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Physio Energy

Muscles

Pectineus Trigger Points

Symptom Area: Hip, Thigh and Knee

Pectineus Trigger Points are explored here through their location and referred pain pattern. Muscle knots is an everyday term used for tender muscular spots; myofascial pain describes pain involving muscle and its surrounding connective tissue. Adducts and flexes the hip.

Where you feel it

When the Pectineus holds active trigger points, you usually notice it as medial thigh pain. Where the pain spreads: Deep groin pain at the front of the hip. What often sets it off: Soccer, sprinting, sudden direction changes.

Overview

Adducts and flexes the hip. Trigger points here are common in everyday and athletic populations and frequently contribute to the referred pain patterns described below.

Trigger point locations

Deep groin between adductor longus and psoas.

Referred pain pattern

Deep groin pain at the front of the hip.

Palpation & testing

Palpate the muscle belly along its accessible course. Reproduction of the patient's familiar pain on palpation supports involvement.

Common causes

Soccer, sprinting, sudden direction changes.

Self-care & clinical treatment

Adductor stretches, hip control. Clinically: needling by trained clinicians (femoral neurovascular bundle).

Treatment protocol

For Pectineus, the general protocol applies: sustained pressure release on the taut band, then stretch and active movement in the newly gained range.

Position and palpation: Palpate the muscle belly along its accessible course.

Regional precaution for clinicians: Around the hip and thigh the sciatic nerve behind the deep gluteals, the femoral nerve, artery and vein in the femoral triangle and the adductor canal are the structures to map before treatment.

Read the full trigger point treatment protocol →

Primary Symptoms

Secondary Symptoms

Often confused with

These muscles cause the same primary symptoms, so they are checked together:

Related muscles in this region

Related articles

References

  • • Travell & Simons — Myofascial Pain and Dysfunction

Medically reviewed by: Marco Aruffo — physiotherapist since 2006, specialised in myofascial pain · Last reviewed:

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