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Hip Pain2026-03-075 min read

Groin Strain Exercises: Recovery and Prevention

What Is a Groin Strain?

A groin strain is an injury to the adductor muscles—the muscles on the inside of your thigh that pull your leg inward. These injuries are common in sports involving:

  • Quick direction changes
  • Kicking
  • Sprinting
  • Skating
  • Symptoms:

  • Pain in inner thigh or groin
  • Pain with squeezing legs together
  • Pain with running or kicking
  • Possible bruising or swelling
  • Weakness in the leg
  • Grading Groin Strains

    Grade 1 (Mild):

  • Minor discomfort
  • No significant loss of strength
  • Can continue activity with some pain
  • Grade 2 (Moderate):

  • Moderate pain
  • Some strength loss
  • Difficulty with running/cutting
  • Grade 3 (Severe):

  • Severe pain
  • Significant weakness
  • Unable to squeeze legs together
  • May have visible bruising
  • Phase 1: Acute (Days 1-7)

    Goals

  • Control pain and swelling
  • Maintain range of motion
  • Allow initial healing
  • What to Do

    RICE:

  • Rest from aggravating activities
  • Ice 15-20 minutes several times daily
  • Compression if swelling
  • Elevation when possible
  • Gentle Movement:

    Adductor Stretch (Gentle)

    1. Sit with soles of feet together

    2. Let knees drop outward

    3. Gentle stretch only—no forcing

    4. Hold 20-30 seconds

    Hip Circles

    1. Lie on back

    2. Small circles with knee bent

    3. 10 circles each direction

    Isometric Adduction

    1. Lie on back, knees bent

    2. Place pillow between knees

    3. Gently squeeze pillow

    4. Hold 5 seconds

    5. 10 reps (pain-free only)

    Phase 2: Subacute (Weeks 1-3)

    Goals

  • Restore range of motion
  • Begin strengthening
  • Progress loading gradually
  • Stretches

    Side-Lying Adductor Stretch

    1. Lie on unaffected side

    2. Bend bottom leg for stability

    3. Top leg extends straight

    4. Let top leg drop behind you

    5. Hold 30 seconds

    Kneeling Adductor Stretch

    1. Kneel on one knee

    2. Extend affected leg out to side, foot flat

    3. Gently shift weight toward extended leg

    4. Hold 30 seconds

    Strengthening

    Side-Lying Adduction

    1. Lie on affected side

    2. Top leg crosses over, foot on floor

    3. Lift bottom leg toward ceiling

    4. 15-20 reps

    Seated Ball Squeeze

    1. Sit with ball between knees

    2. Squeeze ball

    3. Hold 5 seconds

    4. 15 reps

    5. Progress to harder squeezes

    Straight Leg Adduction

    1. Lie on side, legs straight

    2. Lift bottom leg

    3. 15 reps

    Phase 3: Strengthening (Weeks 3-6)

    Copenhagen Adduction (Modified)

    1. Side-lying, top leg on bench/chair

    2. Lift bottom leg to meet top leg

    3. 10-15 reps each side

    4. Progress to full Copenhagen plank

    Copenhagen Plank (Advanced)

    1. Side plank position

    2. Top foot on bench

    3. Lift bottom leg and hips

    4. Hold 15-30 seconds

    5. Excellent for adductor strength

    Sumo Squat

    1. Wide stance, toes out

    2. Squat down, knees track over toes

    3. 15 reps

    4. Add weight as tolerated

    Lateral Lunge

    1. Wide stance

    2. Shift weight to one side, bending knee

    3. Other leg stays straight

    4. Push back to center

    5. 10 each side

    Cable Adduction

    1. Ankle strap attached to cable

    2. Stand perpendicular

    3. Pull leg across body

    4. 15 reps each side

    Phase 4: Return to Sport (Weeks 6+)

    Criteria for Progress

  • Full, pain-free range of motion
  • Strength equal to other side
  • No pain with sport-specific movements
  • Progressive Activities

    1. Light jogging

    2. Lateral shuffles

    3. Gradual acceleration

    4. Cutting at 50%, 75%, then 100%

    5. Sport-specific drills

    6. Full practice

    7. Return to competition

    Sample Weekly Program

    Daily

    1. Gentle stretching: 2-3 minutes

    2. Isometrics (early) or strengthening (later)

    3x Per Week

    1. All stretches: 30 sec each

    2. Side-lying adduction: 2 x 15

    3. Ball squeeze: 2 x 15

    4. Sumo squats: 2 x 15

    5. Copenhagen (modified): 2 x 10

    Sport Progression (When Ready)

    1. Day 1: Light jogging

    2. Day 2: Shuffles

    3. Day 3: 50% cutting

    4. Day 4: 75% cutting

    5. Day 5: Full speed movements

    Prevention

    Strengthen Regularly

  • Copenhagen exercises 2x/week
  • Sumo squats
  • Lateral lunges
  • Warm Up Properly

  • Dynamic stretches before activity
  • Gradual intensity increase
  • Sport-specific movements
  • Address Risk Factors

  • Previous groin strain
  • Weak adductors
  • Tight hip flexors
  • Poor hip mobility
  • When to See a Doctor

    Get evaluated if:

  • Severe pain or inability to walk
  • Significant swelling or bruising
  • No improvement after 2 weeks
  • Recurring strains
  • Pain in groin area (may indicate hernia)
  • The Bottom Line

    Groin strains require patience—rushing return often leads to re-injury. Progress through phases based on symptoms, not timelines. Strengthen the adductors to prevent future injuries. With proper rehabilitation, most athletes return to full activity within 4-8 weeks.

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