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Trigger Point Therapy - Treating Pectineus

Posted by Judith Winer on

 

Pectineus Trigger Points

Pectineus Trigger Points - Typically refer a sharp pain felt deeply in the groin

 

Pectineus trigger points are a common cause of groin pain, and often overlooked

The pectineus is sandwiched between the psoas major and the adductor longus.

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.

Origin

Pecten of pubis, between iliopubic (iliopectineal) eminence and pubic tubercle.

Insertion

Pectineal line, from lesser trochanter to linea aspera of femur.

Action

Adducts hip joint. Flexes hip joint.

Nerve

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 and Groin Pain

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.

Indications

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.

Causes

Leg splint/cast, foot/ankle problems, sudden overload due to gymnastics, football/ice skating injury, horse riding, skiing, cross-legged sitting, leg length discrepancy.

Differential Diagnosis

Inguinal hernia. Femoral hernia. Lymphadenopathy. Meralgia paresthetica. Lumbar radiculopathy. Vascular incompetence.

Connections

Adductor longus/brevis, iliopsoas.

 

Groin Pain Pectineus Trigger Point Treatment

Trigger Point Treatment Techniques

Spray and Stretch YES
Dry Needling YES
Deep Stroking Massage YES
Compression YES
Positional Release YES
Muscle Energy 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.

Use direct finger pressure, stretching techniques, balls, and/or a pressure tool.

Regular gentle stretching may be useful.
Pectineus Trigger Points Stretching

 

  

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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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