Groin Pain

The most common cause of pain in the groin is an acute groin strain and this is frequently seen in twisting and turning sports such as American football, rugby, and soccer. Whereas acute groin strains can take 2 to 3 weeks to recover, chronic groin injuries can take months if not years to clear up, often because there are several possible causes.

Groin Strain

A groin strain is a tear or rupture to any of the adductor muscles on the inside of the thigh. Symptoms include a sudden sharp pain in the thigh which can range from a quite mild niggling injury to very severe injuries that are completely debilitating. Explosive movements and changing direction quickly can cause groin pain, especially if you haven't warmed up properly and have tight adductor muscles.

Groin Inflammation

The adductor muscles can become inflamed through overuse or following injury resulting in pain and stiffness at the top of the groin. Groin pain can travel down the leg and make it difficult to run. Overuse or previous injury can make the tendons that attach the muscles to the bone inflamed. Read more on the causes, symptoms and treatment of groin inflammation.


A hernia occurs when an internal part of the body (such as the intestine), pushes through a weakness in the overlying muscle wall, resulting in a soft lump. The groin pain can increase with exercise and even when coughing. Read more about the different types of hernia and the symptoms and treatment of each.

Gilmore's Groin

Gilmore's Groin can also be known as a Sportsman's Hernia, athletic pubalgia, slap shot gut, and a sports hernia. However, a true Gilmore's Groin has nothing to do with a hernia. It occurs when excessive strain is placed on the groin and pelvic area, through kicking sports such as soccer and rugby. We talk to Jerry Gilmore himself who first identified this groin injury in 1980.

Groin strain diagnosis

Groin strain symptoms consist of a sudden sharp pain in the groin area and can range from very mild to very severe.

Groin Strain Treatment and Rehabilitation

Groin strains have a tendancy to recur if not treated properly. Here we outline the treatment and healing element of our groin strain rehab program.

Groin strain exercises

Below are examples of exercises that may be used in the rehabilitation of a groin strain. We have split the following into stretching exercises, strengthening exercises and functional or sports specific exercises.

Iliopsoas inflammation

The iliopsoas muscle is a strong muscle that lifts the knee up. It starts at the lower back and goes down into the thigh. The muscle or tendon can become inflamed causing groin pain and a feeling of tightness and swelling. Read more on the causes, symptoms and treatment of this groin injury.

Groin Strain Massage

The following sports massage guide is intended for information purposes only. We recommend seeking professional advice before attempting any self help treatment.

Expert Interviews Groin Strains

Our team of experts and advisers talk about groin strains and how to prevent, treat and rehabilitate groin muscle strains.

Spermatic Cord Torsion

Spermatic cord torsion is the twisting of the testicle resulting in a reduced blood flow through the tissues which connects it to the abdomen. This can be a serious condition as a complete loss of blood flow would quite quickly result in the death of the testicle. It will cause severe pain and medical help will be needed immediately to prevent further damage and problems.

Osteitis Pubis

Osteitis pubis, also known now as pubic bone stress injury, results in groin pain originating from the pubic bones at the front of the pelvis. The pain can come on gradually and will likely be felt when running or doing exercises like sit ups. This is not a particularly common groin injury but you can read more on the causes, symptoms and treatment of it here.

Scrotal Contusion

A scrotal contusion is bleeding and bruising in the scrotum or testicles following a direct impact to the area from a ball or opponent. There will be severe pain on impact with swelling, tenderness and nausea also being possible symptoms. This normally heals naturally without any complications or long term problems.

Pelvic Fracture

A pelvic fracture is a break of any part of the pelvis. The pelvis consists of the two Ilia (Ilium - plural) - the large wing shaped bones, the Pubis and the Ischium which connect them at the front and the Sacrum which connects them at the back.

Iliopsoas Bursitis

Iliopsoas bursitis is inflammation of the bursa which sits under the Iliopsoas muscle at the front of the hip. It is sometimes also called Iliopectineal bursitis. Overuse and repetitive activities such as running can make this injury more likely to develop. The bursa reduces friction between tissues and bones so when this becomes inflamed, pain flares up in this area.