Treating Trigger Points - Hip Adductors / Pectineus
Pain from trigger points in this muscle is typically felt deeply in the groin as a sharp pain within the femoral triangle.
As with the adductor muscle group, the pain is also sometimes felt in the joint itself.
Pectineus Trigger Points - Typically refer a sharp pain felt deeply in the groin
Pecten of pubis, between iliopubic (iliopectineal) eminence and pubic tubercle.
Pectineal line, from lesser trochanter to linea aspera of femur.
Adducts hip joint. Flexes hip joint.
Femoral nerve, L2, 3, 4. Occasionally receives an additional branch from obturator nerve, L3.
Basic Functional Movement
Example: walking along a straight line.
Pectineus Trigger Points - Common Pain Pattern
Referred Pain Patterns
Strong 8–12 cm zone of pain in anterior groin, with more diffuse radiations in an oval, toward the anteromedial thigh.
Persistent “internal” groin pain, groin strain, hip pain, post hip-replacement rehabilitation, post hip fracture, pregnancy, postpartum, pain during sexual intercourse/ hip adduction exercises (gym), osteoarthritis of hip.
Leg splint/cast, foot/ankle problems, sudden overload due to gymnastics, football/ice skating injury, horse riding, skiing, cross-legged sitting, leg length discrepancy.
Inguinal hernia. Femoral hernia. Lymphadenopathy. Meralgia paresthetica. Lumbar radiculopathy. Vascular incompetence.
Adductor longus/brevis, iliopsoas.
Trigger Point Treatment Techniques
|Spray and Stretch||YES|
|Deep Stroking Massage||YES|
General Advice for Clients
Modify activities until trigger points diminish. Avoid repetitive hip adduction/flexion, some yoga positions (such as lotus). Avoid sitting cross-legged.
Regular gentle stretching may be useful.
About NAT Courses
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About Niel Asher Education
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Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.
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NAMTPT AWARD 2017
We are honored to have received the 2017 "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.
Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.
Award Winning Instructors
Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.
If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification.
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There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications.
Niel Asher Technique
Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.
The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.
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This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.
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