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HIP FLEXOR TENDINOSIS
&
GROIN TENDINOSIS

Hip Flexor and Groin Tendinosis
Photo by Beth O'Hara

A FEW OF THE HIP FLEXOR TENDONS
MANY OF THE GROIN MUSCLES / TENDONS ARE CONSIDERED HIP FLEXORS
(Note that the Quadriceps -- a powerful hip flexor -- are not shown in this picture)

As you might imagine, the “Hip Flexors” are muscles that flex your hips.  Flexion of the hip is easy to understand.  If you  bring your knee toward your chest, you are flexing your hip.  Every time you walk, run, squat, kick a ball, or do about anything that involves moving your thigh, you are putting your hip into at least some degree of flexion.  Soccer players who have explosive muscle contractions of the thigh / hip every single time they kick the ball, are extremely prone to Hip Flexor Tendinopathy or Tendinosis of the Hip Flexors.  If you do not understand the difference between Hip Flexor Tendinitis and Hip Flexor Tendinosis, you need to spend just a few minutes on our TENDINITIS -vs- TENDINOSIS page.

Although there are many muscles that are considered to be “flexors” of the hip, the two muscles that are most commonly thought of as “The Hip Flexors” are the Illicacus and Psoas (often referred to as one muscle — the illiopsoas).  Although the illiosposas is the muscle most commonly associated with the Hip Flexor family, it is certainly not the only one.  Some of the most powerful muscles of the front thigh are considered to be Hip Flexors as well.  These include the powerful Quadriceps Muscle (Rectus Femoris in the picture below), the TENSOR FASCIA LATA on the outside of the hip area (which attaches to the incredibly long tendon-like ITB --- sometimes called the Illiotibial Tract), as well as the Sartorius and Gracilis. 

WHERE WILL YOU MOST COMMONLY FEEL THE PAIN?
Where will you feel most cases of Hip Flexor Tendinosis?  If you go to you ASIS (the bony bump at the front of the top of your pelvis area --- your belt will sit on or just above the ASIS) and slide straight down just a smidgen, you will be there.  In the case of an injured groin tendon, the pain will be felt most commonly in one of the cord-like tendons on the high inside part of the thigh.  Be aware that many cases of "Groin Pulls" are actually related to tearing the fascia of this region.  See middle picture below.

HIP FLEXOR ANATOMY

DEEP HIP FLEXORS & GROIN MUSCLES

Groin and Hip Flexor Tendinosis

FASCIA AROUND THE GROIN

Fascial Adhesions and Scar Tissue of the Groin Region
LEFT:  You can see the illiacus and psoas muscles in this picture. However, please note the other muscles that are in the area, and are considered to be hip flexors as well. Sartorius, Quadriceps, and TFL are three of several (including groin muscles).  ABOVE:  I included this picture from Gray's Anatomy to show you just how much fascia there is in the "Groin" or "Hip Flexor" region. Torn fascia and FASCIAL ADHESIONS are a huge problem and major contributor to Chronic Pain! Your problem may not be Tendinosis.   Address Fascial Adhesions and Destroy Chronic Pain!

Hip Flexor Quadriceps Tendinosis

This picture from a 1908 Anatomy Text is great because it shows the actual attachment point of the Quadriceps (not shown in the picture on the far left --- it's covered up by other muscles).  Diagram "a" above is the Rectus Femoris Muscle.  It's upper tendon is where I tend to find many cases of Hip Flexor Tendinosis.

Be sure to visit our STRETCHING PAGE as well.  This is not a page to show people what I like to refer to as 'Wellness Stretches".  Although I think regular stretching is a good thing, that is not what this site is all about. Our various Stretching Pages are dedicated to demonstrating stretches specifically for people suffering with various CHRONIC PAIN SYNDROMES --- particularly those who have been through our TISSUE REMODELING TREATMENT.








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