Sports Groin Pain: Causes, Physiotherapy Treatment & Prevention

Introduction

Sports groin pain is a frustrating and common issue among athletes, particularly those who engage in soccer, AFL, rugby, and hockey. If left untreated, it can severely impact performance and lead to long-term injuries. At Blueprint Physiotherapy and Performance, we specialise in diagnosing and managing sports-related groin pain, helping athletes recover faster and prevent future injuries.

In this guide, we’ll explore the causes of groin pain, the Doha Agreement Classification Criteria, and effective physiotherapy treatment options to keep you in top shape.

What is Sports Groin Pain?

Sports-related groin pain is often caused by muscle imbalances, overuse, or poor movement mechanics. This condition is particularly common in athletes who make frequent cutting movements, rapid direction changes, or high-force kicks.

Doha Agreement Classification Criteria for Groin Pain

The Doha Agreement Classification System helps accurately diagnose and manage groin injuries. The five main types include:

1. Adductor-related groin pain – Inner thigh pain, particularly with resisted adduction.

2. Iliopsoas-related groin pain – Deep front hip pain, worsened by hip flexion.

3. Inguinal-related groin pain – Pain in the lower abdomen without a visible hernia.

4. Pubic-related groin pain – Discomfort centered around the pubic symphysis.

5. Hip-related groin pain – Often linked to conditions like femoroacetabular impingement (FAI) or labral tears.
   

Understanding the specific type of groin pain is essential for designing an effective treatment plan.

Best Physiotherapy Treatments for Sports Groin Pain

1. Early Diagnosis & Load Management

Identifying groin pain early can prevent worsening symptoms. Modifying training loads and reducing activities that aggravate pain can help manage discomfort while maintaining fitness levels.

2. Strength & Stability Training

Strengthening key muscle groups can prevent and relieve groin pain.

Some exercises include:

• Copenhagen adductor exercises to build inner thigh strength.

• Glute strengthening to improve hip stability.

• Eccentric adductor loading for better muscle control and resilience.
  

3. Manual Therapy & Physiotherapy Interventions

Hands-on treatments such as soft tissue release, dry needling, and joint mobilizations can reduce muscle tension and restore mobility in the groin and hip.

4. Structured Return-to-Play Program

Returning to sport too soon can lead to reinjury. At Blueprint Physiotherapy and Performance, we develop customized rehabilitation programs to ensure a safe and sustainable return to peak performance.

Preventing Sports Groin Injuries

Preventative strategies include:

• Regular strength training for core and lower body stability.

• Optimizing movement mechanics to reduce strain on the groin.

• Proper warm-up and cool-down routines to maintain muscle flexibility.

• Seeking physiotherapy support at the first sign of groin discomfort.

Get Expert Physiotherapy for Groin Pain in Sydney

If you’re struggling with persistent groin pain from sports, don’t let it derail your performance. Blueprint Physiotherapy and Performance offers expert assessment, hands-on treatment, and evidence-based rehab plans to get you back in the game.

🔹 Book an appointment today and take the first step toward pain-free movement!