Groin pain is a common but complex issue that may arise from muscular strain, nerve entrapment, hip or pelvic dysfunction, or abdominal wall pathology. Because multiple anatomical structures converge in the groin — including the adductor tendons, inguinal canal, femoral nerve, and pelvic floor — accurate diagnosis is critical. At the Performance Medicine Institute, we specialize in groin pain syndromes using a systems-based approach that integrates physical examination, imaging, dynamic movement testing, and diagnostic ultrasound. Our treatments include manual therapy, neuromuscular re-education, pelvic stabilization, and regenerative techniques, along with high-intensity laser therapy for pain and inflammation control.
We treat a wide range of groin-related conditions, including:
Adductor Strain or Tendinopathy
Injury to the inner thigh muscles, often from sprinting, kicking, or sudden change in direction, can result in pain with resisted adduction, walking, or lateral movement. We address tissue healing with eccentric strengthening, laser therapy, and biomechanical correction to reduce strain and prevent reinjury.
Hip-Related Groin Pain (FAI / Labral Tear)
Femoroacetabular impingement or labral pathology can refer pain to the groin, often with reduced hip mobility, pinching, or clicking. We perform comprehensive hip and pelvic assessments and treat with mobility restoration, kinetic chain reconditioning, and if needed, post-surgical rehabilitation.
Sports Hernia / Core Muscle Injury
Also called athletic pubalgia, this condition results from tearing or overloading of the lower abdominal wall or adductor aponeurosis. It causes chronic groin pain in athletes, especially with twisting or explosive movement. We treat using core-to-hip integration, fascial release, laser therapy, and regenerative injections when indicated. We help most patients avoid the need for surgery.
Osteitis Pubis
Osteitis pubis is an inflammatory condition of the pubic symphysis often seen in athletes, postpartum individuals, or those with pelvic instability. It causes central groin or lower abdominal pain, worsened by running, kicking, or positional changes. We focus on restoring pelvic symmetry, improving force transfer through the core and hips, and reducing joint irritation using laser therapy, pelvic stabilization, and load management strategies.
Inguinal Hernia (Reducible / Repaired)
A true inguinal hernia is a protrusion of abdominal contents through the inguinal canal, and may cause a visible bulge or deep aching. We work with patients who have undergone hernia repair and have painful symptoms or pelvic / penile dysfunction after surgery. We use a combination of physiotherapy, manual therapy, laser, and myofascial release to in our treatment approach. For nearly all patients, we are able to effectively restore strength, reduce pain, and improve overall function
Obturator Nerve Entrapment
Compression of the obturator nerve, often from fascial thickening or pelvic imbalance, can cause vague groin discomfort and medial thigh weakness. Treatment includes neural mobilization, pelvic realignment, and laser therapy to reduce inflammation and improve neural function.
Ilioinguinal and Genitofemoral Neuralgia
Entrapment or irritation of these sensory nerves may cause burning or tingling in the groin, inner thigh, or scrotum. Symptoms may follow surgery, trauma, or occur spontaneously.
We use pelvic floor retraining, laser therapy, and neuromodulation techniques to reduce nerve sensitivity. In select patients, ultrasound-guided nerve therapies may be warranted.