Groin Pain: The 5-Step Plan for Runners

Sports physio Maryke explains the most common causes of groin pain in runners, which include hip joint impingement, stress fractures, adductor tendonitis, and osteitis pubis. She also shares a five-step process for treating groin injuries. 🌟 Need help with an injury? You’re welcome to consult one of the team at Sports Injury Physio via video call for an assessment of your injury and a tailored treatment plan: https://www.sports-injury-physio.com/ 📽️ Here's our collection of videos on specific types of groin pain: Groin pain ... and here's that video about the single-leg squat that I mentioned: Four Leg Strength Tests for Runners to Avo... ... and the run-walk plan to ease back into running after an injury: https://www.sports-injury-physio.com/... 🔎 Want to dig deeper? Find our more about various types of groin injury: 🧾 Adductor tendinopathy: https://www.sports-injury-physio.com/... 🧾 Abdominal tendinopathy: https://www.sports-injury-physio.com/... 📽️ Osteitis pubis: How To Treat Osteitis Pubis 📽️ Hip osteoarthritis - Tips for runners: Hip Osteoarthritis - Tips for Runners 🧾 Stress fractures in runners: https://www.sports-injury-physio.com/... 👉 Attention physios! Are you looking for a rehab exercise library? Join Wibbi - which we’ve been using for more than 10 years - via this link to get a free trial and a discount if you subscribe: https://geni.us/wibbi 🏆 Here’s why Wibbi is our top choice for exercise prescription: https://www.sports-injury-physio.com/... 📚Chapters in this video: 00:00:00 Introduction 00:00:52 Step 1 - Identify the cause 00:03:57 Adductor tendon injuries 00:08:55 Hip flexor tendinopathy 00:14:17 Abdominal tendinopathy 00:17:06 Osteitis pubis 00:19:44 Hip impingement 00:23:14 Hip joint injuries 00:27:03 Bone stress injuries 00:30:08 Step 2 - Relative rest 00:36:19 Step 3 - Strength and control 00:38:58 Step 4 - Progress to match your goal 00:40:28 Step 5 - Ease back into running 00:43:05 How we can help 📰 Subscribe to the Sports Injury Physio e-newsletter: https://geni.us/sipnews --------- If you want to show your appreciation for the advice you found here, you can support my Channel by making a donation via PayPal: https://bit.ly/SIP-channel ---------- References: Brukner, P, et al. Brukner & Khan's Clinical Sports Medicine. Vol 1: Injuries. (2017) McGraw-Hill Education. McAleer, S. S., et al. (2015). "Management of chronic recurrent osteitis pubis/pubic bone stress in a Premier League footballer: Evaluating the evidence base and application of a nine-point management strategy." Physical Therapy in Sport 16(3): 285-299. Nakano, N., et al. (2017). "Current concepts in the diagnosis and management of extra-articular hip impingement syndromes." International Orthopaedics 41(7): 1321-1328. Yousefzadeh, A., et al. (2018). "The Effect of Therapeutic Exercise on Long-Standing Adductor-Related Groin Pain in Athletes: Modified Hölmich Protocol." Rehabilitation Research and Practice 2018. Heerey, J. J., Kemp, J. L., Mosler, A. B., Jones, D. M., Pizzari, T., Souza, R. B., & Crossley, K. M. (2018). What is the prevalence of imaging-defined intra-articular hip pathologies in people with and without pain? A systematic review and meta-analysis. British Journal of Sports Medicine, 52(9), 581-593. Martins, Tamiris Beppler, Taís Beppler Martins, Filippo Migliorini, Nicola Maffulli, and Rodrigo Okubo. "Risk Factors Associated with Groin Pain in Athletes: A Systematic Review." Life 15, no. 11 (2025): 1688. Quintana-Cepedal, Marcos, Germán Vicente-Rodríguez, Irene Crespo, and Hugo Olmedillas. "Is hip adductor or abductor strength in healthy athletes associated with future groin pain? A systematic review and meta-analysis." British Journal of Sports Medicine 59, no. 7 (2025): 501-509. Dinis, João, José Ricardo Oliveira, Bárbara Choupina, Pedro Seabra Marques, David Sá, Andre Sarmento, and Pedro Seabra. "Athletes with adductor-related groin pain: a narrative review." Cureus 16, no. 9 (2024). van Klij, Pim, Marinus P. Heijboer, Abida Z. Ginai, Jan AN Verhaar, Jan H. Waarsing, and Rintje Agricola. "Cam morphology in young male football players mostly develops before proximal femoral growth plate closure: a prospective study with 5-yearfollow-up." British Journal of Sports Medicine 53, no. 9 (2019): 532-538. Heerey, Joshua J., Joanne L. Kemp, Andrea B. Mosler, Denise M. Jones, Tania Pizzari, Richard B. Souza, and Kay M. Crossley. "What is the prevalence of imaging-defined intra-articular hip pathologies in people with and without pain? A systematic review and meta-analysis." British Journal of Sports Medicine 52, no. 9 (2018): 581-593.