include forceful abduction of the thigh
during an intentional adducting motion and jumping. Jumping is involved to a lesser extent
than abduction and is associated more commonly with hip flexor strains. Overstretching of
the adductor tendons is a much less common cause.
Symptoms of Adductor Tendonitis
- Tightening of the groin muscles that may not be present until the day after competition
- A sudden sharp pain in the groin area or adductor muscles
- Bruising or swelling (this might not occur until a couple of days after the initial
- Inability to contract the adductor muscles
- A lump or gap in the adductor muscles
Treatment of Adductor Tendonitis
The goals of Tendonitis treatment are to relieve your pain and reduce inflammation.
Often, simple home treatment which includes rest, ice and over-the-counter pain
relievers is all that's needed.
Sometimes your doctor may inject a steroid drug into tissue around a tendon to relieve
Tendonitis. Injections of cortisone reduce inflammation and can help ease pain. These
injections must be used with care because repeated injections may weaken the tendon or
cause undesirable side effects. They may also increase your risk of rupturing a tendon.
Research has shown that people with Tendonitis and tendonosis may also be helped by a
program of specific exercise designed to strengthen the force-absorbing capability of the
muscle-tendon unit. When a tendon is torn, a reconstructive operation may be necessary to
clean inflammatory tissue out of the tendon sheath or relieve pressure on the tendon by
removing bone. Surgeons can repair tendon tears to reduce pain, restore function and, in
some cases, prevent tendon rupture.