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 Treating Trigger Points - Hip Adductors / Pectineus


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.


Pectineus Trigger Points

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 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.


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.

Differential Diagnosis

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


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 


Find a Trigger Point Professional in your area

More Articles About ITB Syndrome

More Articles About Groin Pain

More Articles About Hip Injuries and Treatment

Online Hip Course - Stuart Hinds

Dry Needling for Trigger Points

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Certify as a Trigger Point Therapist

Corrective Exercises - Hip and Shoulder Dysfunction


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About Niel Asher Education

Niel Asher Education is a leading provider of distance learning and continued education courses.

Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.

Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website.  

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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.

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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.

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In addition to national accreditation for continued education, each course that we offer includes "NAT Learning Credits". By taking and completing courses you can accumulate NAT credits to qualify for NAT certification.

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.

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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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We offer a range of over 50 courses, presented by some of the worlds leading manual therapists. All courses are reviewed annually, and new courses are regularly added.

Our courses are modular, and designed to build on what you already know. For more information, please visit our "Where to Start?" page.

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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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