What is Pubalgia / Groin Pain (Athletic Groin Pain)?
Pubalgia, also known as athletic groin pain, involves irritation or strain of the soft tissues around the pubic symphysis and groin area. It can include involvement of the adductors, lower abdominals, or pelvic floor.
It is common in footballers, runners, hockey players, and people doing twisting or kicking activities.
Symptoms & What You May Experience
- Pain in the lower abdomen, groin, or inner thigh
- Discomfort when twisting, sprinting, or kicking
- Pain with coughing, sneezing, or sit-ups
- Stiffness after rest or in the morning
- Weakness in adductors or core
- Symptoms that ease with rest but return quickly
What causes Pubalgia / Groin Pain (Athletic Groin Pain)?
Key contributors include:
- Repetitive twisting or kicking
- Muscle imbalance (core vs adductors)
- Weak pelvic stability or hip control
- Previous groin strain
- Poor movement mechanics
- Tight hip flexors or hamstrings
How We Help (At Victoria Park Osteopaths)
Treatment addresses pain, biomechanics, and stability:
- Soft tissue therapy to adductors, abdominals, and pelvic muscles
- Pelvic and lumbar mobilisation
- Core and pelvic floor strengthening
- Adductor and hip rehab exercises
- Movement retraining and load management
- Advice on gradual return to sport
Recovery Time & What to Expect
- Mild–moderate cases: 4–8 weeks
- Longer-standing pain: 3–6 months with structured rehab
- Early intervention reduces recurrence
When to Seek Medical Review / Red Flags
- Pain at rest or night pain
- Testicular or abdominal symptoms
- No improvement after sustained rehab
- Suspected hernia or pelvic joint involvement
